Health economics
2026-04-26
9 minute read
5 sources
Kenya health financing 2026: SHIF rollout, fiscal arithmetic, donor cliff
The Social Health Insurance Fund inherits NHIF's debts and Kenya's universal coverage ambitions just as PEPFAR, Global Fund, and Gavi rewrite the rules of co-financing. The arithmetic is brutal, but tractable.
Kenya replaced the National Hospital Insurance Fund with the Social Health Insurance Fund in October 2024, anchoring universal coverage on a 2.75 percent salary deduction and a means tested contribution for informal workers. Eighteen months later, enrollment has climbed past 22 million principal members, but only a fraction are paying. Pr...