Background:The childhood age group is a special population that needs critical and special care. The increase in death tolls in children globally, owing majorly to preventable and treatable causes and diseases are a burden and require urgent and immediate attention and action to ensure sustainable progress towards achieving child survival goals. This study assessed mortality pattern of under-12 and discussed the associated factors. Methods:A cross-sectional retrospective descriptive study of 4 years which spanned from January 2014 to December 2017 was carried out on the records of dead children who were 12 years and below using the death register at the health care facility. The data were summarized with descriptive and inferential statistics.