Zambias Private Healthcare on the Brink: HFZ Sounds Alarm Over NHIMA’s Unpaid Billions

The Healthcare Federation of Zambia (HFZ) has warned that the private health sector is facing collapse as the National Health Insurance Management Authority (NHIMA) allegedly owes providers hundreds of millions of kwacha for services rendered.
HFZ President, Dr. Shailen Desai, revealed that some unsettled claims date back to 2024, with NHIMA reportedly prioritizing payments to public facilities while leaving the private sector struggling.
He stressed that despite non-payment, private hospitals are still required to fulfill all tax obligations, a situation he labeled grossly unfair. The HFZ also dismissed allegations of overbilling as false and damaging.
Calling the situation “dire,” the Federation has appealed to President Hakainde Hichilema to intervene—demanding prompt payments, tariff reviews, fair treatment between sectors, and inclusive consultations.
HFZ reaffirmed its commitment to collaborating with government in pursuit of universal health coverage but emphasized that urgent action is needed to prevent a total breakdown of private healthcare in Zambia.