Nursing vacancies resulting from natural attrition will henceforth be filled on contract basis, the national and county governments resolved Monday at a summit on issues affecting service delivery amid perennial strikes.
Natural attrition is the circumstance under which employees leave an organisation for reasons that are considered normal, such as resigning and retiring.
The meeting, held at the State Lodge in Sagana, noted the need for lasting solutions to strikes that leave patients paying highly for treatment at private facilities.
In a joint statement on Monday, Health Cabinet Secretary Sicily Kariuki and Council of Governors chair Wycliffe Oparanya (Kakamega) announced eight resolutions aimed at improving services.
Key among them, according to the statement, was “that any vacancies for recruitment of nurses arising from normal attrition in both levels of government be filled on contract terms”.
This resolution is a big blow to nurses as those on contract have limited benefits and cannot join unions.
Their job security is also at stake, as it is not guaranteed that their contracts will be renewed.
To implement the decision, the Public Service Commission (PSC) was asked to develop a Standardized Contract Framework for engaging the health workers on the terms and conditions of this new arrangement.
The Salaries and Remuneration Commission will be consulted, Ms Kariuki and Mr Oparanya also said.