Category: Health

By Chelangat Caren,

It started with a patient in Kisumu who was turned away from a clinic. “Your SHA is not active,” the clerk said. She had paid her monthly deduction. On paper, she was covered. In reality, she was not. That gap between paper and reality is where the story of Kenya’s Social Health Authority lives right now. And it is a gap worth Sh49.29 billion.

A damning audit released this month found irregularities worth Sh49.29B at SHA, Kenya’s new public health insurer that replaced NHIF in 2024. For a program sold as “affordable healthcare for all,” the numbers are a gut punch. For millions of Kenyans paying 2.75% of their income every month, it feels like betrayal.

SHA was meant to be different. No more queues for NHIF cards. No more hospitals rejecting patients over lapsed contributions. The pitch was simple: deduct a small percentage, get covered, and access care anywhere.

For a while, it worked for some. Mothers accessed maternity services. Dialysis patients got subsidized treatment. But complaints piled up fast. System downtimes. Claims rejected for “ineligible facilities.” Deductions showing on payslips but not reflecting in the system.

Auditors found payments to ghost facilities, inflated claims, and procurement deals that didn’t follow the law. Sh49.29B could not be accounted for. That’s enough to build 50 county hospitals or to cover primary healthcare for 5 million Kenyans for a year.

The Ministry of Health called them “legacy issues” from the NHIF transition. Critics called it theft with a new name. Numbers do not bleed. People do.

In Eldoret, a boda rider with a broken leg was told his SHA cover had not been activated despite six months of deductions. He borrowed Ksh 40,000 for surgery. In Mombasa, a cancer patient’s chemotherapy was delayed three weeks because her hospital said SHA had not paid last month’s claims.

For informal workers, it is worse. The 2.75% deduction is mandatory, even if you earn Ksh 8,000 a month selling vegetables. If the system fails, you have no NHIF to fall back on. It was shut down. “Ni kama kulipa hewa,” said Aisha, a mama mboga in Githurai. “You pay for air.”

The SHA board says 14 million Kenyans are now registered. But registration is not access, and access without working claims is just a promise on a card. SHA did not exist in a vacuum. It is tied to the government’s Universal Health Coverage agenda and to the broader fight over public money.

The audit dropped into a political moment where trust is already thin. Fuel prices hit Ksh 214 a liter. M-Pesa users reported unexplained deductions. The same week, ODM was imploding over its 2027 plans.

Opposition leaders seized on the SHA audit immediately. “You cannot ask Kenyans to tighten their belts while others loosen the public till,” said one MP in Parliament.

The Ministry of Health has promised to act. SHA CEO Robert Muthuri said 2,000 claims worth Ksh 1.1B have been flagged for investigation. Seven facilities have been suspended. But Kenyans have heard “investigation” before. The question is whether anyone goes to jail this time. Healthcare is different from roads or stadiums. When it fails, people die.

That is why the SHA audit hits harder than most scandals. It is not abstract. It is the child who cannot get antibiotics, the mother who delivers at home because the clinic said “system down,” and the diabetic who skips insulin because the pharmacy will not take SHA.

Trust is the real currency here. And right now, it is devalued. The government says SHA is still the best path to UHC. That fixing it is better than going back. They point to countries like Rwanda and Ghana where national insurance took years to stabilize.

But patience is wearing thin. Kenyans are paying monthly. They want to see hospitals, not headlines. Sh49.29 billion is more than a number. It is 1.8 million maternity deliveries. It is 400,000 cancer treatments, the difference between a system people believe in and one they avoid.

SHA was supposed to make healthcare a right, not a gamble. Right now, it feels like a gamble where the house always wins. The audit is out. The names of facilities and officials are with the Ethics and Anti-Corruption Commission. What happens next will tell Kenyans whether SHA is a genuine reform or just NHIF in a new coat of paint.

Because the truth about public trust: you can lose it in a day, but it takes years to earn back. And every time a patient is turned away at the gate with an “inactive” card, the bill comes due.

Kenya does not  need another report. It needs people on the ground getting treatment for the money they already paid. If SHA cannot  deliver that, then the most expensive thing about it won’t be the Sh49 billion ,but the e the lives it fails to save.

By Chelangat Caren,

Emotional Intelligence (EI) is the missing piece in the puzzle of success. It is  the ability to recognize and understand emotions in yourself and others, and to use this awareness to guide your thoughts and actions. In today’s fast-paced and interconnected world, it is  crucial for achieving personal and professional goals.

The five key components of EI – self-awareness, self-regulation, motivation, empathy, and social skills – are the building blocks of success. Self-awareness helps you identify your strengths and weaknesses, allowing you to make informed decisions. Self-regulation enables you to manage stress and anxiety, leading to better relationships and outcomes while motivation drives you to pursue your goals with passion and resilience. Empathy helps you understand others’ perspectives, which fosters  stronger bonds and effective communication , whereas the social skills allow you to navigate complex social situations with ease.

