The Social Health Authority (SHA) has been criticized by the Senate for failing to settle Sh8.14 billion in unpaid insurance benefit claims owed to families of public servants who died or were injured in the line of duty. Meanwhile, Nairobi Hospital is facing operational challenges amid accusations from the Kenya Hospital Association (KHA) of governance failures. The hospital has filed a petition at the High Court to halt insolvency proceedings initiated by a supplier over a disputed debt of Sh51 million, arguing that arbitration is the appropriate recourse under their contract. In Machakos County, health services have been severely disrupted due to a nurses' strike entering its sixth day. The strike has affected all county health facilities, including Machakos Level 5 and Kangundo Level 5 hospitals, leaving patients without care and some discharged with no alternative support. The nurses are demanding the implementation of a collective bargaining agreement (CBA), promotions, and resolution of unpaid salaries. Health workers in Nairobi have also joined the strike, accusing the Johnson Sakaja-led county government of withholding their salaries and failing to remit statutory deductions such as the Social Health Authority (SHA) contributions since May. These developments highlight ongoing challenges in Kenya’s public health sector, including financial mismanagement, labor disputes, and governance issues.