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Kenya’s Social Health Authority (SHA) has enrolled 25 million citizens into the universal health insurance scheme as of June 2024, ahead of the July 1 mandatory deadline. Registration via mobile phone takes under 3 minutes, with income-based contributions. Over 4,500 health facilities are accredited, including mission hospitals. The system covers surgery, chronic illness, maternity, and mental health. Early data shows a 40% drop in out-of-pocket expenses. The World Bank has pledged $500 million to support rollout, calling it a historic step toward health equity in Africa.