Kenya is currently undergoing a transition from the 57-year-old National Health Insurance Fund (NHIF) to the Social Health Insurance Fund (SHIF). This shift aims to ensure equitable access to healthcare services for the impoverished and those in the informal sector who have been excluded during NHIF’s tenure.
The Social Health Insurance (General) Regulations serve as a legal document outlining comprehensive guidelines and protocols for the establishment and operation of the social health insurance system. These regulations cover various aspects such as eligibility criteria, contributions, benefits packages, administrative procedures, governance structures, and enforcement mechanisms within the framework of social health insurance.The regulations play a crucial role as a roadmap for effectively managing and sustaining the social health insurance program. By adhering to these regulations, the program can operate efficiently, equitably, and in alignment with established laws and policies.
