NAIROBI, Kenya — Health Principal Secretary Mary Muthoni has warned that hospital administrators charging patients registered under the Social Health Authority (SHA) risk arrest and prosecution.
Speaking at a citizen forum in Kirinyaga, Muthoni said officials at Level 2, 3, and 4 health facilities found levying additional charges on SHA-registered patients would face legal action, as the government moves to enforce compliance within the new health financing framework.
“Health matters should not be politicised. Kenyans must follow the right procedures,” she said, adding that patients should only seek treatment at referral hospitals upon recommendation by a qualified doctor.
The PS emphasised that the SHA system is designed to enhance access to affordable healthcare and eliminate out-of-pocket expenses at lower-tier facilities.
She warned that non-compliance by providers undermines the reform agenda and erodes public trust.
Muthoni also outlined the government’s “lipa pole pole” contribution model, which allows households to spread SHA payments over a 12-month period.
She reiterated that the State would cover contributions for vulnerable populations unable to pay.
The forum forms part of a broader public engagement campaign aimed at explaining the SHA rollout and addressing concerns raised by citizens and healthcare providers.
Also present was Winnie Ngumi, chairperson of the Kenya Highways Authority, who provided updates on infrastructure projects.
She said stalled road works across the country would resume immediately following the settlement of pending payments to contractors.
“Contractors have been paid and are back in business. All stalled roads will be completed soon,” Ngumi said.
The government has faced criticism over delays in both healthcare reforms and infrastructure projects, with stakeholders calling for clearer implementation frameworks and timely payments.
Muthoni said enforcement of SHA regulations would be stepped up alongside continued public sensitisation to ensure patients understand their rights and obligations under the scheme.



