The Ministry of Health has announced a significant increase in the daily funding allocated for Intensive Care Unit (ICU) and High Dependency Unit (HDU) services under the Social Health Authority (SHA) and the Social Health Insurance Fund (SHIF).
The changes, aimed at easing the financial burden on patients and their families, will see the daily ICU cover rise dramatically from Ksh4,600 to Ksh28,000.
In a statement shared on social media, the Ministry emphasized the importance of this move in ensuring that families are protected from excessive out-of-pocket expenses during medical emergencies.
“HDU/ICU coverage has increased sixfold, from Ksh4,600 to Ksh28,000, ensuring families are protected from out-of-pocket payments during emergencies,” read the official announcement made on Tuesday.
The increment follows a proposal made last month by Health Cabinet Secretary Deborah Barasa, who had championed the need for a revision of healthcare funding to align with the needs of the public.
Speaking at a recent health summit, Barasa confirmed that the revised rates would soon be rolled out to ensure that Kenyans in need of critical care receive adequate financial support.
“Previously, we were at Ksh4,480, but we are happy to report that ICU will now benefit from Ksh28,000 per day,” the CS stated. “These adjustments are necessary to ensure that every Kenyan has access to quality healthcare without the stress of high hospital bills.”
Under the previous system, the SHA provided coverage for ICU and HDU services at varying daily rates based on the level of the healthcare facility.
Patients receiving care at Level 4 facilities were covered up to Ksh3,360 per day, those in Level 5 hospitals were eligible for Ksh3,920, while Level 6 facilities had a maximum cover of Ksh4,480 per day.
With the new rates in place, the government expects that hospitals will be better equipped to provide critical care services without forcing patients to seek alternative funding. The SHA currently provides each household with a maximum of 180 days of coverage annually for ICU and HDU services.
However, any hospital charges exceeding the specified coverage limits require beneficiaries to make co-payments.
In addition to the ICU and HDU funding boost, the government has also revised the financial support available for cancer patients. During the inaugural National and County Governments’ Health Summit, hosted by Deputy President Kithure Kindiki at his official residence in Nairobi, CS Barasa disclosed that the allocation for oncology services would increase from Ksh400,000 to Ksh550,000 per patient.
“Equally, for oncology services, we are happy to report that previously we were at Ksh400,000, and following concerns from the public, we have been able to increase this to Ksh550,000. This is an additional increase of Ksh150,000 for oncology cases,” she stated.
Cancer treatment has been a major financial burden for many Kenyans, with high costs often limiting access to specialized care. The increased allocation aims to improve access to chemotherapy, radiotherapy, and other essential cancer treatments.
While these adjustments represent a major step forward in improving healthcare access, the government has acknowledged ongoing challenges with the Social Health Insurance Fund.
Since its launch in October last year, the scheme has faced resistance and protests, with many Kenyans expressing concerns over its implementation.
One of the most pressing issues is the low level of contributions, particularly from informal sector workers. According to Health CS Barasa and Director General of Health Dr. Patrick Amoth, the fund is experiencing a financial strain due to low participation rates.
Out of the over 20 million registered members, only 3.3 million are actively contributing to the scheme.
This funding shortfall has raised concerns about the sustainability of the insurance program. The government has hinted at further improvements and possible policy adjustments to encourage more participation and ensure long-term viability.
The increase in ICU, HDU, and oncology funding signals the government’s commitment to improving healthcare services across the country.
However, for the Social Health Insurance Scheme to be truly effective, there is a need for greater public awareness, improved compliance among contributors, and continued investment in health infrastructure.
Related Content: SHA Acting CEO Elijah Wachira Sent On Compulsory Leave Over Corruption
