In a bold move to fast-track Universal Health Coverage (UHC) and reduce the financial burden of healthcare on Kenyan households, Health Cabinet Secretary Aden Duale has announced that all outpatient services at public dispensaries, health centres, and sub-county hospitals will now be offered free of charge.
The announcement, made following a directive from President William Ruto, marks a major milestone in the implementation of Kenya’s health sector reforms, ensuring that every citizen—regardless of income or location—can access quality healthcare without out-of-pocket expenses.
“This directive is a game-changer for millions of Kenyans,” said CS Duale. “By eliminating co-payments at the primary level, we are removing the cost barrier that has for too long denied our people access to basic health services.”
The free services will be available at public Level 2 to Level 4 hospitals, as well as SHA-contracted private and faith-based health facilities. They will be fully funded by the Government of Kenya through the Primary Health Care Fund.
Kenyans registered with the Social Health Authority (SHA) will now access a wide range of outpatient services at no cost, including:
Consultation and diagnosis
Treatment for chronic and acute illnesses
Prescribed laboratory tests
X-rays and ultrasounds
Prescription drug dispensing
Immunization and child healthcare
Reproductive and maternal health services
Mental health care
STI and HIV/AIDS management
Minor outpatient procedures
Health education
CS Duale emphasized that any form of co-charging for these services is prohibited. Members of the public are urged to report violations to the Call Centre 147.
By removing financial barriers to these essential services, the directive ensures that every Kenyan, regardless of income or location, can access quality care without the burden of out-of-pocket expenses. pic.twitter.com/Qphc8EX2JT
— Hon. Aden Duale, EGH (@HonAdenDuale) August 10, 2025
The free outpatient services are part of a broader effort by the Ruto administration to build a robust, inclusive, and sustainable healthcare system under the UHC framework.
These reforms are anchored in strengthening community health systems, improving service delivery, and expanding access through strategic government funding.
“This is about equity, dignity, and justice in health,” said Duale. “No Kenyan should be forced to choose between putting food on the table and seeking treatment.”
