It was established that MSP Kenya sought to tackle the HRH challenges by addressing the severe shortage of specialized health workers across the country and improving the availability,deployment and conditions of health professionals.
Through a feasibility study done at the early stages of designing the MSP, stakeholders identified several challenges and gaps in HRH including: chronic HR shortages, poor labor market absorption; non-standardized, specialized trainings and education in the emergency health care and other health care professions; lack of definition and recognition of emergency professions; limited number of required specialists, especially outside Nairobi; inadequate knowledge on maintenance and service upkeep of equipment; unsafe working environment for health workers leading to low morale and weak productivity; uneven remuneration and disparities in terms of reference among the same cadres; inability to attract and retain health care workers; uncoordinated inter-county transfers and movement of health care workers; inequitable distribution of staff; ; Lack of combined capacity (pre +
post qualification) to coordinate planning, implementation of healthcare services; limited budget allocation; and inadequate involvement of private sector in key policy formulation processes. MSP Kenya was therefore conceived as an approach that would lead to the enhancement of the HRH situation, especially targeting the most neglected health cadres which included community
health workforce (CHEWs and CHVs), Health Records and Information Officers (HRIOs) and Emergency Medical Technicians (EMTs).