Table 4.

Human Health Actors’ Motivations for Working in Healthcare.

Level	Human Health Role	Description
Health institutions: Degree holders	Medical Doctor/Officer	Supporting their community to overcome- health problems. Interested in medicine.
Health institutions: Mixed post-secondary qualifications/training/knowledge	Clinical Staff and Nurses	Supporting their community
Retail/Market-based providers	Type II Drug Providers—maduka la dawa muhimu/baridi *; ADDO regulated	Livelihood support: many instances of nurses or clinical staff selling medicines to support their own income. Supporting their communities: passionate in helping communities. Interested in medicine.
	Other drug providers –general store, maduka la kawaida, not ADDO regulated	Interested in medicine
Community health providers	Traditional Healer	Supporting their communities: knowledge passed through families and in response to the demand for support
	Community Health Worker	Supporting their communities in having healthy lives and accessing their rights

* duka la dawa (literal translation “drug shop” refer to drug dispensing outlets) are also called “duka la dawa baridi” (literal translation “cold drug shops” referring to the drugs sold for non-severe conditions) and are now referred to as “duka la dawa muhimu” translated as “essential drug outlet”.