Kenyan Nurses Announce Strike Over Unresolved Issues

Written by on January 17, 2026

The Kenya National Union of Nurses and Midwives (KNUNM) has voiced concerns regarding unmet obligations from government employers and stakeholders. The union alleges its members are experiencing discrimination and inequitable treatment, stemming from unfulfilled agreements.

KNUNM members have issued a seven-day ultimatum, threatening industrial action if their grievances are not addressed.

Unimplemented Salary Structures

County governments are accused of failing to implement the 2024/2025 Salaries and Remuneration Commission (SRC) salary structures. The union states that a return-to-work agreement signed in November 2017 remains largely unimplemented, leading to unfair working conditions and suppressed remuneration for nurses.

Outstanding Issues and Concerns

Beyond salary concerns, KNUNM has highlighted several other unresolved issues. These include the failure to negotiate and finalize bargaining agreements, and the failure to remit third-party deductions. A significant shortage of nurses in public health facilities is also a major concern.

Career Progression and Universal Health Coverage Staff

The union also points to the non-implementation of career guidelines for nursing personnel, as approved by the Public Service Commission. Furthermore, KNUNM claims that contracted Universal Health Coverage (UHC) staff who transitioned to permanent positions have not received confirmation letters. These staff are reportedly placed in job groups not recognized under established career progression guidelines, which the union says undermines equal pay principles.

Funding for Mathari National Teaching and Referral Hospital

KNUNM has expressed concern over the Ministry of Health’s failure to release funds and grants to Mathari National Teaching and Referral Hospital, potentially jeopardizing its operations.

Call for Intervention and Potential Industrial Action

The union is urging stakeholders, including the Ministry of Health and the Council of Governors, to intervene and resolve the issues. Failure to provide a clear implementation roadmap within seven days, KNUNM states, will result in a nationwide industrial action by nurses.


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