Retention of Community Health Workers is important for continuity of health services at the Community level. The study assessed the motivational approaches that determine the retention of community health workers in Busia, Kenya. Both quantitative and qualitative approaches were used to collect data from the CHWs and other stakeholders. A total of 300 questionnaires were administered to the CHWs in while six key informants and seven focus group discussions were held. The study revealed that among the CHWs interviewed, about 30% had served for at least 3 years. Only 2% of the CHWs who had been retained considered recognition as being able to motivate them to be retained, while 40% perceived recognition by the community as a determinant that would retain them. Currently 88 % of them acknowledge reimbursements as motivation factor for them to continue serving as CHW. The current motivational determinants are recognition by the community members, skill development, provision incentives and supervision. The perceptions of the CHWs on retention include; community support and health care system support. Prompt provision of the working materials for the CHWs like bags, CHWs kit, and reporting materials; harmonize the workload for the CHWs in order to improve on quality of care.