10/02/2026
HAS SHA COLLAPSED?
Understanding the Transition from the SHA Provider Portal to HMIS
There has been a lot of discussion around the transition from the SHA Provider Portal to Hospital Management Information Systems, commonly referred to as HMIS. Much of that discussion has now been reduced to a simple conclusion: that SHA has collapsed, that the Government is abandoning it, or that hospitals are being forced onto one Government-controlled computer system.
Having looked at the legal framework, the applicable regulations, the transition itself and the explanations that have followed, I do not think that is an accurate characterization of what is happening. The starting point, in my view, is to separate SHA as an institution from the digital systems through which hospitals interact with it.
SHA is the statutory authority administering Kenya’s social health insurance framework. The SHA Provider Portal is different. It is one of the digital tools that healthcare facilities have been using for claims, verification and related transactions. Many hospitals, meanwhile, already operate their own HMIS for ordinary day-to-day functions such as patient registration, medical records, laboratory services, pharmacy, billing, inventory and administration.
That distinction matters because, in practice, hospitals have often had to work with two systems at the same time: their own internal HMIS for normal hospital operations, and the SHA Provider Portal for SHA-related transactions. In clarifying the transition, the Ministry acknowledged this duplication and explained that the intention is to move away from that arrangement.
The idea is for the hospital’s HMIS to become the primary system through which healthcare services and related information are managed, while that system communicates directly with SHA and other relevant health-sector platforms. Instead of hospital staff working in one internal system and then separately entering or transferring the same information into another portal, the systems are supposed to communicate with one another.
That is really the central concept here: interoperability.
This is also why I do not read the current transition as a blanket directive requiring every hospital to abandon its existing software and install one identical Government system. In clarifying the same, the Ministry also made it clear that private healthcare facilities with existing HMIS platforms can have those systems certified and integrated, provided they meet the applicable digital-health standards. The Ministry reported that 28 existing HMIS platforms had already been certified by the Digital Health Agency.
That position is consistent with the legal framework.
Section 47 of the Social Health Insurance Act, 2023 requires processes and services under the Act to be progressively digitised using technology that is appropriate, reliable, secure, interoperable, verifiable and responsive. The provision specifically covers areas such as identification, contracting, pre-authorisation, claims management and settlement of claims.
The Social Health Insurance Regulations, 2024 go further. Regulation 37 requires contracted healthcare providers and facilities to maintain the infrastructure necessary to link the administration of benefits and submission of claims to SHA’s Centralized Digital Platform. Regulation 64 then requires that platform to be interoperable with the Comprehensive Integrated Health Information System established under the Digital Health Act.
The Digital Health Act, 2023 completes that picture. Section 21 requires standards for the integration, interoperability and exchange of health data, together with guidance on how different health-information systems should be integrated into the national framework.
Read together, those provisions point to a wider digital-health ecosystem in which different systems are expected to communicate securely and according to common standards. They do not simply establish a legal basis for replacing every hospital’s internal software with one uniform application.
The practical objective is not difficult to understand. A hospital may already have information about a patient’s visit, diagnosis, treatment, tests, medication and billing. Under a fragmented arrangement, staff may then have to separately enter or transfer that information into another system for SHA verification, pre-authorisation or claims processing. An interoperable model is supposed to allow the hospital’s own system to communicate directly with the relevant national platforms.
In clarifying what the transition is intended to achieve, the Ministry explained that the objective is not simply to close one portal and replace it with another. The broader aim is to connect the different components of the healthcare ecosystem so that a hospital can operate through its core HMIS while communicating with SHA and other health-sector systems. That is an important distinction because it helps explain why the transition is being presented as part of the wider digital-health architecture rather than as the replacement of SHA itself.
The intended benefits are also fairly straightforward. If the systems work as designed, integration should reduce duplication of data entry, improve verification, make claims more accurate, strengthen fraud and error controls, improve continuity of care and make claims processing more efficient.
But an intended benefit is not the same thing as an achieved benefit.
Whether HMIS integration actually reduces delays, improves claims processing, protects patient information, lowers administrative burdens and works reliably across different healthcare facilities is a separate question. That is where scrutiny should remain.
There are genuine operational concerns around SHA. Healthcare providers have raised issues around tariffs, claims processing, delayed payments, rejected claims, pre-authorisation, system reliability and empanelment. The Ministry itself acknowledged those concerns when it launched the 2026–2029 HAKIKA contracting framework.
That context matters, but it should not be confused with the issue at hand. The question here is not whether SHA has faced implementation challenges. It is whether the current transition from the Provider Portal to HMIS means that SHA itself has collapsed or is being replaced. On the material I have reviewed, that is not what is happening.
The Ministry has also provided an update on the progress of the transition, reporting that all 6,427 public Level 2–4 facilities had moved to HMIS, while Level 5, faith-based, national referral and private facilities remained at different stages of migration or certification. The transition period was extended to give remaining facilities more time to comply, and the Ministry also stated that patients should not be denied healthcare simply because a facility had not yet completed the migration.
What is happening, therefore, is a significant digital transition. It may be difficult, uneven and technically demanding. It may impose costs on providers, raise concerns around data privacy and cybersecurity, and expose weaknesses in infrastructure, particularly for smaller or rural facilities. Those issues are legitimate and should be examined closely.
But none of them changes the basic distinction between SHA and the SHA Provider Portal. The portal is a digital interface. SHA is the institution.
This is where the misinformation issue becomes important. Kenya is in an increasingly charged political environment, and almost every major Government policy will naturally become part of the political contest. That is normal in a democracy. Government supporters will defend policy, opposition leaders will criticise it, and citizens will make their own judgments.
The difficulty arises when the political characterization moves faster than the underlying facts. A transition from one digital arrangement to another becomes “SHA has collapsed.” An extension of an implementation deadline becomes proof that the entire programme has failed. A requirement for interoperability becomes “Government is replacing SHA with HMIS.”
Once that framing takes hold, the actual legal and regulatory position can disappear from the conversation.
The point here is not whether SHA should be criticised. It is whether the current transition has been correctly understood. Moving from the SHA Provider Portal to an interoperable HMIS model does not mean that SHA has collapsed, nor does it mean that HMIS is replacing SHA as an institution. The two are not equivalents. One is the statutory authority; the other is part of the digital infrastructure through which healthcare providers interact with that authority.
That is why the distinction matters. Once the transition is wrongly described as the collapse or replacement of SHA, the public debate starts from the wrong premise. And once the premise is wrong, everything that follows becomes distorted.
Criticism is stronger when it begins with an accurate understanding of what the policy actually says.
My reading of the transition is therefore fairly straightforward. SHA remains the statutory institution administering the social health insurance framework. The Provider Portal is a digital interface that healthcare facilities have been using for claims and related transactions. HMIS is the hospital-level system through which facilities manage healthcare information and operations. The current transition is intended to make those systems interoperable with SHA and the wider national digital-health infrastructure.
Whether that model ultimately works as intended is something Kenyans should continue to scrutinise. Its success will depend on implementation, reliability, provider support, data protection, adequate financing and whether the system actually improves the experience of patients and healthcare providers.
But we should begin that debate from the correct premise: the transition from the SHA Provider Portal to HMIS is a change in the digital architecture through which providers interact with SHA. It is not, by itself, evidence that SHA has collapsed or is being replaced.
Social Health Authority Aden Duale Dr. Mercy Mwangangi William Samoei Ruto State House Kenya Dennis itumbi NTV Kenya Citizen TV Kenya The Star, Kenya