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You cannot do a diploma in nursing with a D in Biology. For a diploma, you must have at least a C (plain) in Biology.
There are hundreds of University and College courses in Kenya that you can study if you attained a KCSE Mean grade of B-(minus). Let us know what your career goals or interests are so that we can provide you with recommendations.
We can see that you scored Mathematics. You need to have atleast a C- in Mathematics or Physics to do a Diploma in Clinical Medicine and Surgery.
You can apply for any diploma medicine related courses offered in KMTC. For instance, Clinical Medicine, Medical Laboratory sciences, Radiography and Imaging, Pharmacy, etc. However, you must have C (plain) in Physics since they require C (plain) in either Maths or Physics. Here is a complete list of all the courses offered in KMTC and their requirements: https://kmtc.ac.ke/wp-content/uploads/2020/02/KMTC-Programmes-Courses-Feb-2020.pdf Alternatively, consider doing any degree course that is not related to medicine and which Maths is not a requirement.
Butere Technical and Vocational College based in Butere, Kakamega County has a number of craft, artisan and certificate courses that they offer that you may want to apply. Contact them through +254726984710 or +254727861270 for more information about admission and intakes.