Addressing the human resource needs of a Kenyan hospitalEven before the ARV targets had been introduced, there were not enough nurses to provide the quality of care the Director aspired to. The patients had to wait a long time for basic care, and by the time the overworked nurses finally came to the bedside, they were rushed and exhausted. The Director understood why the patients felt neglected and the staff demoralized.Hiring new staff was not an option. A donor-imposed hiring freeze made it impossible to employ any new staff—not just nurses, but other essential employees as well.