Table 4.

Summary of findings in the case study counties

	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