Duale Finally Breaks Silence on SHA's Explosive 2% Deduction—Here's Why Kenyans Must Pay!

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Health Cabinet Secretary Aden Duale has defended the government’s decision to introduce the controversial two per cent Social Health Authority (SHA) contribution, insisting that the deduction is necessary to guarantee sustainable healthcare financing and ensure every Kenyan has access to quality medical services.

Speaking amid growing public debate over the new contribution, Duale said the policy was designed to replace the previous healthcare financing model, which he argued left millions of vulnerable Kenyans without adequate medical cover.

He maintained that the reforms under SHA are aimed at creating a fair and equitable health system where every citizen contributes according to their ability.

The CS noted that healthcare remains one of the most expensive public services, making it impossible for the government alone to shoulder the entire burden without consistent contributions from citizens.

According to Duale, the two per cent deduction is intended to pool resources that will finance treatment for chronic illnesses, emergency care, maternal health services, surgeries and other essential medical needs.

His remarks come as sections of Kenyans, civil society organisations and labour groups continue to question the legality and affordability of the deductions, with critics arguing that the new levy places an additional financial burden on already struggling households.

Others have demanded greater transparency on how the funds collected under SHA will be managed.

Duale, however, dismissed claims that the deductions amount to an unnecessary tax, insisting they are contributions towards healthcare security rather than government revenue collection.

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He emphasized that contributors would directly benefit through improved access to comprehensive medical services without facing catastrophic out-of-pocket expenses.

The Health CS further assured Kenyans that the Ministry of Health is strengthening accountability mechanisms to ensure every shilling collected under SHA is properly utilized.

He said digital systems have been deployed to improve efficiency, reduce fraud and guarantee that registered members receive timely healthcare services across accredited health facilities nationwide.

He also urged employers, informal sector workers and self-employed Kenyans to comply with the contribution requirements, saying universal health coverage can only succeed if every eligible citizen participates.

According to Duale, countries that have achieved strong healthcare systems rely on shared responsibility between governments and citizens.

The debate over the two per cent SHA deduction is expected to remain a major national issue as implementation continues.

Supporters argue that the contributions will help build a resilient healthcare system capable of serving all Kenyans regardless of income levels, while opponents maintain that the government should first address concerns over affordability, accountability and service delivery.

Despite the criticism, Duale remained firm that the reforms are irreversible and necessary for the country’s long-term healthcare transformation, expressing confidence that Kenyans will eventually appreciate the benefits once the new system is fully implemented and begins delivering improved healthcare outcomes across the country.