Health Cabinet Secretary Aden Duale has issued a stern warning to health institutions that are charging patients for primary health care (PHC) medicines and services, reiterating that all PHC services and drugs are fully covered under the Social Health Authority (SHA).
In a statement posted on his X account on Tuesday, January 20, 2026, Duale expressed concern over low drug dispensing rates at some facilities, suggesting that these could indicate billing without actually providing medicines.
“SHA has noted with great concern the low drug dispensing rates, indicating that some facilities may be billing without issuing medicines,” he said, adding that the authority will not reimburse claims of this nature and will deduct the drug component where applicable.
“SHA will not pay such claims and will deduct the drug component where applicable. All PHC services and medicines are fully covered under SHA. Patients must not be charged,” Duale emphasized.
The Cabinet Secretary encouraged members of the public to report any health facility charging for PHC medicines or services through official SHA channels to ensure accountability.
Public Reactions
The announcement generated significant discussion online. Some citizens raised questions about SHA operations, with Paul Ngigi asking:
“Waziri why SHA eligibility expires when one year is not over? For instance, mine I paid July 2025 and it expires April 2026.”
Others highlighted service delivery challenges, such as shortages of drugs and staff in government facilities. Netizen Minor Boi commented:
“Charges are all over CS, from Registration to Pharmacy especially government dispensary where there’s no medicine with shortage of personnel… Where will my grandma report to? I thought government hospitals should win first and fast. Ironically.”
Some users also criticized the system itself. “Fraud is the Hallmark of SHA,” said Dumoro, reflecting frustrations with inconsistent access despite coverage.
Context
CS Duale’s warning comes amid increasing complaints of irregular charging and drug shortages in public health facilities. The SHA has urged the public to report incidents promptly to safeguard the benefits intended for all citizens and ensure proper oversight of health institutions.
