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Duale Defends SHA Amidst Treatment Denial Accusations

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Duale Defends SHA Amidst Treatment Denial Accusations

Health Cabinet Secretary highlights SHA's performance and financial disbursements while addressing concerns from healthcare facilities.

Health Cabinet Secretary Aden Duale recently defended the Social Health Authority (SHA) amidst rising accusations from hospitals regarding treatment denials. During a committee session, Duale revealed that SHA's national claim settlement rate is currently at 84%, though he noted that Mombasa County lags behind at 71%. This disparity has raised concerns about the accessibility of healthcare services in the region.

Duale's remarks came in response to allegations that some healthcare facilities are using SHA's processes as an excuse to deny patients necessary treatments, despite having received claim payments from the government. He emphasized that the SHA has been consistent in its financial disbursements, having paid Ksh12.7 billion last month and Ksh16.3 billion the month prior. This financial support is crucial for ensuring that health facilities can continue to operate effectively.

The Cabinet Secretary also highlighted specific public facilities, such as Coast General Teaching and Referral Hospital and Nakuru Level Five Hospital, which have continued to provide services after receiving reimbursements from SHA. This indicates that while some facilities may be facing challenges, others are successfully utilizing the financial support to enhance patient care.

Additionally, Duale presented proposed amendments to healthcare tariffs aimed at guaranteeing free maternity services at Level Two and Three facilities, fully financed by the government. This initiative underscores the government's commitment to improving healthcare accessibility and addressing the needs of expectant mothers.

While Duale's defense of SHA sheds light on the authority's financial performance and commitment to service provision, it also raises questions about the reasons behind the treatment denials reported by some hospitals. The ongoing dialogue between the government and healthcare providers will be crucial in addressing these concerns and ensuring that patients receive the care they need.

Last updated Jun 18

  1. Prior version Jun 18

    Duale revealed that SHA's national claim settlement rate is 84%, with Mombasa County at 71%, and detailed the financial disbursements made to health facilities.

    Duale revealed that SHA's national claim settlement rate is 84%, with Mombasa County at 71%, and detailed the financial disbursements made to health facilities.

    Duale revealed that SHA's national claim settlement rate is 84%, with Mombasa County at 71%, and detailed the financial disbursements made to health facilities.

    The development matters because duale defends SHA amidst accusations from hospitals over treatment denials.

    The key developments are:

    • Health Cabinet Secretary Aden Duale has accused some healthcare facilities of using the Social Health Authority (SHA) as an excuse to deny patients treatment despite receiving claim payments from the government.
    • The CS was before the committee to present proposed healthcare tariff amendments that will guarantee free maternity services at Level Two and Three facilities, with costs fully financed by the government.
    • Duale said SHA’s national claim settlement rate currently stands at 84 per cent, although Mombasa County remains below the national average at 71 per cent.
    • Duale singled out Coast General Teaching and Referral Hospital and Nakuru Level Five Hospital as examples of public facilities that have continued to provide services after receiving substantial reimbursements from the authority.
    • He noted that the authority has maintained regular payments to health facilities, disbursing Ksh12.7 billion last month and Ksh16.3 billion the previous month.