- Health Cabinet Secretary Deborah Barasa said the Linda Mama program for pregnant women will be improved and integrated under SHIF
- Under SHIF, patients with sickle cell anemia will get insurance up to KSh 6,800, while those with diabetes will get KSh 4,300
- Management of kidney failure will start from KSh 10,650 per session of hemodialysis and hemodiafiltration treatment and KSh 85,200 per month for peritoneal dialysis
The Ministry of Health has released a new benefit package under the Social Health Insurance Act (SHIA) treatment plan.
Source: Twitter
Will Linda Mama be returned?
According to the Secretary of the Cabinet of Health Deborah Barasa, the program Protect Mom for pregnant women will be improved and integrated to maintain the progress made in reducing maternal mortality rates in Kenya.
Up to KSh 400,000 will be paid for various cancer services for cancer patients.
Speaking at the National Conference on the Validation of the new tax for the SHIA benefits package, Barasa led stakeholders in discussing ways to ensure everyone has access to high-quality and affordable health care.
“In response to the increase in the maternal mortality rate (MMR), we have prioritized funding for pregnant mothers who are not able to afford it. The fee for normal maternity has been increased to KSh 10,000 and for C-sections to KSh 30,000, to ensure comprehensive care for mothers and their families,” he said.
What are the other standards under SHIF?
Under the Social Health Insurance Fund (SHIF), patients with sickle cell anemia will receive insurance up to KSh 6,800, those with diabetes KSh 4,300, and high blood pressure patients KSh 2,850. All these patients would receive outpatient care in Level 4 to six facilities.
With a 180-day admission limit per household, inpatient services at Level 4 to 6 hospitals will cost KSh 3,360 at Level 4, KSh 3,920 at Level 5, and KSh 4,480 at Level 6.
Management of renal failure in level 3-6 will range from KSh 10,650 per session of hemodialysis and hemodiafiltration treatment to KSh 85,200 per month for peritoneal dialysis to manage renal failure.
“Salary and non-salaried Kenyans will make a monthly contribution of 2.75% of their income to the fund,” the ministry said.
What did the court decide about SHIF?
The Supreme Court suspended its previous decision declaring SHIF unconstitutional following an appeal from the attorney general's office.
The three-judge court adjourned the decision for 45 days, allowing the AG to appeal and enforce the original decision, to ensure there would be no vacuum in the health sector.
Judges Fridah Mugambi, Alfred Mabeya, Robert Limo, and Freda Mugambi clarified that the suspension does not apply to Section 26(5) and 27(4) of the Social Health Insurance Act.
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