Social Health Authority Faces Funding Gaps, Debt Claims, and Contribution Concerns - February 2026

A report by the Institute of Economic Affairs (IEA) indicates Kenya's new Social Health Authority (SHA) is facing a Sh116 billion funding gap and issues with fraud, hindering the rollout of Universal Health Coverage. Lack of adequate funding is described as a major obstacle to the SHA's full implementation. In addition, faith-based health providers are demanding the government release over Kshs 10 billion in debt owed to them by the now-defunct NHIF and the SHA. Meanwhile, Manyatta MP Mukunji has voiced concerns over unfairness in SHA contributions, highlighting a disparity where some pay monthly while others may have to pay for two years upfront. The government's plan is to strengthen healthcare services, with an explanation that the SHA is meant to offer a broader safety net than the previous NHIF.