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Why SHA Should NOT Be Running Kenya's Ambulance Dispatch Centre | EMS Expert Explains

Kenya's Social Health Authority (SHA) has announced plans to operate a National Ambulance Dispatch Centre under SHIF. Sounds progressive? Think again.

In this critical analysis, EMS expert George Amolo breaks down why this is a dangerous mistake that could cripple Kenya's emergency medical system before it even begins.

THE CORE PROBLEM:
SHA is an insurance payer, NOT an emergency medical services operator. Dispatch is a clinical and operational function requiring paramedics, EMTs, and emergency coordinators—not insurance administrators.

WHAT'S WRONG WITH SHA'S APPROACH:
Building dispatch WITHOUT an EMS system underneath it
No EMS Act, no EMS Authority, no national standards
No paramedics or EMTs involved in the design
Confusing financial functions with clinical operations
Risk of dual dispatch chaos between SHA and counties
Millions wasted on infrastructure that won't work at the patient level

THE RIGHT WAY TO BUILD EMS:
Every successful country follows this order:
1. Build the prehospital care system first
2. Set clinical guidelines and ambulance standards
3. Train paramedics and EMTs
4. Establish an EMS Act and Authority
5. THEN integrate insurance reimbursement

Kenya is doing it backwards—like building a roof without walls.

WHAT SHA SHOULD HAVE DONE:
Focus on PAYING for ambulance services, not running them
Reimburse county and private EMS providers
Accredit ambulances based on standards
Track data and prevent fraud
Let EMS professionals design the EMS system

THE SOLUTION:
Kenya needs a National EMS Authority to run operations, and SHA to finance them. Separation of roles = success. Mixing them = disaster.

This video is a must-watch for policymakers, healthcare professionals, county governments, and every Kenyan who cares about emergency care.

Share this widely. Kenya's EMS future depends on getting this right.

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Presented by George Amolo
EMS Advocate | Public Health Analyst

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