Background: Wounds pose a significant yet often underappreciated burden to an individual, the healthcare system and society. There is dearth of data on wound disease burden in many resources constrained countries which greatly impact management strategy.

Objective: To assess clinical presentation, wound characteristics and wound disease burden in Kenya.

Design: A multi-center cross-sectional study

Setting: Eight selected hospital each in one county per province in Kenya selected by convenient sampling and purposive sampling for respondents.

Subjects/Participants: Patient history and physical examination was recorded by pretrained wound assessment health provider for those who presented with wounds and questionnaires for patients and healthcare professionals to assess cause, types, wound profile and age of patients.

Results: Trauma was the leading cause of wounds contributing to 55 % of wounds with post-surgical wound sepsis up to 10 %. The Mean age of presentation was 35 years.The most common site of wounds were the lower limbs. The majority of wounds
presented with features of inflammation.

Conclusion: Trauma is a leading cause of wounds in our environment with the majority progressing to chronic wounds probably as a consequence of improper management. We recommend multi-sectorial interventions to reduce trauma injuries and to train wound care professionals.

Key Words: Wounds, epidemiology, Constrained, Chronic