*SHA Payments Delayed, Hospitals Struggling!* The *Rural and Urban Private Hospitals Associations of Kenya (RUPHA)* has been closely monitoring the SHA rollout since October 2024, and their latest *7th SHA Transition Scorecard reveals alarming gaps* . *Only 46% of healthcare facilities and a mere 14% of Level 2 hospitals have received SHA payments* , *while a staggering 89% of healthcare providers continue to face system failures.* As a result, patients are shouldering heavier out-of-pocket costs, *making healthcare even less accessible* . If these issues remain unresolved, the consequences could be devastating. *Is SHA failing the very people it was meant to protect?*