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Kenya’s healthcare system has long been plagued by financial instability, with hospitals frequently struggling due to delayed government reimbursements. The newly appointed Health Cabinet Secretary, Aden Duale, is stepping into Afya House with a clear agenda to fix the backlog of hospital claims and ensure timely payments.
In his first major policy move, Duale has pledged that the State Health Agency (SHA) will settle all hospital claims by the 14th of each month. This move is designed to restore stability in the sector and ease financial pressure on healthcare providers.
For years, Kenyan hospitals have faced operational disruptions due to late disbursement of funds. Government-funded facilities have been particularly affected, struggling to procure medical supplies, pay healthcare workers, and maintain essential services. Duale’s directive is set to change that.
By enforcing a fixed payment schedule, the Health Ministry aims to create a predictable financial flow, enabling hospitals to operate efficiently without the fear of sudden funding gaps. This will not only improve service delivery but also boost morale among medical professionals who have often borne the brunt of delayed salaries.

Duale’s announcement signals the beginning of broader reforms within Kenya’s healthcare system. His leadership is expected to focus on:
Financial Transparency – Ensuring accountability in the disbursement and utilization of public health funds.
Improved Healthcare Accessibility – Strengthening public hospitals and clinics to ensure quality care for all Kenyans.
Efficient Resource Allocation – Addressing inefficiencies in the health sector to maximize available resources.
The minister has also hinted at reviewing policies that affect insurance payments and funding structures for government health programs, aiming for a more sustainable model.

Duale’s firm stance on timely payments has been met with cautious optimism. Many healthcare workers and hospital administrators welcome the initiative, seeing it as a long-overdue intervention. However, some analysts remain skeptical, pointing out that previous administrations have made similar promises without tangible results.
The true test will be in execution, whether the SHA can consistently meet the 14th-day deadline without bureaucratic delays or financial shortfalls. The healthcare sector will be watching closely, hoping that this marks the beginning of a new, more efficient era at Afya House.
As Duale takes the reins, his success will largely depend on how well he can navigate Kenya’s complex healthcare financing landscape. If his directive is implemented effectively, it could be a game-changer for hospitals and healthcare workers. However, sustained commitment and proper budgetary planning will be critical in turning this promise into lasting reform.
For now, all eyes are on the 14th. Will Kenya’s hospitals finally receive their due on time?
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