Prosecutors have filed multiple criminal charges against Jambo Jipya Medical Clinic in Mtwapa, Kilifi County, and six of its staff members, accusing them of orchestrating a complex fraud scheme targeting the Social Health Authority (SHA).
The accused — Patrick Kimuyu Kanya, Faith Chepkurui Bii, Steven Okinyi Ojwang, Justine Baraka, Pauline Wanjiru, and Naida Mbeyu — appeared before the Milimani Law Courts in Nairobi, where they faced 12 counts, including conspiracy to commit a felony, forgery, falsification of records, cheating, and money laundering.
Court Documents Detail Elaborate Fraud Scheme
According to the prosecution, between November 1, 2024, and June 30, 2025, the clinic’s staff allegedly falsified medical records and insurance claims to obtain payments from SHA for treatments that never took place.
Investigators say the accused altered patient information, inserted fake signatures, and forged clinical documents to make it appear that certain individuals had been treated at the clinic. These false records were then submitted to the Social Health Authority to claim medical reimbursements.
Court documents allege that the fraudulent scheme led to illicit payments amounting to KSh 2,032,680, which were later withdrawn through a Family Bank account and M-Pesa transactions linked to two of the accused — Patrick Kimuyu Kanya and Faith Chepkurui Bii.
Charges of Forgery and Money Laundering
In addition to the general conspiracy charges, specific counts accuse the two of receiving and using funds classified as proceeds of crime.
They are also accused of forging clinical notes and cardex records for patients identified as Agnes Chisinde and Lucas Mwamba, and submitting the falsified files to the SHA’s Chief Executive Officer.
In one count of cheating, prosecutors allege the accused fraudulently obtained KSh 30,000 by claiming that a patient named Mary Njeri Njoroge had undergone a cesarean section, when in reality, she had delivered normally.
Prosecution and Legal Context
The Office of the Director of Public Prosecutions (ODPP) is leading the case, which stems from a wider crackdown on healthcare-related corruption following audits initiated by the Ministry of Health and SHA.
The six accused individuals were arrested without warrants in early October 2025 and subsequently charged at Milimani Law Courts. The corporate entity, Jambo Jipya Medical Clinic, is listed as the seventh accused.
The prosecution argues that the accused “knowingly and jointly” defrauded the Social Health Authority, undermining public trust in Kenya’s health insurance system.
Related Case: Financial Fraud in the Private Sector
Court records also reference a separate ongoing case involving Nairobi businessman David Waweru Kamotho, who has been charged with obtaining USD 70,200 (approximately KSh 10 million) from a complainant through fraud in March 2023.
Both cases reflect an intensifying effort by Kenyan authorities to curb financial crimes and fraudulent practices affecting public and private sectors alike.
Next Steps
The court has scheduled the case for mention, during which the accused will learn whether the prosecution intends to consolidate the charges or proceed to trial. The accused have all denied wrongdoing.
If convicted, they face severe penalties, including lengthy prison terms, fines, and permanent disqualification from holding positions in the healthcare sector.