Health PS Muriuki Orders End to Outpatient Charges in Local Hospitals Under UHC Rollout
Public Health Principal Secretary Mary Muthoni Muriuki has issued a firm directive to all Level 2, Level 3, and sub-county hospitals in Kenya to stop charging patients for outpatient services. This order, which takes effect immediately, is part of the government’s full implementation of Universal Health Coverage (UHC) aimed at ensuring every Kenyan can access quality healthcare without financial strain.
Under the new guidelines, patients registered with the Social Health Insurance (SHA) program will receive outpatient care at primary health facilities at no cost. Charges will only apply if a patient is referred to Level 4 or Level 5 hospitals for specialized or inpatient services. Muriuki warned that any facility found flouting this directive will face strict penalties, including possible cancellation of operating licenses for those responsible.
The announcement aligns with President William Ruto’s commitment to strengthen grassroots healthcare services and make UHC a reality for all citizens. The Ministry of Health is urging Kenyans to register with SHA to benefit fully from the program, while also working to expand the number of accredited facilities nationwide.
For millions, particularly in rural areas where Level 2 and 3 hospitals are the primary point of care, this move removes a significant barrier to treatment. By eliminating outpatient fees, the government hopes to encourage early medical consultations, reduce the burden on higher-level hospitals, and promote equitable access to healthcare.
The directive is seen as a crucial step in ongoing reforms to transform Kenya’s healthcare system into one that is accessible, affordable, and fair to all citizens.

