The nurses, under the Kenya National Union of Nurses, have been on strike for about three months.
They wanted the county to address issues regarding understaffing and implementation of a CBA agreement signed in July.
The strike, which paralysed healthcare services for two months, was suspended on Monday.
Knun regional coordinator Renson Bulunya, regional coordinator said the agreement will also prevent any future victimisation of those involved in the strike.
“This agreement ensures no one will face discrimination or retaliation for their involvement in this strike,” he said.
Deputy county secretary George Kisaka said the county committed to address all issues within the three months.
He said the return-to-work deal was reached after negotiations with the medics.
“Within the three months, we will ensure all concerns raised by the nurses are fully implemented for smooth delivery of services,” Kisaka said.
He said through collaboration with the executive, county public service board and county assembly, they will work around the clock to address all issues.
One of the main commitments is reinstatement and remittance of all union dues – this will take effect immediately.
Kisaka said all public hospitals will be operational.
“ We urge the public to seek care at the facilities without hesitation,” he said.
County public service board chairperson Peter Wamoto said continued dialogue and commitment will help resolve some of the issues.
“We now know negotiations, mutual respect and commitment to addressing concerns of all parties can lead to positive outcomes,” he said.
Knun Trans Nzoia branch secretary general Edward Cheruiyot said they trust the county government.
“We have agreed to suspend the strike for 90 days, based on the assurances we have received and the commitments outlined in this MoU,” he said.
“This agreement was reached in good faith, trust and mutual respect between all parties involved.”
Trans Nzoia county assembly health committee chairperson Sara Lubano supported the MoU.
“Nurses play a crucial role in our healthcare system. Doctors cannot attend to patients without their support. Suspension of this strike is a positive step towards ensuring residents continue to receive the care they need,” she said.
The MoU was signed by Kisaka, Wamoto, public service executive Kichwen Rutto and health executive Samson Ojwang.
Chief officers Philip Kapten (public service) and Judith Simiyu (health) as well as nurse representatives Cheruiyot and Cyprian Nyakundi also signed the MoU.