The CPSB was responsible for HRH recruitment. Both the CPSB and the CDoH were supposed to work jointly in the recruitment process – from identification of HRH needs to confirmation of new staff.
The county had two parallel recruitments: a formal HRH recruitment done jointly by the CPSB and CDoH, and a parallel, politically driven recruitment done and managed by the CDoH without involvement of the CPSB as required by the law.
HRH Distribution
There were no guidelines on which institution was responsible for HRH distribution.
The CDoH was responsible for HRH distribution and used a concept of ‘bare minimum’ to determine how many HRH to deploy to a given facility. The CDoH had also started implementing the incentives guidelines to attract more HRH to the less attractive and rural primary healthcare facilities
