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The Constitution of Kenya, 2010 gave county governments the responsibility of managing health service delivery, which formed 50-70 percent of the county workforce after devolution. In the former centralized system, the national government had a human resources (HR) unit in the Ministry of Health to oversee health workforce management. After devolution, counties lacked strong HR management (HRM) systems and designated HR officers for managing health workers leading to grievances and confusion in the public health sector. This brief proposes a county-level policy to institutionalize the establishment of an HRH unit in each county department of health, in alignment with the Devolved HRM Policy Guidelines on HRH.