PAY CASH OR WAIT FOR TUMOUR TO GROW
Ms Akinyi who works as a house help, had been diagnosed with hypochondriac lipoma-a benign tumour made of fat cells.
When Millicent was wheeled into Naivasha Sub-county Referral Hospital for surgery to remove a tumour ,her employer and her had expected a smooth process, for she had already paid her full annual Social Health Authority's premium believing it would cover the medical emergency "lkn wapi" .😭👇
After filling out the surgical services pre-authorization form and submitting it to SHA offices located at the hospital, her employer received news that would expose a troubling gap in Kenya's Healthcare coverage system.
The SHA office told Ms Akinyi employer that the tumour had not yet reached Threshold to be covered. For it to be covered it must measure 3 by 3 cm, Millicent tumour measured 2 by 2 cm.
Ms Akinyi whose income depends on her physical ability to work, waiting was not an option.The tumour was causing pain and interfering with Daily activities.
Millicent experiences reflects wider problem with SHA implementation where rigid rules are creating barriers to necessary care for Low-income Kenyans.
As Ms Akinyi is recovering from her surgery paid for By her employer's pocket rather than the insurance system designed to protect her.
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Nice