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To do a diploma medical course in KMTC (Kenya Medical Training College) you must have a minimum of C- in Chemistry, Mathematics or Physics which you do not meet according to your KCSE (Kenya Certificate of Secondary Education) results. The only option you have is to apply for any certificate medical course like Community Health Nursing.
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No, you need to have alteast C- in Mathematics or Chemistry to do a diploma in Nursing. You do not qualify with a D+.
In order to respond to your question appropriately, kindly let us know whether you are interested in Certificate or Diloplam course? Do you also want a business course, education course oe technical course?
To do a diploma in nursing, you have to have a mean grade of C and to do a certificate in Community health nursing, you have to have atleast a mean grade of C-. Therefore, it is impossible to do any nursing Couse with KCSE mean grade of D+. You can apply for Certificate or Craft courses offered in various TVET institutions in Kenya.