<p>Globally, nearly 3.3 million stillbirths and 4 million neonatal deaths occur yearly, averaging 61 deaths per 1,000 live births in low-income countries. Kenya recorded 41 deaths per 1,000 live births in 2022 with the majority of deaths in Nakuru county. The surveillance system for perinatal mortality in Nakuru has not been evaluated before. We evaluated the system and described perinatal deaths in Nakuru county.</p>