Table 2 Summary of Devolved HRH Priority Setting Practices in Theory and Practice at the Study County
HRH Priority Setting Function | Theory | Practice |
|---|---|---|
HRH Recruitment | 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 |