Naivasha Health Facilities and Hospitals that Accept SHA

Since the implementation of the Social Health Authority (SHA) in October 2024, Kenyans seeking medical services have been navigating the new health insurance system that replaced the National Hospital Insurance Fund (NHIF). For residents of Naivasha and surrounding areas, understanding which health facilities accept SHA is crucial for accessing affordable healthcare services under the new scheme.

Health Facilities in Naivasha Accepting SHA

Understanding SHA Coverage in Naivasha

The Social Health Authority operates through two main benefit packages: the Social Health Insurance Fund (SHIF) which requires a 2.75 percent monthly premium contribution from formal sector employees, and the Primary Health Care package that is government-funded and accessible upon registration. Additionally, the Emergency, Critical and Chronic Illness Fund (ECCIF) covers serious health conditions requiring immediate or intensive care.

For Naivasha residents, SHA coverage means access to a range of services including outpatient consultations, inpatient care, laboratory tests, radiology services, maternity services, surgical procedures, and specialist clinics at contracted facilities. The system aims to provide comprehensive healthcare coverage that was previously fragmented under NHIF.

Major Health Facilities in Naivasha

Naivasha Sub-County Referral Hospital serves as the primary public healthcare facility in the region. This Level 4 government hospital provides comprehensive services including general medicine, surgery, maternity care through the Friends of Naivasha Women’s Centre, accident and emergency services, and outpatient clinics. The facility has undergone significant expansion with a new outpatient complex designed to decongest services and improve patient care.

South Lake Medical Centre stands out as one of the largest private healthcare providers along the Moi South Lake corridor. The facility offers inpatient and outpatient care, laparoscopic surgery, comprehensive laboratory services, radiology including X-rays and ultrasounds, pharmacy services, and various specialist clinics. SLMC runs specialized clinics for maternal health, well-baby care, family planning, and provides services to both the general public and workers from surrounding flower farms.

Aga Khan University Hospital Naivasha Clinic brings the renowned Aga Khan healthcare network to Naivasha residents. Located at Eagle Centre on Mbaria Kaniu Road, this medical centre provides quality outpatient services, laboratory testing, and pharmacy services. The facility operates Monday through Saturday with extended hours to accommodate working residents. As part of the Aga Khan network, the clinic maintains high standards of care and can facilitate referrals to the main Aga Khan Hospital in Nairobi for specialized treatments.

The Karen Hospital Naivasha Branch extends quality medical services from its renowned Nairobi facility to Naivasha. Located in Luxor Plaza on Biashara Road, this branch offers medical consultations, laboratory services, pharmacy, and specialized clinics. The facility provides residents with access to The Karen Hospital’s quality standards without traveling to Nairobi.

Challenges with SHA Implementation

Despite the availability of these healthcare facilities, Naivasha residents have experienced challenges similar to those reported across Kenya since SHA’s rollout. System downtimes, lengthy pre-approval processes for procedures, delays in patient information reflecting in the system, and claims processing delays have affected service delivery. Some patients have been turned away despite being registered, while others have been forced to pay out-of-pocket due to technical issues.

Healthcare providers in Naivasha have also expressed concerns about unclear contractual agreements with SHA, delayed reimbursements, and insufficient guidance on the new system’s operations. These challenges have created frustration for both patients and healthcare workers as they navigate the transition from NHIF to SHA.

Accessing SHA Services in Naivasha

To access healthcare services under SHA in Naivasha, residents must first register with the Social Health Authority. Registration can be done online through the SHA portal, at designated healthcare facilities, or through mobile registration drives. Upon registration, members receive a unique SHA number that healthcare facilities use to verify coverage and process claims.

When visiting any SHA-contracted facility in Naivasha, patients should present their national ID and SHA registration number. For employed individuals contributing to SHIF, proof of employment and recent payslips may be required for certain services. Emergency cases are typically handled immediately, with registration and verification completed afterwards.

The Way Forward

As SHA continues to stabilize its systems and address implementation challenges, Naivasha residents can expect improved access to healthcare services. The government has committed to resolving technical issues, clearing outstanding payments to healthcare facilities, and ensuring seamless service delivery. Healthcare facilities in Naivasha remain committed to serving SHA members despite the teething problems, working closely with SHA officials to improve the system.

For the most current information on SHA-contracted facilities in Naivasha, residents should check the official SHA website or contact their preferred healthcare facility directly to confirm acceptance of SHA coverage before seeking services.