Faith-based health facilities in Kenya have threatened to suspend services under the Social Health Authority (SHA) unless the government settles outstanding debts totaling Ksh.10 billion. These institutions are particularly concerned about arrears accumulated from the previous National Health Insurance Fund (NHIF) and delays in the SHA’s reimbursement system.

In October 2024, the Kenya Renal Association (KRA) highlighted that the NHIF owed over Ksh.10 billion to dialysis service providers, leading to the closure of several dialysis units. They expressed dissatisfaction with the SHA’s rollout, citing challenges such as the absence of formal contracts and a non-operational digital claims system.

Responding to these concerns, Principal Secretary for Medical Services, Harry Kimtai, met with representatives from faith-based health institutions in October 2024. During this meeting, Kimtai acknowledged the outstanding debts, stating that Ksh.1.5 billion had been secured for immediate disbursement, with an additional Ksh.3 billion expected subsequently. He assured that all pending bills would be cleared within 90 days.

Despite these assurances, faith-based institutions continue to face challenges with the SHA system, including delays and inconsistencies in registrations and payments. They have called for clear guidelines and expedited formal contracts to ensure sustainable healthcare delivery.