A three-phase study was conducted in high-potential farming and peri-urban area in Kikuyu Division central Kenya to obtain farm and management data and to monitor health and productivity of pigs in smallholder farms. The first phase was a cross-sectional study in which 87 farms (that had been selected from a total of 179 farms using a simple random selection) were visited once and data on important farm and management factors were gathered using semi-structured questionnaires. The second phase was a pilot study that was conducted in the 87 study farms for a period of 3 months to pretest the data-collection tools and to evaluate the general research methodology for the longitudinal study. The third phase was a prospective 12-month observational study in which health and productivity of pigs were monitored monthly in 76 herds that were still active and had participated in the previous studies. The initial voluntary enrollment among the eligible farms was 99%. The median farm size was 1 acre. All the farms kept crossbreed pigs of Large White or Landrace (median nine pigs per farm). The median number of sows per herd was one. Most farmers engaged in farrow-to-finish pig-production system and most (60%) did not keep a breeding boar. The pigs were stall-fed the year round. Guard rails/piglet devices were present in 22% of the herds. Few (8%) farmers disinfected pig pens (especially the farrowing area). None of the farmers reported the use of vaccination against pig diseases. Most farmers (84 and 96%) indicated that they controlled for mange and worm infestations, respectively. To control mange, 50% of the farmers used acaricides, 34% used engine oil and 12% used both. Anthelmintics were used to control worms. No farmer had a particular control programme in place for both worms and mange. Artificial heating for piglets was not used in any of the farms. High costs of feeds (which were of variable qualities) lack of credit and genetically high-quality breeding boars and diseases were ranked highly by the farmers as the main production constraints. Thirteen percent (11/87) of farmers withdrew during the pilot study; 10 farmers had sold their pigs and one had died. Thirty-three percent (25/76) of the farms withdrew during the longitudinal study for various reasons that included death of pigs (3%; 2/76) and sale of the pigs (30%; 23/76)-mainly because of financial need.