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Government and Policy

The Rot of SHIF and SHA: A National Scandal In The Making

BY Steve Biko Wafula · September 27, 2024 04:09 pm

The unfolding of events surrounding the Social Health Insurance Fund (SHIF) and the Social Health Authority (SHA) presents a glaring issue that must be urgently addressed. In the recent tweet shared by AbdulCollo:  https://x.com/abdulcollo/status/1839601362369212647?s=46,  we witness a concerning anomaly where individuals are finding unknown dependents attached to their SHA accounts.

Without the ability to remove these unauthorized entries, this represents a chilling preview of what lies ahead if this system is allowed to continue unchecked. The fact that a child, whom AbdulCollo does not know, was added to his account without his consent, only two days after its creation, speaks volumes about the flawed structure of the SHA.

Read Also: SHIF—A Death Sentence Wrapped in a Smile: How The Kenyan Government Has Turned Healthcare Into A Looting Scheme

This incident points to a gross level of incompetence or even deliberate tampering within the system. How does a national healthcare database, supposedly designed to protect the health rights of Kenyans, end up with unauthorized changes? This is not just a glitch but a reflection of how corruption has seeped into the very framework of healthcare. We must ask ourselves: if this is happening at the individual account level, how deep does the rot go on a national scale? Kenyans should be alarmed that such errors are surfacing even before the system has fully matured.

The integrity of a national healthcare system is crucial. A corrupt or inefficient system will not just cost the government billions but will deny millions of Kenyans access to quality healthcare. The SHA is marketed as a tool for inclusivity, ensuring that no one is left behind. However, when fundamental issues like unauthorized dependents are surfacing, it raises the question of how well the system can be trusted to handle Kenyans’ sensitive medical and personal information. Such discrepancies open up the possibility for fraud, misappropriation of funds, and the abuse of healthcare resources, all at the expense of Kenyan citizens.

Read Also: Reject SHIF: The Financially And Medically Catastrophic Plan Kenyans Cannot Afford

It is difficult to ignore the possibility that corruption has already embedded itself within the SHIF and SHA frameworks. In a country where political actors are known to manipulate public institutions for personal gain, we cannot rule out the idea that these “errors” might be more intentional than accidental. In AbdulCollo’s case, this child might be a beneficiary of some corrupt backdoor deal. Who knows how many other Kenyans will fall victim to such manipulations if this system continues?

Parliament must step in and put a halt to this entire charade. It is Parliament’s duty to protect the interests of Kenyans, yet they are being asked to endorse a system riddled with loopholes for corruption. The SHA and SHIF promise healthcare inclusivity, but in practice, they are setting up millions of Kenyans to be defrauded. This system cannot be allowed to roll out any further without a comprehensive audit and restructuring to ensure that such anomalies are eradicated. Anything less is an endorsement of systemic exploitation.

A healthcare system that cannot even guarantee the integrity of personal data is not fit for purpose. Imagine the catastrophic consequences if such errors continue at the point of service delivery. Kenyans could end up paying for services they never received, or worse, find themselves unable to access services because their accounts have been tampered with. The SHA and SHIF are ticking time bombs, and every Kenyan should be on high alert.

This incident is a microcosm of a larger problem: the Kenyan government’s continuous failure to deliver on promises without turning them into corrupt enterprises. Parliament, instead of being complicit in this by allowing the SHIF and SHA to move forward, must demand a full stop and investigation. They must hold the Ministry of Health accountable and force transparency in the entire process. The lack of an option to delete or rectify such glaring mistakes in the SHA system should be enough reason for immediate intervention.

Moreover, this incident highlights the absurdity of blindly trusting digital platforms without the necessary oversight. Digital systems are meant to streamline and secure services, but without adequate controls, they become ripe for abuse. If something as personal and significant as healthcare can be tampered with so easily, one shudders to think about the national implications. The healthcare of millions cannot be left in the hands of systems that are this vulnerable to corruption and inefficiency.

Kenyans deserve better. Healthcare is a right, not a privilege for the wealthy or well-connected. The SHIF and SHA, as currently structured, are weapons of mass exploitation disguised as tools for healthcare equity. The potential for misuse is vast, and Kenyans are already feeling the effects. This incident should be the wake-up call we need to demand a better system—one that is free from corruption, manipulation, and gross errors.

Therefore , Parliament must act now. The entire process needs to be stopped and overhauled before any further damage is done. We cannot afford to let SHIF and SHA proceed under these circumstances, knowing that corruption is already happening at the individual level. This is not just about healthcare; it’s about safeguarding the future of Kenya’s social safety nets and the well-being of its citizens.

Read Also: Rejecting SHIF and SHA: Why Kenyans Are Being Forced Turn to Private Insurance for Their Healthcare Needs

Steve Biko is the CEO OF Soko Directory and the founder of Hidalgo Group of Companies. Steve is currently developing his career in law, finance, entrepreneurship and digital consultancy; and has been implementing consultancy assignments for client organizations comprising of trainings besides capacity building in entrepreneurial matters. He can be reached on: +254 20 510 1124 or Email: info@sokodirectory.com

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