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How we arrived at 2.75 per cent deduction for Social Health Insurance Fund – Nakhumicha

Kenyans will now be mandated to contribute 2.75 per cent of their gross salary to the SHIF

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by The Star

Realtime25 January 2024 - 08:25
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In Summary


  • The decision was arrived at after actuaries from both the Ministry of Health and NHIF did an analysis and found disparities in the amount paid by Kenyans
  • Kenyans earning lower income were paying more to the fund while those with higher incomes were contributing a paltry 0.01 per cent
Health CS Susan Nakhumicha in Kirinyaga on January 13, 2024

Health CS Susan Nakhumicha has explained the criteria which was used to arrive at the figure of 2.75 per cent as the maximum contribution to the Social Health Insurance Fund.

Under the new healthcare funding plan, Kenyans will now be mandated to contribute 2.75 per cent of their gross salary to the SHIF, which now replaces the National Health Insurance Fund.

Speaking on Citizen TV on Wednesday, Nakhumicha said the decision was arrived at after actuaries both the Ministry of Health and NHIF did an analysis and found disparities in the amount paid by Kenyans.

An actuary, according to the Cambridge Dictionary, is a person whose job is to calculate risk for insurance companies and pension funds.

Nakhumicha said an analysis by the data experts showed that Kenyans earning lower income were paying more to the fund while those with higher incomes were contributing a paltry 0.01 per cent.

"What we did was to look at the baseline that in the existing NHIF, what were the ranges of payment and when we looked at it the person who was paying the most is anybody who was earning Sh10,000 and below they were paying up to 5 per cent of their income to NHIF," Nakhumicha said.

Nakhumicha said the person who was earning the highest who is the President is currently paying Sh1,700 and his salary is Sh1 million plus so that makes it that he pays 0.01 per cent of his income to NHIF.

"It then disadvantages the person with low income, this is somebody earning Sh10,000, they are paying five per cent then there is someone earning a  million they are paying 0.01 per cent so then we looked at an average of this," the CS explained.

She further noted that the figure was arrived after costing the country's healthcare at both primary, secondary and tertiary levels.

She noted that the costing plan showed that Sh80 billion is required to run healthcare services at the primary level including management of Community Health Promoters, Sh130 billion for secondary and Sh46 billion for tertiary levels respectively.

"Based on that costing, then doing the actuarial we arrived at 2,75 per cent of income; if every Kenyan was able to pay that we should be able to take care of the whole healthcare," she said.


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