GAZETTE NOTICE NO. 13369

PURSUANT to the provisions of Regulation 39 (1) (b) and Regulation 49 (1) and (2) of the Social Health Insurance Regulations, 2024, the Cabinet Secretary for Health, in consultation with the Social Health Authority and on the recommendation of the Benefits Package and Tariffs Advisory Panel (BPTAP), gives notice to the public of the list of healthcare services not available in Kenya as set out in the Schedule below. SCHEDULE S/No. Healthcare Service Justification 1. Wrist joint arthroplasty Lack of dedicated joint replacement and implant availability 2. Metacarpal joint arthroplasty Limited prosthesis access and expertise 3. Ankle joint arthroplasty Lack of surgical expertise and advanced implants 19th September, 2025 THE KENYA GAZETTE S/No. Healthcare Service Justification 4. Whole femoral replacement No access to mega-prostheses 5. Proximal femoral replacement Inadequate oncology infrastructure 6. Distal femoral replacement Lack of implants and training 7. Proximal tibial replacement Not routinely performed due to resource limitations 8. Allograft use No national bone bank 9. Complex congenital heart surgery requiring Extracorporeal Membrane Oxygenation (ECMO) in paediatrics Lack of ECMO capacity and ICU support 10. Liver Transplant No paediatric liver transplant program 11. Bone Marrow Transplant No dedicated Bone Marrow Transplant (BMT) units 12. Kidney Transplant (paediatric) Underdeveloped paediatric nephrology services 13. Intrathecal chemotherapy for Retinoblastoma Limited access to specialist paediatric oncology 14. Laryngeal transplant No national legal framework for larynx transplantation 15. Intrauterine blood transfusion Lack of foetal therapy centres and trained maternal-foetal specialists 16. Intrauterine shunt placement (bladder outlet obstruction, hydrothorax, cysts) No capacity for intrauterine surgical procedures 17. Intrauterine vesicocentesis, thoracentesis, paracentesis Lack of interventional radiology in maternal-foetal settings 18. Fetoscopy, amniotic band ligation, laser ablation Absence of fetoscopic instruments and trained personnel 19. Amnioreduction, amnioinfusion Rarely performed due to risk and limited technical skills 20. Foetal reduction, cord occlusion, cordocentesis Lack of access to selective foetal reduction tools and protocols 21. Advanced endometriosis excision Limited advanced laparoscopic skills among gynaecologists 22. Sacral neuromodulation for urinary/faecal incontinence No neuromodulation equipment or trained urogynecologists 23. Peptide Receptor Radionuclide Therapy (PRRT), specifically Lutetium-177 Lack of licensed radiopharmaceutical handling units and specialist nuclear medicine infrastructure 24. DOTA-Tyr3- OctreotateTATE Positron Emission Tomography/ Computed Tomography scan (DOTA-TATE scan) Diagnostic unavailability for neuroendocrine tumour staging 25. Fibroblast Activation Protein Inhibitor Positron Emission Tomography/ Computed Tomography imaging Fibroblast Activation Protein Inhibitor-based imaging is unavailable nationally despite its value in detecting fibrotic and neoplastic lesions 26. Microwave ablation of metastatic tumours No national capacity for percutaneous microwave tumour ablation 27. Chimeric Antigen Receptor T-cell therapy (CAR T-cell therapy) Highly specialized cell therapy not yet authorized or available in Kenya 28. Bispecific T-cell engagers No production or regulatory pathway for bispecific antibody- based immunotherapies S/No. Healthcare Service Justification 29. Allogeneic bone marrow/peripheral blood stem cell transplant Only autologous transplants performed with limited centres; allogeneic capacity inadequate 30. Trans jugular Intrahepatic Portosystemic Shunt Limited only by unavailability of essential tools and consumables 31. Yttrium-90 (Y-90) radio- embolization Lack of access to Yttrium-90 isotopes and delivery systems 32. Surgical management of birth-related brachial plexus injuries Lack of neurophysiology equipment and trained personnel 33. Photopheresis (ECP - Extracorporeal Photopheresis) Not available 34. Nerve Ablation Therapy Lack of neurophysiology equipment and trained personnel 35. Neural Regenerative Therapy Lack of neurophysiology equipment and trained personnel 36. Proton Therapy Not available Dated the 18th September, 2025. ADEN DUALE, Cabinet Secretary for Health.