{"id":40902,"date":"2026-01-30T18:45:50","date_gmt":"2026-01-30T18:45:50","guid":{"rendered":"https:\/\/new.igihe.com\/french\/Kenya-un-scandale-de-fraude-massif-ebranle-le-systeme-national-d-assurance-40902\/"},"modified":"2026-01-30T18:17:07","modified_gmt":"2026-01-30T18:17:07","slug":"Kenya-un-scandale-de-fraude-massif-ebranle-le-systeme-national-d-assurance","status":"publish","type":"post","link":"https:\/\/new.igihe.com\/french\/Kenya-un-scandale-de-fraude-massif-ebranle-le-systeme-national-d-assurance\/","title":{"rendered":"Kenya : un scandale de fraude massif \u00e9branle le syst\u00e8me national d\u2019assurance sant\u00e9"},"content":{"rendered":"

Selon les autorit\u00e9s, plus de 71 millions d\u2019euros ont \u00e9t\u00e9 vol\u00e9s, mal utilis\u00e9s ou obtenus par de fausses r\u00e9clamations par des h\u00f4pitaux et cliniques \u00e0 travers le pays.<\/p>\n

Mis en place pour remplacer l\u2019ancien National Hospital Insurance Fund (NHIF), le syst\u00e8me visait \u00e0 moderniser l\u2019acc\u00e8s aux soins et \u00e0 offrir une couverture sant\u00e9 am\u00e9lior\u00e9e \u00e0 tous les K\u00e9nyans.<\/p>\n

Quelques mois apr\u00e8s son lancement, il est au c\u0153ur d\u2019une crise de confiance, avec des centaines de structures accus\u00e9es de manipulations des demandes de remboursement.<\/p>\n

Les enqu\u00eates ont r\u00e9v\u00e9l\u00e9 des pratiques telles que des soins fictifs, des facturations gonfl\u00e9es et l\u2019enregistrement de \u201cpatients fant\u00f4mes\u201d. Des anomalies ont \u00e9t\u00e9 d\u00e9tect\u00e9es gr\u00e2ce \u00e0 l\u2019intelligence artificielle, notamment un assur\u00e9 d\u00e9clar\u00e9 avec 381 personnes \u00e0 charge dans le comt\u00e9 de Kwale.<\/p>\n

Face \u00e0 ces r\u00e9v\u00e9lations, plus de 1 100 \u00e9tablissements ont \u00e9t\u00e9 ferm\u00e9s ou suspendus, et des poursuites p\u00e9nales sont en cours. Le ministre de la Sant\u00e9, Aden Duale, a par ailleurs indiqu\u00e9 que les contr\u00f4les renforc\u00e9s avaient permis de bloquer des milliards de shillings de r\u00e9clamations irr\u00e9guli\u00e8res et a averti que toute fraude serait poursuivie.<\/p>\n

Au Parlement, la d\u00e9put\u00e9e de Nairobi, Esther Passaris, a appel\u00e9 \u00e0 une transparence accrue, soulignant que les fonds d\u00e9tourn\u00e9s auraient pu am\u00e9liorer l\u2019\u00e9quipement hospitalier, fournir des m\u00e9dicaments essentiels et soutenir le personnel de sant\u00e9.<\/p>\n

Malgr\u00e9 cette crise, le gouvernement affirme que le programme Taifa Care, \u00e9l\u00e9ment central de la couverture sant\u00e9 universelle, sera maintenu, avec des mesures renforc\u00e9es pour restaurer la confiance et garantir un syst\u00e8me \u00e9quitable pour tous les K\u00e9nyans.<\/p>\n

\"Le<\/figure>\n","protected":false},"excerpt":{"rendered":"

Le minist\u00e8re k\u00e9nyan de la Sant\u00e9 a r\u00e9v\u00e9l\u00e9 un scandale de fraude massif qui a touch\u00e9 le nouveau syst\u00e8me national d\u2019assurance sant\u00e9, la ‘Social Health Authority’ (SHA).<\/p>\n","protected":false},"author":488,"featured_media":4000071222,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7529],"tags":[7605],"byline":[7717],"hashtag":[],"class_list":["post-40902","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualite-3","tag-homenews","byline-igihe"],"bylines":[{"id":7717,"name":"IGIHE","slug":"igihe","description":"","image":{"id":0,"url":"https:\/\/secure.gravatar.com\/avatar\/?s=96&d=mm&f=y&r=g","alt":"Default avatar","title":"Default avatar","caption":"","mime_type":"image\/jpeg","sizes":[]},"user_id":393}],"contributors":[{"id":7717,"name":"IGIHE","slug":"igihe","description":"","image":{"id":0,"url":"https:\/\/secure.gravatar.com\/avatar\/?s=96&d=mm&f=y&r=g","alt":"Default avatar","title":"Default avatar","caption":"","mime_type":"image\/jpeg","sizes":[]},"user_id":393}],"featured_image":{"id":4000071222,"url":"https:\/\/fr-images.igihe.com\/IMG\/logo\/cp-183.png","alt":"","caption":"","mime_type":"image\/png","width":0,"height":0,"sizes":{"thumbnail":{"url":"https:\/\/fr-images.igihe.com\/IMG\/logo\/cp-183.png","width":1,"height":1},"medium":{"url":"https:\/\/fr-images.igihe.com\/IMG\/logo\/cp-183.png","width":1,"height":1},"medium_large":{"url":"https:\/\/fr-images.igihe.com\/IMG\/logo\/cp-183.png","width":1,"height":1},"large":{"url":"https:\/\/fr-images.igihe.com\/IMG\/logo\/cp-183.png","width":1,"height":1},"full":{"url":"https:\/\/fr-images.igihe.com\/IMG\/logo\/cp-183.png","width":0,"height":0}}},"_links":{"self":[{"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/posts\/40902","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/users\/488"}],"replies":[{"embeddable":true,"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/comments?post=40902"}],"version-history":[{"count":0,"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/posts\/40902\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/media\/4000071222"}],"wp:attachment":[{"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/media?parent=40902"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/categories?post=40902"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/tags?post=40902"},{"taxonomy":"byline","embeddable":true,"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/byline?post=40902"},{"taxonomy":"hashtag","embeddable":true,"href":"https:\/\/new.igihe.com\/french\/wp-json\/wp\/v2\/hashtag?post=40902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}