Patients Face Challenges in SHA Implementation
Patients in Homa Bay have raised concerns over discrimination in the implementation of the Social Health Authority (SHA). Many claim they are denied direct access to medication at referral hospitals unless referred from smaller facilities. This has led to increased medical costs for patients who live near referral hospitals but are forced to travel for referral letters.
Nancy Anyango, a resident near Homa Bay County Referral Hospital, shared her frustration over the referral policy. She explained that despite living next to the hospital, she cannot receive treatment unless she first visits a smaller health facility. However, she noted that those who can afford to pay in cash are treated immediately without a referral.
Ombudsman Chairman Charles Dulo acknowledged the concern and vowed to escalate the issue. He noted that the current policy disproportionately affects those who rely solely on SHA for healthcare access. Dulo emphasized that patients should not be burdened with additional travel costs when a health facility is nearby.
Patients Highlight Financial Burden
Several patients reported that the SHA policy has increased their medical expenses. Many must travel long distances for referrals, which adds financial pressure on families already struggling with healthcare costs. They argued that such policies create barriers to essential medical services.
Nancy Awuor, a mother of three, lamented how the referral system affects her family’s ability to access timely healthcare. She explained that the nearest facility often lacks the resources to issue referrals promptly, forcing her to wait unnecessarily. Awuor questioned why paying cash eliminates the need for a referral, suggesting that the system disproportionately favors those with financial means.
Dulo acknowledged the concerns and stated that the Commission on Administrative Justice (Ombudsman) is gathering evidence from different counties. The goal is to provide recommendations to improve SHA implementation. He emphasized the need for fairness in the system to ensure all patients receive equal treatment.
Government Urged to Revise SHA Implementation
Healthcare advocates are calling on the government to review the SHA policy to address existing disparities. They argue that the current referral system disadvantages many patients, particularly those from low-income backgrounds. Experts suggest that allowing direct access to referral hospitals for all patients could improve healthcare delivery.
Dr. Samuel Ochieng, a medical expert in public health, pointed out that SHA was introduced to enhance healthcare access, not restrict it. He noted that the existing structure contradicts the purpose of the program by creating additional hurdles for patients. Ochieng emphasized that healthcare policies should prioritize patient welfare above bureaucratic regulations.
Dulo assured that the Ombudsman’s office would continue collecting data to make comprehensive recommendations. He urged patients to voice their concerns, stressing that their experiences will play a key role in shaping future reforms. The government is expected to review SHA’s shortcomings and introduce measures to eliminate discrimination in healthcare access.
Mixed Reactions on SHA’s Effectiveness
While many patients criticize SHA for being discriminatory, some acknowledge its benefits. Rose Anyango, a resident of Sindo village, shared her positive experience with SHA. She noted that her daughter is receiving medical care through the program, which has significantly reduced their financial burden.
Anyango praised SHA for covering medical expenses she could not afford on her own. She urged the government to fix the existing gaps while maintaining the core benefits of the program. She emphasized that despite its flaws, SHA has helped many patients who would otherwise struggle to access medical services.
As the government reviews SHA’s implementation, stakeholders hope for reforms that ensure equal access for all patients. The goal is to create a healthcare system that prioritizes patients’ needs while eliminating unnecessary financial barriers.
Conclusion
Patients in Homa Bay and other counties continue to face challenges in accessing healthcare under SHA. While the program has provided financial relief for some, its referral system has created obstacles for many others. Advocates are urging the government to address discrimination in implementation to ensure fairness for all patients. The Ombudsman’s office is actively investigating these concerns and will recommend necessary changes to improve SHA’s effectiveness.
As the debate continues, the focus remains on creating an inclusive healthcare system that serves all patients equitably. The government’s response to these concerns will determine the future of SHA and its role in shaping Kenya’s healthcare landscape.
The call for reforms continues, with patients hoping for a fairer, more efficient system that upholds the principles of universal healthcare access. Ensuring that all patients receive equal treatment remains a key priority in improving SHA’s implementation.
The government is now tasked with addressing these issues to create a system that truly benefits every patient.
