The growing costs and shrinking revenues are now forcing hospitals to ask their employees to take a pay cut.
The issue has caused a push and pull between the health workers and their employers, with some moving to court through their unions.
PAY CUT
Aga Khan University Hospital has communicated to its employees about plans for a pay cut.
The hospital sent a memo to its staff informing them that due to the nature of the hospital's operations as a 24-hour essential services provider, all employees would be required to work 45 hours a week, up from 40 hours.
The Kenya Medical Practitioners, Pharmacists and Dentists Union (KMPDU) has moved to court to stop the changes.