The interior ministry announced on Monday that there had been five fatalities from a bombing in Mandera County.
Five more people were injured when the device went off in El Wak town in Mandera County, close to the Somali border.
Although no one immediately claimed responsibility, al-Shabab fighters with ties to al-Qaida, located in Somalia, have carried out prior attacks in the region.
To avoid being discovered, the bomb was hidden on a donkey cart, according to the interior ministry.
Gunmen thought to be al-Shabab entered the El Wak hospital injuring guards while asking about the whereabouts of doctors.No arrest were made
Cross-border attacks are a common occurrence for Al-Shabab, particularly in the isolated counties of Mandera and Garissa.