Mandera County is experiencing an alarming situation of acute malnutrition among children under six, months after a severe dry spell. The county faces an "Extremely Critical" malnutrition crisis, with a high risk of death and widespread disease outbreaks.

• An estimated 86,360 children aged 6-59 months and 17,064 pregnant and breastfeeding women require urgent treatment.
• Key facilities like Rhamu Sub-County Hospital have admitted at least 60 children in a month, with reports of significant deaths.
• The crisis is linked to prolonged drought, poor dietary diversity, low milk availability, disease outbreaks, and reduced humanitarian funding, exacerbated by below-average rains in October–December 2025.