Prosecutors in Kenya have brought a series of charges against a medical clinic and six of its staff members, alleging they conspired to defraud the national Social Health Authority of more than two million shillings. The accused, presented at the Milimani Law Courts, face a total of twelve counts including conspiracy to commit a felony, fraudulent alteration of information, forgery, cheating, and money laundering.
The individuals named in the charge sheets are Patrick Kimuyu Kanya, Faith Chepkurui Bii, Steven Okinyi Ojwang, Justine Baraka, Pauline Wanjiru, and Naida Mbeyu. The Jambo Jipya Medical Clinic in Mtwapa, Kilifi County, is also listed as a corporate accused in the case. The charges allege that between November 1, 2024, and June 30, 2025, the group worked together to falsify medical documents to illegally claim funds from the Social Health Authority.
According to the prosecution, the scheme involved the fraudulent alteration and falsification of information in medical claim forms. The charges state that staff at the clinic knowingly inserted or signed false patient details, including purported patient signatures, to misrepresent that individuals had received treatment at the facility. The objective, as per the court documents, was to defraud the health insurer and obtain benefits not lawfully due.
The financial scale of the alleged fraud is detailed in two specific counts. The first count of conspiracy states that the fraudulent activities led to a payment of Ksh 2,032,680 from the Social Health Authority. Two of the accused, Patrick Kimuyu Kanya and Faith Chepkurui Bii, face additional charges for the acquisition and use of these funds, which are classified as proceeds of crime. The prosecution alleges the money was channeled through a specific Family Bank account and subsequently withdrawn via a registered M-Pesa number.
In a separate count of cheating, the same two individuals are accused of obtaining Ksh 30,000 by falsely claiming a patient, Mary Njeri Njoroge, had undergone a cesarean section at the clinic when, in fact, she had a normal delivery. Several other counts detail specific acts of forgery, accusing staff members of creating false clinical notes and cardex records for patients named Agnes Chisinde and Lucas Mwamba. Further charges of “uttering a false documents” accuse the staff of submitting these fabricated medical files to the CEO of the Social Health Authority.
The accused individuals were arrested without a warrant in early October 2025 and have been presented before the court. The case is being prosecuted by the Office of the Director of Public Prosecutions (ODPP). In a related but separate legal matter documented in the files, another individual, David Waweru Kamotho, has been charged with cheating a different complainant out of USD 70,200 in a case dated March 2023. The cases highlight ongoing legal actions concerning alleged high-value fraud within the country.
