Health and Sanitation > Strategic Plan > CHSIP 2018-2022 > 3.7 Risk Factors > 3.7.1 Challenges affecting the health sector

Health services provision in the county has faced challenges over the years and continues to do so as the population grows. Improvement to access and quality of health across different levels of service provision has been limited by long distances to health facilities, inadequate outreach facilities, poor road networks, and insufficient health inputs. Staff shortages and inadequate skills among the available ones, negative staff attitude towards clients, limited knowledge on handling of emergencies, and leadership and management skills gaps limit the capacity of the health workers. Other gaps are in the use of non-standardized screening techniques and inadequate training opportunities on new technologies and protocols. Negative cultural beliefs and trends have also led to low community involvement and uptake of services. Table 5 below outlines specific challenges to access and quality of health care.