In this episode of Jijuze, Brian provides a critical analysis of the initial performance of Kenya's ambitious healthcare reform, the Social Health Authority (SHA), and its primary source of funding, the Social Health Insurance Fund (SHIF). Six months on, the system faces considerable operational and financial challenges, including declining performance scores, irregular payments, and a significant funding gap. Despite some upgrades in technology-focused areas such as e-contracting and patient verification, larger problems persist in claims management, reimbursement models, and adoption by the public. The episode delves into these issues and proposes several key improvements, such as a comprehensive financial review, streamlined reimbursement processes, and stronger public engagement campaigns, to ensure the SHA and SHIF achieve their goal of universal health coverage.

• https://nation.africa/kenya/health/healthcare-reforms-suffer-setback-as-sha-performance-declines-4931356
• https://nation.africa/kenya/health/how-to-make-kenya-s-nhif-shif-transition-less-painful-4793120
• https://nation.africa/kenya/blogs-opinion/blogs/bold-commitment-to-kenya-s-healthcare-equity-and-growth-4866914