22/06/2026
Equity Afya: You Paid for Healthcare. You Got Paracetamol.
There is a joke making rounds among Kenyans who have used Equity Afya. It is not really a joke. You walk in with an eye problem. You leave with Paracetamol and a blood test request. You walk in with a stomachache. They refer you for a colonoscopy.
The diagnosis is always the same. The bill is always different.
Equity Afya entered Kenya's healthcare conversation as a solution. Equity Bank's credibility, private-sector efficiency, clean facilities, and a payment ecosystem already in your pocket. The pitch was compelling precisely because public healthcare had collapsed so thoroughly that anything with functioning lighting felt like progress.
That is the problem. The bar was on the floor, and Equity Afya is still tripping over it.
The Paracetamol prescription is now a cultural shorthand. It does not matter what you came in with. The protocol appears to be: take this, do a blood test, come back. It is not clinical reasoning. It is queue management. The blood test has a billing code. The referral generates revenue. The Paracetamol costs less than a dollar and ends the consultation.
And then sometimes the lights go out. Not because of a national grid failure, not because of load shedding, but because the person who buys the electricity tokens was not in. A hospital. Dark. Because no one thought to cover a prepaid meter top-up as a basic operational responsibility.
This is the institution that asked you to pay above public hospital rates.
The deeper betrayal is structural. Equity Afya does not just provide your care. Through its insurance products, loyalty schemes, and banking integration, it also holds your payment, manages your debt, and profits whether or not the consultation helped you. The financial transaction completes regardless of the clinical outcome. You got Paracetamol. You still owe Equity.
Kenya's public health system failed first, and that failure is real and inexcusable. But Equity Afya did not fix that failure. It franchised it. It took the same inadequate care, added a reception area with good lighting (when the tokens are paid), and charged a premium for the aesthetic.
Affordable healthcare means you leave better than you arrived. Not referred. Not clutching a generic painkiller. Not sitting in the dark waiting for someone to top up the meter.
Equity Afya is a financial product wearing a stethoscope. And Kenyans are paying for it twice: once at the counter, and once when they have to go somewhere else to actually get
Ifikie Equty Afia Greatwall and Kitengela