The Kenya Medical Practitioners Pharmacists and Dentists’ Union (KMPDU) has issued a press statement expressing deep reservations and concerns regarding the recently enacted Social Health Insurance Act 2023.
“I want urge all Kenyans to be extra vigilant during these uncertain times of vendor driven policies geared towards the launching of ego monuments aimed at lining the pockets of a few tenderprenuers!” urged Dr. Davji Bhimji Secretary general of KPMDU
The union, representing healthcare professionals across the country, has highlighted several key issues that, in their view, pose significant threats to the accessibility and quality of healthcare services for Kenyans.
“We had our reservations on certain clauses and how they would impact on the health service delivery in Kenya, but we were reassured that our concerns would be addressed during the development of the regulations. It is also noteworthy that all our proposals to the Parliamentary Health committee were ignored,” stated KMPDU in its press release
The concerns raised were:
Immediate Cessation of Comprehensive Medical Cover for Civil Servants:
The union raised alarm over Section 5 of the transition clause, which stipulates that, “On the appointed day, the fund shall not provide enhanced benefits scheme or packages.” This implies an immediate cessation of the comprehensive medical cover for over 3 million civil servants and county employees, a move that the union argues is a breach of their duly signed Collective Bargaining Agreement.
Impact on the Informal Sector:
They also expressed concern about the contribution structure for the informal sector, where approximately 80 percent of Kenyans work. Unlike their formally employed counterparts who contribute monthly, those in the informal sector would be required to make an upfront annual payment. Questioning the fairness of this approach, especially considering the challenges faced by those in the informal sector, and raised concerns about the potential commercial benefits for those providing “premium financial products” to help with payments.
Primary Health Care Fund and Devolution:
KMPDU demanded that the Primary Health Care Fund, funded by taxpayers and appropriated by parliament, be disbursed to the counties by the Commission of Revenue Allocation. Arguing that managing the fund through the Social Health Authority would undermine devolution and negatively impact service delivery, drawing parallels with delays seen in funds meant for the education sector.
Concerns Regarding Regulations Development:
The union expressed disappointment that regulations are already being developed without the Social Health Authority’s Board in place and without the input of key stakeholders, including the Council of Governors. They urged all parties, particularly the governors, to be vigilant and participate in the regulatory development process.
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