Health Cabinet Secretary (CS) Aden Duale is considering a new method for deducting Social Health Authority (SHA) contributions for civil servants.
Speaking at the Kenya Medical Practitioners, Pharmacists and Dentists Union (KMPDU) Annual Delegates Conference (ADC) on Saturday, May 9, 2025, at the PrideInn Paradise Beach Hotel & Convention Centre in Mombasa, the Health CS proposed that SHA deductions be made directly from the source — the National Treasury.
“I will take this proposal to the Council of Governors — that SHA contributions, not only for healthcare workers but for all civil servants at both the national and county levels, be deducted at source,” said Duale.
Duale Proposes SHA to be Deducted Directly from Treasury
Additionally, the Health Cabinet Secretary pledged to advance the proposal, emphasising its importance in restoring effectiveness, equity, and confidence in the healthcare system.
“This is what I will present to the Council of Governors, the Public Service Commission, the National Treasury, the President, and the Cabinet — that SHA contributions be deducted at source,” he added.
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Duale’s remarks followed sentiments expressed by Mombasa Governor Abdulswamad Shariff Nassir, who also attended the KMPDU conference and supported the idea. His comments came after union officials raised concerns that several county governments fail to remit SHA deductions for doctors, resulting in them being denied medical services when seeking treatment.
“Are there counties where deductions are being cut off because contributions have not been remitted? I’m glad Mombasa is compliant, but we need to have this conversation. Statutory deductions are compulsory and must be paid — they should be deducted by the Treasury before funds are disbursed to counties,” said Governor Nassir.
How SHA Deductions from Civil Servants are Remitted
Currently, civil servants remit their Social Health Authority (SHA) deductions through their monthly payroll. The deductions are processed by their respective government departments and agencies, which are responsible for ensuring timely remittance to the SHA.
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According to recent directives, these deductions must be remitted by the 9th of every month.
There have been challenges with remittance, as some counties and employers have deducted funds but failed to remit them, leading to inactive medical cover for civil servants. This has prompted protests by several unions and other groups, demanding that the government ensure timely remittance to restore access to healthcare services.
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