We reviewed records obtained from the maternity register, newborn unit registers and the perinatal review forms for January–December 2021 from 3 health facilities: Nakuru PGH, Molo SCH and Naivasha SCH. Perinatal death was defined as any record of death in the first seven days of life and stillbirths that occurred in health facilities. We assessed age, time and place of death occurrence, and neonatal and maternal clinical characteristics. We calculated the perinatal mortality rate (PNMR), trends, frequencies, and proportions. We used the CDC guidelines to evaluate the surveillance system. 