Ruto's administration replaced National Health Insurance Fund (NHIF) with Social Health Authority (SHA/SHIF), attempting healthcare financing reform. The transition was controversial: workers faced new deductions, coverage transitions created confusion, and implementation was chaotic with NHIF data systems failing during transfer. The reform aimed to improve healthcare equity and financing sustainability, yet early execution suggested potential for disrupting healthcare access during transition period. The healthcare reform illustrated Ruto's willingness to undertake institutional restructuring yet with execution capacity questions remaining.
See Also
Sources
- Ministry of Health, "SHIF Implementation Report," 2023