The union's demands include the confirmation of locum nurses to permanent positions with pensionable benefits, the settlement of unpaid gratuities, and the finalization of a Collective Bargaining Agreement (CBA). Additionally, nurses are seeking the standardization of locum rates.

KNUNM has indicated that if the strike proceeds, essential services will continue for current patients, but new admissions will be halted. This action could significantly disrupt the specialized healthcare, teaching, and research services provided by KUTRRH.

The hospital's management had not issued a response at the time the strike notice was announced. The threat of industrial action highlights ongoing labor disputes within Kenya's health sector concerning employment conditions, pay, and worker welfare.