The Nairobi County Government is defending its handling of health worker grievances, stating most issues are resolved or in advanced stages, but promotions face delays due to a significant wage bill.

• The county's health sector wage bill stands at approximately Sh8 billion, with proposed promotions potentially increasing it by up to 150 percent.
• Key person involved is Executive Committee Member for Health, Wellness and Nutrition, Suzanne Silantoi.
• Promotions for common cadres from Job Groups M to N and N to P are slated for conclusion by June 30, 2026, subject to fiscal realities and wage bill compliance.