The teenage pregnancy and motherhood rate in Kenya stands at 18%. This implies that about 1 in every 5 teenage girls between the ages of 15-19 years, have either had a live birth or are pregnant with their first child. The rate increases rapidly with age from 3% among girls aged 15, to 40% among girls aged 19. The situation varies by county with some counties being disproportionately affected than the others. This policy brief looks at drivers of teenage pregnancy and motherhood such as lack of education including education on sexual and reproductive health; poverty; early sexual initiation; harmful cultural practices such as child marriages; sexual abuse/violence and barriers to access to sexual and reproductive health services. In addition, recommendations for the government and other stakeholders on how to address the challenge of teenage pregnancy and motherhood and its adverse consequences are given.