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10 November 2026

Can You Study Medicine, Nursing or Law Without an A? Realistic Routes

Medicine, nursing, pharmacy and law are among the most searched courses in Kenya. Many students ask if they can study them without an A. The honest answer is: it depends on the course, the university and your cluster points.

Why these courses are competitive

Many applicants choose them every year, and each programme has a limited number of places. This pushes cut-offs up at popular institutions. Cut-offs also change each year, so last year numbers are only a guide.

Check the real cut-offs

Do not guess. On CourseChecker you can see latest cut-offs for each course by university. For example, see coursechecker.co.ke/can-i-do for medicine, nursing, pharmacy, law and engineering with each KCSE grade. Compare your cluster points with the lowest cut-off for the course across universities.

Subject requirements matter too

These courses usually ask for specific subjects, such as biology, chemistry, mathematics or English at certain grades. Even with enough cluster points, a missing subject requirement can block you. Always read the exact requirements.

Other routes into the same field

If the degree is out of reach, there are other ways into the same area:

  • Nursing and clinical medicine: diploma programmes at KMTC and other colleges ask for lower mean grades than the degrees.
  • Pharmacy: pharmaceutical technology diplomas and certificates exist at some institutions.
  • Law: paralegal and related diploma courses exist in some colleges, and you may be able to move up to a degree later.
  • Engineering: diploma and craft certificate programmes in electrical, mechanical and civil fields.

Entry grades differ between institutions, so check each one. Ask about credit transfer if you plan to move up to a degree.

Be realistic and plan a back-up

  • Put your dream course first, but include safer choices.
  • Add a diploma or TVET option as a back-up.
  • Consider retaking subjects if you are only a little short.

Check your chances

Enter your grades at coursechecker.co.ke to see which of these courses you qualify for and where.

Sources

  • KUCCPS (kuccps.net) for official placement information
  • CourseChecker course data for cut-offs and entry grades; confirm with the institution

Ready to check your own eligibility?

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