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Originally published by Ghafla! (Entertainment)entertainment
January 30, 2026
1w ago
The Digital Sentinel- How AI Exposed A Ksh 11 Billion Fraud Scheme Within SHA
In a startling disclosure that underscores the deep-seated challenges within Kenya’s healthcare financing, Health Cabinet Secretary Aden Duale has confirmed that an estimated Ksh 11 billion in Social Health Authority (SHA) funds has been flagged as “unaccounted for” due to ..
✨ Key Highlights
Kenya's Cabinet Secretary for Health Aden Duale revealed an estimated Ksh 11 billion in Social Health Authority (SHA) funds was flagged as fraudulent during the system's initial six months, thanks to an AI-driven fraud detection engine. This significant loss was averted by the AI, which automatically rejected suspicious claims.
- The AI system detected fraud patterns including 100 percent Caesarean section rates at some private hospitals, and an individual registering 381 dependent children under a single SHA account in Kwale County.
- Auditor General Nancy Gathungu’s report raised concerns about the ownership of the Ksh 104 billion SHA system, noting it's managed by a private consortium linked to an Indian firm.
- The Rural and Urban Private Hospitals Association (RUPHA) claims its members are owed Ksh 76 billion, while the Ministry of Health states it has disbursed Ksh 11.4 billion.
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