
- The county government will pay premiums for eligible households, ensuring residents access quality healthcare services without financial strain.
- Residents only need basic documents such as national ID, children’s birth certificates, and phone numbers to register.
- The county government will cover premiums for eligible households, ensuring access to quality healthcare without financial strain.
Makueni County has taken a major stride toward improving healthcare access with the official launch of its Universal Health Coverage registration exercise, aiming to benefit 200,000 residents across the county. The ambitious initiative, which began at Makueni County Referral Hospital, is part of the county government’s ongoing effort to ensure that every resident has access to quality healthcare services without facing financial hardship.
Speaking during the launch of the registration exercise held from February 23rd to 27th, Makueni County Executive Committee Member for Health, Joyce Mutua, emphasized that the exercise would be conducted in phases to ensure that the most deserving residents, particularly vulnerable households, are fully accommodated.
“We will implement this registration exercise in stages so that we can ensure that many deserving people benefit and are fully covered. I urge all residents to come out in large numbers and register. Registration requires only a national identification card, children’s birth certificates, and a phone number,” Mutua said.
The county has committed to paying premiums for vulnerable households identified through public participation at the cluster level. This initiative is expected to ensure that as many residents as possible are enrolled and protected from the financial strain often associated with healthcare costs. Mutua added that the registration exercise will include the Social Health Insurance Fund registration through the Afya Yangu platform, identification of vulnerable households eligible for government premium payments, determination of SHIF payment rates, and updating of records and dependents.
Dr. Harvey Mulei, Chief Officer for Health Human Resource and Management, also spoke at the launch, reaffirming the county government’s commitment to providing residents with access to quality healthcare services. He highlighted that universal healthcare is not only about improving service delivery but also about safeguarding families from the economic burden of medical expenses.
“The County Government of Makueni is fully committed to ensuring that residents access healthcare services of the highest quality. At the same time, we are focused on protecting families from the financial stress that comes with unforeseen medical bills,” Dr. Mulei said.
Residents have expressed optimism about the benefits of the Universal Health Coverage program, noting that it will significantly reduce out-of-pocket medical expenses. Wambua Musau, a resident of Thange Ward, shared his hopes for the program, noting that households in his community often struggle to meet recurring medical bills. “We keep contributing to medical bills frequently, and it has been a heavy burden. I am hopeful that with this program, we will access quality healthcare services and minimize financial strain,” he said.

The UHC registration exercise has already brought relief to many families who previously struggled with medical costs. In Bosnia area of Wote-Nziu Ward, Janet Mutindi, 32, recounted the challenges her family faced as they sought treatment for her ailing father-in-law. He had been suffering from a persistent cough that escalated to regular vomiting, and doctors had recommended surgery. However, the family could not raise enough funds for the operation. The introduction of UHC registration now ensures that her father-in-law can access treatment without the looming threat of financial hardship. “It is a huge relief for us. We can finally get the care he needs without worrying about the cost,” Mutindi said.
The county government has strategically planned the registration exercise to run over an entire week, ensuring maximum participation. Officials have emphasized that the phased approach allows for thorough identification of beneficiaries, proper record-keeping, and timely payment of premiums for the most vulnerable households.
Community engagement has been central to the identification of vulnerable residents eligible for government-funded health insurance payments. Public participation at the cluster level allows local leaders and residents to recommend households in need, ensuring transparency and inclusivity. This approach aligns with Makueni County’s broader objective of achieving universal health coverage that is equitable and responsive to the needs of its people.
The Afya Yangu platform plays a crucial role in the registration process. It enables residents to register for Social Health Insurance, update dependent information, and track the status of their coverage. By leveraging digital tools, the county ensures that records are accurate, current, and accessible, which is essential for effective service delivery.
Healthcare workers and county officials have been actively involved in mobilizing residents to participate in the exercise. Registration centers have been set up in various wards, including Thange and Nzakika, where residents have flocked to ensure they are included in the program. The process has been designed to be simple and convenient, requiring only basic identification documents and minimal time to complete.
The implementation of Universal Health Coverage in Makueni County reflects a growing commitment by devolved governments in Kenya to provide social protection for their residents. By covering healthcare costs for vulnerable households and facilitating affordable access to medical services, UHC aims to reduce the incidence of preventable illnesses and improve overall community health outcomes.
The program is expected to have far-reaching impacts, especially for households that previously delayed seeking medical care due to financial constraints. With Makueni County covering premiums for the most vulnerable residents, families can now access medical consultations, treatments, and surgeries without incurring catastrophic expenses.
Joyce Mutua reiterated the importance of resident participation in the registration exercise, noting that success depends on community engagement and timely enrollment. “We encourage everyone to participate. This is a program designed for you and your family’s wellbeing. By registering, you are securing access to healthcare and protecting your household from unexpected medical costs,” she said.
The launch of the Universal Healthcare registration in Makueni County represents a significant milestone in the county’s healthcare sector. It demonstrates a proactive approach by the government to address healthcare inequities, reduce financial barriers, and ensure that residents live healthier, more secure lives.
Residents who have already benefited from the program, such as Janet Mutindi and her family, illustrate the transformative impact of UHC. From easing the burden of medical bills to enabling timely access to essential healthcare services, the program promises to change lives across the county.
The week-long registration exercise is expected to conclude with a comprehensive report on the number of residents enrolled, the total premiums paid for vulnerable households, and updates on healthcare coverage in the county. Officials have promised to continue monitoring the program’s effectiveness and to make necessary adjustments to ensure that Makueni achieves its goal of universal healthcare for all residents.
With widespread participation and continued government support, Makueni County is set to set an example for other counties in Kenya, demonstrating that universal healthcare is not just a policy aspiration but a tangible program that brings hope and relief to thousands of residents.
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