• None
• 1. Registration to the Social Health Insurance Fund (SHIF) 2. registration in Kenya faces significant challenges, primarily driven by technical glitches with the Afya Yangu portal, low public awareness, and reluctance in the informal sector. Other major obstacles include registration errors, missing dependent data, and high, inconsistent, or un-affordable premiums, which have led to service disruptions and public, or private, health facility, challenges
• Social Health Authority (SHA) registration in Kenya faces significant challenges, primarily driven by technical glitches with the Afya Yangu portal, low public awareness, and reluctance in the informal sector. Other major obstacles include registration errors, missing dependent data, and high, inconsistent, or un-affordable premiums, which have led to service disruptions and public, or private, health facility, challenges
• Low public enrollment to the program
• Slow uptake
• Negative public perception
• N/A
• NA
• -
• NONE
• Delays in approvals

• None
• 1. Promotion of Registration: Use USSD code *147# or visit www.sha.go.ke and all targeted registration by the government. 2. Dependents must be linked to existing covers: Requirement to manually link spouses and children (using birth certificates/marriage certificates) on the portal, or they will not be covered. 3. Means Testing: If unemployed, complete the "Means Testing" section on the portal to qualify for government-subsidized premiums. 4. Expansion of Benefits Package: SHA covers primary (Level 2/3), inpatient, outpatient, mental health, and emergency care. 5. Employer Obligations: Employers must register and remit contributions by the 9th of every month.
• Intensify Public outreach on the program
• Intensify rollout plan
• Re strategize rollout plan
• Intensify public sensitization
• N/A
• NA
• -
• NONE
• Fast track the process

• None
• By 31st December 2025, 27 million Kenyans had been registered to SHA representing approximately 48.75% of the total population. and have been able to access the essential health services as per the gazette benefits package and tariffs of 20th September 2024. As of December 2025, approximately 4.8 million people were active contributors to the fund. This includes about 4 million salaried contributors and 890,000 contributors in the informal sector. 5.48 million people had undergone the means testing process to determine their appropriate contribution levels.
• By 31st December 2025, 27 million Kenyans had been registered to SHA representing approximately 48.4% of the total population. and have been able to access the essential health services as per the gazette benefits package and tariffs of 20th September 2024
• Target not achieved
• 19.3 Million Kenyans had been registered to SHA by 30th June 2025, representing approximately 35% of the total population. The same have been able to access the essential health services as per the gazette benefits package and tariffs of 20th September 2024
• The consolidation of Health Insurance schemes was done with the enactment of the Social Insurance Act 2023 which An an Act of Parliament to establish the framework for the management of social health insurance; to provide for the establishment of the Social Health Authority.
• A health benefits package (HBP) is a defined set of essential, evidence-informed health services—including consultations, medication, inpatient/outpatient care, and diagnostics—guaranteed to eligible individuals. These packages aim to provide financial protection and equitable access to quality care, often structured around primary healthcare and preventive services, such as the Social Health Authority (SHA) in Kenya. Common Components of Health Benefit Packages 1. Primary & Outpatient Care: Consultations, diagnostics, laboratory tests, and medicines. 2. Inpatient Services: Hospital accommodation, nursing care, and surgery (Levels 4-6). 3. Maternity & Newborn Care: Prenatal, delivery, and postnatal care. 4. Specialized Services: Chronic disease management (HIV, TB, diabetes), imaging (X-rays, ultrasound), and physiotherapy. 5. Preventive Services: Vaccinations, counseling, and health education.
• The Benefits Package and Tariffs Advisory Panel (BPTAP) was established in Kenya via Gazette Notice No. 5044 of 23rd April 2025 to guide the Social Health Authority (SHA) in developing evidence-based, sustainable health benefits and tariffs. This 11-member panel (plus joint secretaries) advises on Social Health Insurance (SHI) regulations, conducting Health Technology Assessments (HTA) to ensure equitable, affordable care for UHC.
• Fund established vide gazette Legal Notice No. 49 " The Social Health Insurance Act No. 16 of 2023 dated 8th March 2023
• The Fund was establised in the Financial Year 2023-2024 and is operational
• The Advisory Panel for HBPA was constituted and gazetted on 23rd April 2025 through the Legal Notice, THE SOCIAL HEALTH INSURANCE REGULATIONS, 2024 (L.N. No. 49 of 2024) THE BENEFITS PACKAGE AND TARIFFS ADVISORY PANEL
• All schemes was consolidated in the social insurance fund
• The essential benefits package was defined and gazetted in legal notice no.56
• Fund already established
• The Health Emergency and Chronic Disease Fund was established. The fund was allocated 2 billion shillings in the FY 2024/25 to kick start the fund
• All schemes were consolidated into , the Social Health Insurance Fund (SHIF)
• The essential benefits package was defined and gazetted in legal notice no. 56, The Social Health Insurance Act (no. 16 of 2023).
• Package defined in Q2
• The Advisory Panel for HBPA was constituted and gazetted on 23rd April 2025 through the Legal Notice, THE SOCIAL HEALTH INSURANCE REGULATIONS, 2024 (L.N. No. 49 of 2024) THE BENEFITS PACKAGE AND TARIFFS ADVISORY
• Legal administrative process ongoing
• -
• EBP designed, Approved & Rolled out
• NONE
• Benefit package Tariff in Development Process
• Completed in previous FY
• Activity was achieved in the previous FY
• - SHA registered members 13,154,153 as of January 2025

• This include funds for PHC, ECCIF, SHIF, UHC Health Works, CHP and Digitization Project. Implemented through projects under Primary Health Care Fund, Emergency, Chronic, and Critical Illness Fund, Digital .Health Agency and Community health promoter funding
• This include funds for PHC, ECCIF, SHIF, UHC Health Works, CHP and Digitization Project