# Does SHA cover mental health and counselling in Kenya?

URL: https://tymirahealth.com/resources/faqs/does-sha-cover-mental-health-and-counselling-in-kenya
For: Patients | Mental health | Reviewed by Independent clinical reviewer, Registered mental health clinician, Kenya | Last reviewed 23 October 2026

**Answer:** Yes. In 2025 the Ministry of Health announced that mental health services are part of the Social Health Authority (SHA) benefits package, including outpatient consultation, counselling, inpatient care and rehabilitation for substance use. What you can use depends on whether the facility is SHA-contracted and on current benefit limits, so confirm with the facility before your appointment.

### What the SHA mental health cover includes

The Ministry of Health has said the cover spans outpatient consultation and counselling, inpatient management of mental health conditions, and rehabilitation for drug and substance use. This is the first time mental health has been formally included in Kenya's national health insurance.

### How to use SHA for mental health care

**Steps**

- Make sure your SHA registration and contributions are up to date.
- Ask the clinic or hospital whether it is contracted by SHA for mental health services.
- Ask which services are covered and whether pre-authorisation is needed.
- Carry your ID and any referral letter to the appointment.
- Keep receipts and ask how any amount not covered will be charged.

> **Still being rolled out:** Implementation has been uneven and counselling services remain under-resourced in some areas, so availability can differ between facilities and counties.

> **Important:** If you or someone you know is in immediate danger or thinking about suicide, call 999 or 112, go to the nearest hospital emergency department, or call the free Kenya Red Cross line 1199. This article is general information. It does not diagnose, treat or replace care from a qualified professional.

## More questions

### Does SHA cover private therapists?

Only if the therapist or practice is contracted by SHA. Many private counsellors are not, so ask before booking.

### Does SHA cover rehab for alcohol and drugs?

The Ministry of Health has said rehabilitation for drug and substance use is part of the mental health benefits. Confirm limits with the facility.

### What replaced NHIF for mental health?

NHIF was replaced by the Social Health Authority (SHA). Older information that mentions NHIF cover may no longer apply.

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