Nursing in Kenya began in 1908 and was conducted without a formal framework until 1950. Over the decades, with demand for healthcare providers increasing due to marked growth in the population of Kenya, training programs were implemented. History In 1908, nursing in Kenya began when missionaries who visited Kenya provided training. The first nurses were primarily male and were known as "dressers." Their primary responsibilities included dressing wounds, administering injections, and managing hospitals. Before 1950, nursing in Kenya was conducted without a formal framework. Most health care institutions provided in-service training for healthcare workers, to assist the whites in the provision of required healthcare, thus making it difficult to identify healthcare workers according to their level of training and scope of practice. In 1950 meeting of the Nurses and Midwives Council of Kenya members passed a resolution that formally described the different cadres of nurses who were practising nursing in Kenya at that time. The titles of State Registered Nurse, Kenya Registered Nurse, and Assistant Registered Nurse Grade 1 and 2 remained in force on the basis of Registration and Training. In 1952, the Examination Sub-Committee held its first examination for Assistant Enrolled Nurses Grade I and II. Approval of training schools was required to be done by the relevant training schools sub-committee, whilst the inspection of schools would be done every three years. The King George Hospital Kenyatta National Hospital became the first hospital to start the Kenya Registered Nurse training programme. The course was approved to run for 3 ½ years, with the Preliminary Training Service (PTS) to extend over 3 months, followed by a period of 3 months ward rotation and 3 years of theory and clinical training. 1980s there was a marked growth in the population of Kenya. As a result of the rapid development going on in the country at that time, there was an increase in rural-urban migration, resulting in an uneven distribution of resources, with particular reference to human resources. There was also a growing need for health care providers to engage in effective healthcare management strategies, to be able to reach every part of the population. 1987 the Kenya Registered Community Health Nurse (KRCHN) training was commenced, to prepare nurses who would be able to give comprehensive care to the communities. 1990s, due to expansion and emergence of complex disease patterns among populations such as HIV/AIDS, cancer, cardiac conditions, the Nursing Council