
The Rural & Urban Private Hospitals Association of Kenya (RUPHA) has today released a comprehensive national report assessing the financial health of healthcare facilities under the new Social Health Authority (SHA) system.
Based on responses from 477 hospitals and clinics across the country, the report paints a sobering picture:
✅ Only 20% of PHC-accredited facilities received consistent Primary Health Care (PHC) reimbursements for January–March 2025.
✅ 91% of facilities report being in financial distress.
✅ Surgical claims under SHA remain the most delayed and most problematic.
✅ Legacy debts from NHIF remain unpaid for many facilities, compounding cash flow issues.
This report highlights urgent gaps in health financing and the impact of delays on essential services like maternity, surgery, and PHC.
📎 Download and read the full report attached.
It’s a crucial resource for understanding the realities facing Kenya’s frontline health providers.