The steps

  1. Talk to your nephrologist about a transplant.
  2. Find a possible living donor. Your transplant team explains the donor rules.
  3. Do the tests for the recipient and the donor (pre-transplant evaluation).
  4. Have the operation at a transplant centre.
  5. Take medicines for life to protect the new kidney. Go to every follow-up visit.

Where transplants happen in Kenya

Public reports name these hospitals as transplant centres. Ask each hospital about its current programme.

What SHA pays

SHA tariff, Legal Notice 146 of 2024
ItemSHA tariff
Pre-transplant evaluationKES 150,000 a household a year
Transplant surgery (recipient)KES 700,000
Donor kidney removalKES 168,000
Medicines after a transplantKES 200,000 a household a year

KES1,218,000

the four items added together

The Health Cabinet Secretary said in January 2026 that SHA covers a transplant at KES 1.2 million.

Source: Legal Notice 146 of 2024. Last checked 6 October 2026.

Questions to ask the transplant team