Nyamira Governor Amos Nyaribo has warned that he is prepared to expose alleged irregularities within the Social Health Authority (SHA), which he says are linked to Health Cabinet Secretary Aden Duale, as a sharp exchange between the two leaders spills into the public domain.
The governor dismissed claims that healthcare services in Nyamira have collapsed, saying the narrative is based on misinformation and not an assessment of services on the ground.
“Duale has never been to Nyamira. So when he talks about collapsed services, I do not understand,” Nyaribo said.
Governor Questions SHA Refund Disparities
He argued that Nyamira’s performance indicators under SHA do not support allegations of failure, noting that the county ranks among the better performers in registration and payment compliance.
According to the governor, Nyamira is among the top counties in SHA payments but ranks last in reimbursements, a discrepancy he said raises serious concerns about how refunds are handled.
Nyaribo accused the Health CS of relying on politically colored briefings rather than verified data and warned that he would not remain silent if the accusations persisted.
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“We can expose him and what he does with SHA,” the governor said.
Duale’s Senate Remarks on ‘collapsed’ Nyamira healthcare Triggers Standoff
The confrontation follows remarks made by Duale during a Senate session on April 22, when he blamed Nyamira’s county leadership for what he described as a collapse of healthcare services while responding to concerns raised by Nyamira Senator Okong’o Omogeni.
“Health in Nyamira has collapsed, and it has collapsed because of your governor,” Duale told the Senate.
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Duale linked his assessment to Nyamira’s partial participation in the National Equipment Support Program (NESP), arguing that failure to fully subscribe to the program had negatively affected service delivery in public health facilities.
In response, the Nyamira County Government dismissed the claims as misleading, maintaining that healthcare services remain functional and have improved through sustained investments in staff, diagnostic equipment, and specialized services.
The exchange comes at a time when the Health Ministry is overseeing a nationwide crackdown on fraud within the SHA and the former NHIF system, with several investigations ongoing and multiple case files already forwarded to investigative and prosecutorial agencies.
While the ministry says the crackdown is meant to protect public funds, Nyamira officials insist the county is being unfairly singled out, warning that misleading statements risk eroding public confidence in functioning public health services.