By cultivating these skills, you will definitely unlock a world of possibilities. In academics, Emotional Intelligence helps you collaborate with peers, manage stress, and stay motivated. In your career, it will enable you to lead teams, build strong networks, and make informed decisions, it also enhances your personal life, helping you build lasting relationships and navigate life’s challenges with confidence.

Emotional Intelligence is not just a trait, it is  a skill that can be developed with practice and dedication. By tapping into it , you will achieve success beyond your wildest dreams and become the best version of yourself. Research shows that emotional intelligence  is a stronger predictor of success than IQ, making it a vital skill to develop.

As we reflect on the power of Emotional Intelligence (EI), we ought to be  reminded that success is not only about achieving goals, but also about becoming the best version of yourself. Emotional intelligence is the missing piece in the puzzle of success, and it is time to unlock its potential. By recognizing and understanding emotions in yourself and others, you will navigate life’s challenges with confidence and poise.

Imagine being able to tackle stress and anxiety with ease, build unbreakable relationships, and make informed decisions that propel you towards your dreams. That is the power of Emotional Intelligence  in action. Self-awareness helps you identify your strengths and weaknesses, allowing you to make informed decisions and course-correct when needed. Self-regulation enables you to manage stress and anxiety, leading to better relationships and outcomes. Motivation drives you to pursue your goals with passion and resilience, while empathy helps you understand others’ perspectives and build stronger bonds. Social skills allow you to navigate complex social situations with ease, building lasting relationships and achieving your goals with others.

In academics, emotional intelligence helps you collaborate with peers, manage stress, and stay motivated. In your career, it enables you to lead teams, build strong networks, and make informed decisions. Emotional intelligence also enhances your personal life, helping you build lasting relationships and navigate life’s challenges with confidence. By cultivating these skills, you will surely unlock a world of possibilities and achieve success beyond your wildest dreams. Research shows that emotional intelligence is a stronger predictor of success than intelligent quotient making it a vital skill to develop.

So, are you ready to tap into the power in emotional intelligence and transform your life? It is time to invest in yourself and develop the skills that will propel you towards success. With emotional intelligence you will become a master of your emotions, a leader in your field, and a catalyst for positive change. The journey starts now – are you ready to unlock your full potential and become the best version of yourself?

By Chelangat Caren,

Kenya’s health landscape is undergoing a significant transformation, driven by a growing focus on wellness and disease prevention. The government’s initiatives, such as the National NCD Strategic Plan, are tackling the rising burden of non-communicable diseases, which account for approximately 39% of all deaths in Kenya. Mental health awareness is also gaining traction, with Kenyans speaking openly about stress, anxiety, and depression, and seeking help.
The rise of fitness culture in Nairobi is another key aspect of this health revolution, with gyms, yoga studios, and outdoor fitness groups promoting physical activity as a way to manage stress and improve overall health. The “Afya ni Mali” mantra is resonating with Kenyans, who recognize the importance of investing in health for economic and social well-being.
While progress has been made, challenges persist. The non- communicable diseases burden is still rising, and many Kenyans lack access to quality healthcare. To address these issues, the government must prioritize health funding, strengthen healthcare systems, and address social determinants of health.
What can you do to contribute to Kenya’s wellness revolution? Prioritizing your health, supporting community-based initiatives, and advocating for policy reforms are great
starting points. Technology can also play a key role in improving healthcare access and quality. What’s your take on how Kenyans can work together to create a healthier nation?
Kenya’s health landscape is undergoing a significant transformation, driven by a growing focus on wellness and disease prevention. The government’s initiatives, such as the National NCD, non- communicable disease; Strategic Plan, are tackling the rising burden of non-communicable diseases, which account for approximately 39% of all deaths in Kenya. Mental health awareness is also gaining traction, with Kenyans speaking openly about stress, anxiety, and depression, and seeking help.
The rise of fitness culture in Nairobi is another key aspect of this health revolution, with gyms, yoga studios, and outdoor fitness groups promoting physical activity as a way to manage stress and improve overall health. The “Afya ni Mali” mantra is resonating with Kenyans, who recognize the importance of investing in health for economic and social well-being. From marathons to cycling events, Kenyans are embracing fitness as a lifestyle, creating a ripple effect that could transform the nation’s health.
While progress has been made, challenges persist. The non-communicable disease burden is still rising, and many Kenyans lack access to quality healthcare. To address these issues, the government must prioritize health funding, strengthen healthcare systems, and address social determinants of health. Investing in community health workers, improving healthcare infrastructure, and promoting health education are crucial steps towards achieving universal health coverage.
What can you do to contribute to Kenya’s wellness revolution? Prioritizing your health, supporting community-based initiatives, and advocating for policy reforms are great starting points. Technology can also play a key role in improving healthcare access and quality. Telemedicine, mobile health apps, and digital health records are just a few examples of how innovation is transforming healthcare delivery in Kenya.
As Kenyans, we have a shared responsibility to create a healthier nation. By working together, we can address health disparities, promote wellness, and build a more resilient healthcare system.

By Grace Nthemba, December, 2025.

