Table 4 Summary of findings in the case study counties
From: Management of human resources for health: implications for health systems efficiency in Kenya
| Â | County A | County B |
|---|---|---|
HRH Funding | • Inadequate HRH funding • Delays in salaries reported | • Inadequate HRH funding • No delays in salaries reported |
HRH Numbers | • Staffing shortages experienced for all cadres except general clinical officers | • Staffing shortages experienced for all cadres except general clinical officers |
HRH Skill-Mix | • Inadequate skill-mix with specialist shortages | • Inadequate skill-mix with specialist shortages |
HRH Distribution | • Mal-distribution of workers skewed towards hospitals | • Maldistribution health of workers towards hospitals |
HRH Contractual arrangements | • Incoming health workers employed on Permanent and Pensionable (P & P) basis | • Incoming health workers employed on fixed term contracts |
HRH Incentives and motivation | • Inter-cadre disparities in training opportunities reported • Risk allowance for non-service delivery staff eg HR managers, accountants etc • Absenteeism was reported | • Rural staff had differential opportunities for transfers • Risk allowance for non-service delivery staff eg HR managers, accountants etc • Absenteeism was reported |