How Kenyans will benefit from SHIF; including standard fee for expectant mothers

Ezra Manyibe | 2 weeks ago
File image of Health CS Susan Nakhumicha. |Photo| Courtesy|

Kenyans are set to benefit from multiple packages in the Social Health Insurance Fund (SHIF) as outlined by the Social Health Authority (SHA).

The Ministry of Health is currently overseeing the transition from the National Health Insurance Fund (NHIF) aimed at roping all Kenyans under universal health coverage.

The new scheme proposes a standard delivery fee of Ksh10,000 for expectant mothers. It proposes a further Ksh30,000 for those undergoing cesarian section.

SHIF will also fully cover the cost of dialysis for kidney patients. For acute kidney failure patients in need of five dialysis sessions a day, the scheme will cover three sessions while the remaining two will be covered by the Emergency, Chronic, and Critical Illness Fund (ECCIF).

Level 4 to Level 6 facilities will provide dialysis, ambulance and Intensive Care Unit (ICU) services.

For cancer patients, SHIF will provide Ksh400,000 for surgery, chemotherapy, radiotherapy, hormone therapy and immunotherapy. ECCIF will cover up to Ksh250,000 for oncology services.

The services will include screening and treatment of cancers such as breast, prostate, colorectal, cervical and childhood cancers.

SHIF also rolls out a treatment plan for mental health patients including those suffering from chronic drug abuse.

The insurance cover will provide Ksh139,000 for a three-stage treatment programme for addicts. Rehabilitation services will be available at all Level 4, 5, and 6 medical facilities.

kenyans will however be required to foot their own bills on certain services including fertility treatment, weight management, and nutritional supplements.

Vaccines not listed on the Kenya Extended Programme on Immunisation (KEPI), products not listed in the Kenya Essential Medicine List (EML), and the Kenya Essential Diagnostics List (EDL) will not be covered by SHIF.

Under SHIF, healthcare workers will receive a capitation rate of Ksh900 per patient per year.

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