In a world obsessed with standing straight and fitting in, those living with scoliosis are flipping the script, proving that confidence has nothing to do with the angle of your spine and everything to do with how you carry yourself.

Scoliosis is a condition whereby the spine curves abnormally to the side. The curve often resembles either a ‘C’ shape or an ‘S’ shape as opposed to being straight.

Not all scoliosis is created equal. Doctors classify the condition into several categories based on its cause and timing. Idiopathic scoliosis accounts for about 80% of cases. “Idiopathic” is medical terminology for “we don’t know why it happens,” though researchers suspect genetic factors play a role. This type is further divided by age: infantile (0-3 years), juvenile (4-10 years), and adolescent (11-18 years), with adolescent idiopathic scoliosis being by far the most common. Congenital scoliosis is present at birth, resulting from vertebrae that didn’t form properly during fetal development. This rarer form may be detected in infancy or early childhood and sometimes requires earlier intervention.

Neuromuscular scoliosis develops as a secondary condition in people with neurological or muscular disorders such as cerebral palsy, muscular dystrophy, or spina bifida. These curves tend to progress more rapidly and often require different treatment approaches.

Degenerative scoliosis affects adults, typically those over 65, as the spine’s discs and joints wear down with age. This “adult-onset” scoliosis can cause significant pain and differs markedly from the curves that develop during childhood.

According to the Spine Correction Center, research shows that girls are significantly more likely to experience curve progression that boys during the adolescent window, as this is when they experience a growth spurt. The symptoms which are presented may include; one shoulder being higher than the other or one hip being more prominent than the other.

Treatment for scoliosis isn’t one-size-fits-all. It depends on the curve’s severity, the patient’s age, and whether the spine is still growing. Bracing becomes the standard recommendation for moderate curves (25-40 degrees) in children who are still growing. Modern braces are far less cumbersome than their predecessors, and many can be worn under clothing. The brace doesn’t reverse the curve but can prevent it from worsening during growth. Sarah wore a Boston brace for eighteen hours daily through her teenage years—a challenging experience she describes as “annoying but manageable once I got used to it.”

Surgery is typically reserved for curves exceeding 45-50 degrees or curves that continue progressing despite bracing. Spinal fusion, the most common surgical procedure, involves fusing together curved vertebrae using bone grafts and metal rods to straighten the spine. While this limits flexibility in the fused area, most patients adapt well and experience significant improvements in appearance and, when present, pain relief.

Research continues to unlock scoliosis’s mysteries. Scientists are investigating genetic markers that might predict which curves will progress, potentially allowing for earlier, more targeted interventions. New bracing technologies are becoming more comfortable and effective. Surgical techniques grow increasingly refined, with some procedures now performed using minimally invasive approaches.

Perhaps most importantly, awareness is growing. School screening programs catch curves early when treatment is most effective. Medical professionals better understand the psychological impact of diagnosis and treatment, especially on adolescents navigating an already challenging time of life.

Scoliosis may cause the spine to take a different path, but it doesn’t prevent people from reaching their destinations. With proper monitoring, appropriate treatment when needed, and support from medical professionals and loved ones, those with scoliosis can thrive—curves and all.

By Chelangat  Caren

Did you know that your gut is often referred to as your “second brain”? The gut and brain are connected through a complex network of nerves, hormones, and chemicals, and research has shown that the health of your gut can have a significant impact on your overall well-being.

The gut microbiome, which consists of trillions of microorganisms living in your gut, plays a crucial role in maintaining your health. These microorganisms help to break down food, absorb nutrients, and regulate the immune system. However, when the balance of the gut microbiome is disrupted, it can lead to a range of health problems, from digestive issues hence mental health disorders.

The gut and brain are connected through the vagus nerve, which allows them to communicate with each other. This communication network is known as the gut-brain axis. When the gut is healthy, it sends positive signals to the brain, which can improve mood, cognitive function, and overall well-being. On the other hand, when the gut is unhealthy, it can send negative signals to the brain, leading to symptoms such as anxiety, depression, and fatigue.

So, how can you promote a healthy gut and unlock the benefits of the gut-brain connection? One of the most effective ways is through diet. Eating a balanced diet rich in fibre, fruits, and vegetables can help to feed the good bacteria in your gut and promote a healthy gut microbiome. Additionally, incorporating fermented foods such as yogurt, kefir, and kimchi into your diet can provide your gut with beneficial probiotics.

Stress can also have a significant impact on the gut-brain connection. When you’re stressed, your body releases hormones that can disrupt the balance of your gut microbiome and lead to digestive problems. Finding ways to manage stress, such as through meditation, yoga, or deep breathing exercises, can help to promote a healthy gut and reduce symptoms of anxiety and depression.

The gut-brain connection is a complex and fascinating area of research, and scientists are continuing to uncover the many ways in which the gut and brain interact. By understanding the gut-brain axis and taking steps to promote a healthy gut, you can take control of your overall health and well-being. Whether you’re looking to improve your mood, boost your energy levels, or simply feel better in your own skin, the gut-brain connection is an area that is definitely worth exploring.