Public Implementation Report

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1

Grouped public projects available in this detailed view.

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With Challenges
35

Reports where implementation challenges were captured.

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35

Reports containing responses, actions, or recommendations.

KES
Total Amount Spent
206,351,494,462.00

Summed expenditure across all filtered report entries.

%
Average Performance
70.4%

Average performance score from the filtered records.

C
Challenge Rate
100.0%

Share of report records with recorded challenges.

A
Action Rate
100.0%

Share of report records with resolutions or recommendations.

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Implementation status mix across the filtered public report records.

35 Total Records
Pipeline
0.0% share
0
Ongoing
54.3% share
19
Stalled
0.0% share
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Completed
45.7% share
16

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IO

Implementation of Universal Health Care

Cluster: SOCIAL | Last Updated: 25 Feb 2026
Ongoing Medium Risk Ongoing Completed
Budget
17,084,882,110.00
Spent
206,351,494,462.00
Absorption
1,207.8%
Performance
70.4%
Overall Performance
70.4%
Score
Budget Absorption
1,207.8%
Shows the proportion of reported expenditure against the available project budget.
Report Volume
10 of 35 Entries
Indicates the number of raw reporting records available for this project.

Public Story Board

A simplified view of what is affecting implementation, what is being done, and the latest public-facing outcome.

Challenges 6 Actions 6 Coverage 100.0%
!
Key Challenges

Issues slowing or affecting delivery

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
Delays in approvals
Actions / Resolutions

Responses and recommendations captured

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
Fast track the process
Comments / Outcomes

Latest reported progress notes

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
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
Challenge → Action → Outcome Flow
5 Highlighted
!
Challenge
25 Feb 2026

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

Action
Resolution / recommendation

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.

Outcome
Ongoing

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.

!
Challenge
25 Feb 2026

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

Action
Resolution / recommendation

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.

Outcome
Ongoing

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

!
Challenge
25 Feb 2026

Low public enrollment to the program

Action
Resolution / recommendation

Intensify Public outreach on the program

Outcome
Ongoing

Target not achieved

!
Challenge
25 Feb 2026

Slow uptake

Action
Resolution / recommendation

Intensify rollout plan

Outcome
Ongoing

Target not achieved

!
Challenge
25 Feb 2026

Slow uptake

Action
Resolution / recommendation

Re strategize rollout plan

Outcome
Ongoing

Target not achieved

Detailed Data Table

Raw report history is kept here for users who need the full records.

Showing 10 of 35
Date Status Amount Spent Performance Challenges Recommendations Comments
25 Feb 2026 Ongoing 22,374,922,440.00 20.0%
N/A
N/A
N/A
25 Feb 2026 Ongoing 32,815,641,991.00 49.0%
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
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.
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.
25 Feb 2026 Ongoing 32,815,641,991.00 46.0%
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
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.
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
25 Feb 2026 Ongoing 29,061,322,010.00 30.0%
Low public enrollment to the program
Intensify Public outreach on the program
Target not achieved
25 Feb 2026 Ongoing 29,061,322,010.00 30.0%
Slow uptake
Intensify rollout plan
Target not achieved
25 Feb 2026 Ongoing 29,061,322,010.00 30.0%
Slow uptake
Re strategize rollout plan
Target not achieved
25 Feb 2026 Ongoing 29,061,322,010.00 30.0%
Negative public perception
Intensify public sensitization
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
24 Feb 2026 Completed 0.00 100.0%
N/A
N/A
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.
24 Feb 2026 Completed 0.00 100.0%
N/A
N/A
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.
24 Feb 2026 Completed 0.00 100.0%
N/A
N/A
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.