Full List-SHA Suspends 45 Health Facilities Nationwide in Anti-Fraud Crackdown

The Social Health Authority (SHA) has suspended 45 health facilities across the country in a major crackdown on fraudulent claims within the healthcare system. The announcement, published in a special issue of the Kenya Gazette, stated that the affected hospitals will not be entitled to any benefits from the Social Health Authority during the period of their suspension. This enforcement is backed by the Social Health Insurance Act, 2023, which gives SHA the mandate to suspend facilities found engaging in irregular practices.

The suspended hospitals are spread across more than 18 counties, with Mandera and Kisii recording the highest numbers. Facilities such as Aasif Medical and Health Service, Ayale Medicare and Nursing Home, Desertview Healthcare Services, Mama Elba Nursing Home, Sanaag Medical Centre, Tabsam Medical Centre, Wante Nursing Home, and Zonal Annex & Maternity in Mandera were among those affected. In Kisii, the list includes Filyne Chima Hospital, Gopima Medical Centre, Lemmek Hospital, New Hope Nursing Home, Nyanchwa Adventist Mission Hospital, and Westlife Hospital. Other counties with suspended facilities include Nairobi, Meru, Kirinyaga, Homa Bay, Garissa, Kakamega, Migori, Kajiado, Busia, Bungoma, Narok, Kisumu, Uasin Gishu, and Nandi, underscoring the nationwide scope of the crackdown.

Below is the list of all the hospitals under suspension

Full List of Suspended Hospitals

1. Aasif Medical and Health Service Limited – Mandera

2. Abakore Nursing Home – Wajir

3. Ababa Healthcare Limited – Kisumu

4. Akemo Valley Maternity and Nursing Home – Kisumu

5. Alnasri Hospital Ltd – Turkana

6. Al-Baitul Tiba Hospital – Garissa

7. Aftam Medical Centre – Wajir

8. Aspro Model Solutions – Kakamega

9. Ayale Medicare and Nursing Home – Mandera

10. Cuba Health Services Ltd – Homa Bay

11. Chemwa Health Centre – Bungoma

12. Dawafatan Pharmacy & Clinic – Kisumu

13. Desertview Healthcare Services – Mandera

14. Equity Afia-Homa Bay – Homa Bay

15. Equity Afia-Mandera – Mandera

16. Filyne Chima Hospital Ltd – Kisii

17. Garissa Doctors Clinic – Garissa

18. Gopima Medical Centre Ltd – Kisii

19. Grassroot Community Healthcare Ltd – Bungoma

20. Guardian Hospital – Meru

21. Kal Health Nursing Home – Mandera

22. Kimathi Medical Services – Kirinyaga

23. Lameck Healthcare Annex – Kisii

24. Lameck Hospital Limited – Kisii

25. Lifenest Community Medical Centre – Homa Bay

26. Lumola Medical Clinic – Busia

27. Luma Elba Nursing Home Ltd – Mandera

28. Mesao Medical Services – Nandi

29. Namanga Nursing Home – Kajiado

30. Nelepek Medical Care Centre – Homa Bay

31. Neccare Memorial Hospital – Migori

32. New Hope Nursing Home – Kisii

33. Northgate Hospital Ltd – Garissa

34. Novic Medical Centre – Nairobi

35. Nyabondo Centre for the Disabled – Kisumu (Fbo)

36. Nyanchwa Adventist Mission Hospital – Kisii

37. Okita Nursing Home – Homa Bay

38. Palcare Sinai Hospital – Uasin Gishu

39. Rachuonyo East Sub-County Hospital – Homa Bay

40. Sanaag Medical Centre – Mandera

41. Tabsam Medical Centre – Mandera

42. The Tranquil Hospital – Kakamega

43. Wante Nursing Home – Mandera

44. Westlife Hospital Ltd – Kisii

45. Zonal Annex & Maternity – Mandera

This is not the first time SHA has taken such action. Earlier this month, 40 other facilities were suspended over similar allegations of fraudulent practices, bringing the total number of affected hospitals to at least 85. According to Health Cabinet Secretary Aden Duale, the ministry’s surveillance systems have been detecting widespread fraud ranging from upcoding of services, creation of false billing records, and converting outpatient visits into inpatient claims, to ghost patient billing. These practices, he warned, were costing the country billions of shillings meant to finance healthcare for ordinary Kenyans.

Investigations by SHA revealed that the fraudulent claims amounted to billions, with Sh10.6 billion already rejected and another Sh5.1 billion under re-evaluation or close monitoring. The ministry has also removed medical professionals implicated in these activities from its digital platforms, signaling that the crackdown targets not just institutions but also individuals perpetuating malpractice.

SHA’s Chief Executive Officer, Dr. Mercy Mwangangi, reiterated that the authority would continue enforcing strict measures to safeguard the integrity of the health system. She emphasized that health facilities found engaging in fraudulent activities would not only face suspension but also potential deregistration and surcharges. The action, she added, is necessary to ensure that funds allocated for Universal Health Coverage are directed towards genuine services and patients.

The decision has drawn attention from public leaders and civil society groups, with former Chief Justice David Maraga among those calling for a full forensic audit of the Social Health Authority to uncover entrenched corruption. He noted that safeguarding healthcare resources is critical to restoring public trust in the government’s reforms and ensuring that the dream of affordable healthcare for all is realized.

For patients, the immediate effect is that suspended hospitals can no longer process claims or receive reimbursements under SHA. Citizens are being urged to verify the accreditation status of their preferred facilities before seeking treatment. For the government, the move signals a zero-tolerance policy toward corruption and a renewed determination to protect public resources.