Health Cabinet Secretary Aden Duale has dismissed claims that teachers are limited to KSh1,200 per day under the revised Mwalimu Comprehensive Medical Cover, terming the reports misleading.
In an update issued on Monday, April 20, Duale clarified that the recent changes to the scheme do not represent a reduction in benefits, but rather a restructuring aimed at improving efficiency and accountability in the use of public funds.
He maintained that the Mwalimu Cover remains one of the most comprehensive health schemes in the public sector, with teachers continuing to benefit from extensive inpatient and outpatient services, as well as expanded access to healthcare facilities across the country.
Aden Duale refutes reports of daily spending limit under Mwalimu Health scheme. Photo: Courtesy.
Under the scheme, teachers are covered for inpatient care ranging between KSh1 million and KSh3 million, outpatient services of up to KSh450,000, and access to more than 6,000 health facilities nationwide through the Afyangu app.
The CS maintained that the benefits under the Mwalimu Comprehensive Medical Cover have not been reduced, but are now subject to tighter controls aimed at promoting sustainability and ensuring proper use of public funds.
He emphasized that the adjustments focus on enforcing greater discipline in how resources allocated to the scheme are utilized.
In a related development, the move comes weeks after the Social Health Authority (SHA) suspended 12 hospitals over fraudulent claims.
While addressing the matter on Saturday, April 4, in Garissa County, Duale stated that the affected health facilities were flagged following investigations by forensic auditors.
He reiterated the government’s commitment to safeguarding funds set aside for healthcare, stressing that resources under the SHA scheme must be protected to ensure they benefit Kenyans as intended.
Several facilities, including Bungoma West Hospital and Pro Elite Westlands, have been suspended over fraudulent claims.
Aden Duale warned that political interference will not stop the crackdown, adding that 24 more facilities are under forensic audit as the government moves to protect public health funds.
