1. Types of Transfers Mostly there are four type of health transfers:
1-conditional salary transfer to states& counties
2-conditional operating transfer to States& counties
3-State& county transfer
4-PHCC Grants.

2. Conditional Health salary transfer.
In the course of the year 2016/17, while states will budget for all counties, county transfers for health will be sent only to Counties that have the capacity of spending and accounting for these funds that is, Counties that have met the following basic minimum eligibility conditions:
General conditions
Key County staff must be in place: County Executive Director, County Planner, and County Controller of Accounts.
County must have a bank account with County Executive Director and County Controller of Accounts as signatories.  
Health-specific conditions
The County Health Department must have in place at least the County Health Director/County Medical Officer and the data manager/officer in of disease and surveillance, and one other officer among the three positions in charge of nursing, pharmacy, or nutrition.

3. Conditional Health Salary transfer to.
based on an agreement with regard to eligible and non-eligible Counties. For salaries, the State will choose between two options to finance the operations of non-eligible counties. This will be done either through an identified neighboring County with sufficient capacity (delegation among counties) or directly from the State level (delegation upward). In the case of delegation among counties, the transfer releases to eligible counties will include the transfers for the non-eligible counties as per the plan. The county operating transfers of non-eligible counties will all be managed by the State and will be used to support the establishment of the Boma Health Initiative teams in all counties of the State.

4. Conditional Health salary transfer
Purpose and Use
State conditional salary transfer should be used to pay classified staff at:
State Ministry of Health
State and County Hospitals.
County conditional salary transfer should be used to pay classified staff at:
County Health Department
Primary Health Care Centres (PHCCs)
Primary Health Care Units (PHCUs). 
MoH provides funding for health worker salaries each month and not for non-health/ unclassified staff.

5. Conditional operating health transfer
Purpose and Use
Roles and responsibilities of State Ministries of Health:
Provision/management of services at State and County Hospitals
Oversight of CHDs’ activities and performance in the areas of clinical services, outreach and health education, administration, and financial management and reporting
Capacity building and technical support to CHDs, hospitals and facilities
Support to health facilities and HSIs (Service Delivery Units – SDUs) to meet the conditions to receive direct grants
Oversight of expenditure and enforcement of compliance by subsidiary institutions
Compliance with conditionality, including all financial, payroll and health-sector reporting requirements
Coordination of partners in different areas, and general work to improve health status within a State.

6. Conditional operating health transfer
At least 50% of the transfer should be used to support the operation of State and County Hospitals, and 20-30% for oversight of CHDs. State and County Hospitals are provided with operating transfers on their own. However, these complement and by no means replace the support that must be extended to them by SMOHs out of the State health operating transfers. Administrative and office costs pertaining to the operations of the SMoH itself should not exceed 25% of the operating transfers so that spending gives priority to service delivery.

7. Conditional operating Health transfer
Roles and responsibilities of County Health Departments:
Provision and management of health services through Primary Health Care Centres and Primary Health Care Units
Oversight and supportive supervision of health facilities
Support to health Service Delivery Units (at this stage PHCCs) to meet the conditions to receive direct grants
Community outreach activities, including health education and mobile service provision
Engagement with facility, village, and boma health committees
Improvement of public health, through sanitation etc.
Monitoring and reporting on disease outbreaks
Coordination of partners active within the County
Compliance with conditionality, including all financial, payroll and health-sector reporting requirements.

8. Conditional Operating Health transfer
However, in the year 2016/17 the top priority for these transfers is to fund the establishment of the Boma Health Initiative (BHI) in each Boma, including the purchase of basic equipment and tools, as well as incentives for staff and operational costs. It is expected that at least 50% of the CHD/BHI transfers will be spent on establishing the BHI, whereas at least 20% will be spent on service delivery through supporting the PHCCs.

9. Conditional operating Health transfer
MOH will work with each SMoH to determine (i) how best the above roles and responsibilities will be discharged, (ii) how county transfers will be allocated accordingly, (iii) where county operating transfers will be released (eligible Counties only). Operating transfers of non-eligible counties will be fully retained to fund the establishment of the BHI across the State, under the responsibility of the SMOH, whereas the operations of these CHDs will be facilitated through basic health care programmes financed by the development partners. Implementing partners in these programmes are also expected to play a major role in supporting the SMOH to build capacities in all counties across the State so that un-eligible counties are over time becoming eligible. Further guidance with regard to the BHI establishment and the role of SMOH will be provided for separately by MOH.

10. State& County Hospital transfer
Purpose:
Hospital Transfers are transferred to State and County Hospitals to help them meet their operating costs.
The transfers are to finance basic running costs including sanitary and cleaning supplies, office stationery, basic maintenance and repair.
The grants cannot be used to pay top-ups to clinical staff or for the procurement of pharmaceuticals.
Non-profit hospitals, including government-managed, NGO, and faith-based can be eligible for the grants.

11. State County Hospital Transfer
However, State Ministries of Health are responsible for making the best possible use of the resources available to them to ensure that the hospitals they oversee are fully operational and providing quality services. In addition to the Hospital Transfers, for which SMOHs play an oversight role but do not handle the money, SMOHs must use at least 50% of their operating transfer to support hospitals.

12. PHCC Grants
Purpose:
PHCC Grants are transferred to qualifying PHCCs to help meet their basic, day-to-day running costs. Their purpose is to address basic shortages, make minor repairs, and ensure that facilities are able to function.
The grants cannot be used to pay salary top-ups or for the procurement of pharmaceuticals.
Any facility which meets the necessary conditions can receive the grant, regardless of whether they are managed by Government, NGO, FBO, or any other organisation. If there are PHCCs which the MOH was not previously aware of, or new PHCCs are established, these can still access the grant if they comply with the conditionality
The 2013 Health Facility Assessment found that the major bottlenecks to improve health outcomes are very basic issues, it is hoped that the PHCC grants can help address these.

13. PHCC Grants
In addition to the PHCC Grants, for which CHDs play an oversight role but do not handle the money, CHDs must use at least 50% of their operating transfer to support PHCCs and PHCUs.