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Licha ya SHA kuanza kutumika katika hospitali mbalimbali za umma nchini, changamoto imesemekana kuwa ya usajili. Haya yanajiri wakati ambapo serikali imekiri kwamba kuna pengo katika utekelezwaji wa bima hiyo mpya ya afya.
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SHA yaanza kazi katika baadhi ya hospitali; Wagonjwa wa NHIF walalamikia makato hayo
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