Government, Teachers’ Unions Seal Landmark Health Deal to Boost Medical Cover

By Ahmed Salat Ali

The government has signed a binding agreement with key teachers’ unions and health authorities, setting the stage for sweeping reforms aimed at improving healthcare access, efficiency, and accountability for educators across the country.

The deal, reached after extensive consultations with the Kenya Union of Post Primary Education Teachers (KUPPET), the Kenya National Union of Teachers (KNUT), and the Social Health Authority (SHA), establishes a coordinated framework under the Public Officers Medical Scheme Fund (POMSF).

Speaking after the signing, Cabinet Secretary for Health Aden Duale said the agreement marks a significant milestone in safeguarding the welfare of teachers nationwide.

“This framework ensures uninterrupted access to quality healthcare for our teachers while strengthening accountability and efficiency within the system,” he said.

Among the key resolutions is the confirmation of a Last Expense Benefit of KSh 300,000 for deceased principal members. Authorities noted that all verified claims have been processed, with payments set for immediate release.

The agreement also introduces an Ex-Gratia Management Framework to support teachers facing catastrophic medical expenses that exceed standard coverage limits.

In a major boost to specialized treatment, the government has finalized overseas care arrangements, with contracted hospitals in Turkey, India, and Saudi Arabia now operational. Implementation has already begun, with the first patient scheduled to travel.

Additionally, In Vitro Fertilization (IVF) services will now be fully covered under the scheme through accredited providers, expanding access to critical reproductive healthcare.

To streamline service delivery, stakeholders agreed to abolish the tariff-locking mechanism. During the transition period, healthcare facilities have been barred from charging any out-of-pocket fees or co-payments, in line with contractual obligations.

A four-week nationwide tariff harmonization exercise will align pricing across Level 3 to Level 6 hospitals. Upon completion, a seamless “walk-in, walk-out” service model will be introduced.

Duale emphasized that governance will also be strengthened through joint national and county-level forums, alongside continuous stakeholder engagement.

“We are committed to transparency, accountability, and ensuring that every teacher receives timely and quality medical care,” he added.

The meeting was attended by Principal Secretary for Medical Services Dr. Ouma Oluga, KUPPET Secretary General Akelo Misori, Chairperson Omboko Milemba, and chief executives Dr. Mercy Mwangangi of SHA and Eng. Anthony Lenayara of DHA.

The agreement is expected to significantly transform healthcare delivery for teachers, addressing long-standing challenges while enhancing service quality under the national medical scheme.