The MTRH was further allocated Kshs. 42,824,7000 by the National Treasury to help in recruiting health workers on a contract basis. They considered a list of candidates previously approved and shortlisted in 2018 but had not been contracted. Further, the contract for the newly recruited staff was to end after three months but the audit analysis revealed that this was not the case. Management’s response on the issue is that due to increase in Covid-19 pandemic numbers, they are still retaining some doctors. This amount has therefore exceeded the appropriated amount of Kshs. 42,824,700 by Kshs. 3,737,991