County’s total fertility rate (5.2) is higher than the national rate of 3.9 and also means that Mandera County has a high birth rate. However, the adolescent birth rate is notably lower than the national rate – about 3 out of every 100 girls aged 15-19 gives birth every year compared to 10 out of 100 at national level. Mandera County is one of 15 Counties that account for over 60% of maternal deaths in Kenya. The latest estimate of the County’s maternal mortality ratio (MMR) is 3795 deaths per 100,000 live births and is the highest in the country. Child death rates in Mandera County mirror the national trend although neonatal death rates are slightly higher and infant and under-five death rates are slightly lower. High maternal and child death rates are linked to high birth rates and limited access to life-saving maternal and child health interventions. This fact sheet highlights the status of key reproductive, maternal and child health interventions in Mandera County, in relation to the national status. The data are drawn from the 2009 and 2014 Kenya Demographic and Health Survey, the Kenya AIDS Indicator Survey (KAIS, 2007), the UN and other national and global studies.