If I were a county; I would focus on things no other actor is doing and will do. Hospital - you got many private and missions hospital - it not very critically. Kenyans won't care less. But rural roads & bridges & clean piped water; nobody else is doing that and nobody else will do it. Open up new roads,new bridges and really have a county that has all weathered roads to every hamlet. rather than spreading money into ecds, hospitals, stadiums, markets, toilets and god knows what. Nobody really ever complained about lack of an ECD school.
Give me good rural roads & bridges and have everyone connected to clean piped water - and you've won me over.
If you have extra money then make those rural roads tarmacked. Let parents fund ecd, let churches and private sector continue dealing with health -same for other services people have alternatives.