Abstract: This study examines the relationship between remuneration and health care workers retention. Remuneration was identified as a significant determinant of health worker retention in Kisumu Central Sub-County. The study found that remuneration-related factors, particularly salary delays, had a strong negative effect on retention, emerging as the most influential predictor among the working-condition domains examined. Binary logistic regression results showed that salary delays significantly reduced the likelihood of health workers remaining in public service (OR = 0.29, p < 0.001). The findings indicate that inadequate and untimely remuneration contributes substantially to workforce instability. The study concludes that remuneration challenges are a key structural driver of health worker turnover and recommends county-level interventions aimed at ensuring timely salary payments and improving remuneration practices to enhance retention of health workers and support the achievement of Universal Health Coverage (UHC).