Kenya, March 4 -- Ksh 104.8 billion went to a health system the government does not own. Now the government, through statehouse financial advisor David Ndii, says they did not spend any money for SHA, but subscribers are now buying it through subscriptions and transactions.

Auditor General Gathungu revealed the shocking truth: despite massive investment in the Social Health Authority (SHA), Kenya has no control over it!

However, David Ndii had a contrary opinion on the massive discrepancies.

David Ndii said, "The UHC digital platform is fully outsourced. GoK has not spent one Ksh on it. Sh104b is a user fee payable over a 10-year contract period.

"For comparison, we paid Safaricom Sh77b MPESA fees last year. The platform will provide similar capability at Sh10b/year ~Sh50 per hospital visit."

"SHA software is only one of the components. SHA SaaS will cost Sh2.3 billion, i.e., Sh230 million per year. NHIF was spending Sh450m/year. The software services also include HMIS for 7000+ public health facilities, data transmission services (from Safaricom), and infrastructure.

"Each hospital visit has at least 5 transactions (patient and provider authentication, data retrieval and uploading, prescription filling, etc.), so its about Sh10 per transaction."

"1. There is no payment made in advance. We are charged when we use, just like mpesa. 2. After 10 years, the Digital Health Authority takes over."

A SHA client asked Ndii, "I don't understand. If pay is per use, as you say, how did you arrive at 104 billion?"

However, Ndii gave an answer that caused an uproar online. He said, "By financial modelling. Safaricom also happens to be who we have outsourced to. I led the work. They did not consult us. "

The consortium awarded the contract for the Universal Health Coverage (UHC) technology-based system consists of:

-Apeiro: 59.55%-Safaricom: 22.56%-Konvergenz Network Solutions: 17.89%

Apeiro Ltd. has links to the Adani Group through its ownership ties to Sirius International.

Published by HT Digital Content Services with permission from Bana Kenya.