5.2Organizationalistructrre, roles and responsibilities

Elgeyo Marakwet County has a robust health leadership team that works closely and consults regularly at the top level. However the same is not the case at the lower levels (CHMT downwards), as there are obvious skills gaps in leadership and management among health managers. Some donor funded health implementing partners have come in to support this area as the county seeks opportunities for practical health leadership and management training for health facility teams. The county needs to identify the skill gaps among health managers and to plan and budget for their capacity building.

Political interference is reported to occur at health facilities with political leaders obstructing activities such as transfer and rationalization of health workers, and distribution of resources such as ambulances and infrastructure. This makes the health managers feel threatened. The Table below shows the county performance in terms of key meetings.