County governments are struggling to fund national health agreements, according to Murang’a Deputy Governor Stephen Munania, worsening the health sector crisis amidst a nurses' strike.

• Counties are left to finance health agreements negotiated by the national government without receiving the necessary funds.
• The dispute is particularly acute over collective bargaining agreements (CBAs) for nurses, some unresolved since 2017.
• Murang’a allocates approximately Sh3.4 billion to healthcare, with 54% of its budget going to salaries, exceeding the recommended 35% threshold.