Abstract. In southern Ethiopia, Eastern Kenya, and southern Somalia, poor boreal spring rains in 1999, 2000, 2004, 2007, 2008, 2009, and 2011 contributed to severe food insecurity and high levels of malnutrition. Predicting rainfall deficits in this region on seasonal and decadal time frames can help decision makers implement disaster risk reduction measures while guiding climate-smart adaptation and agricultural development. Building on recent research that links more frequent droughts in that region to a stronger Walker Circulation, warming in the Indo-Pacific warm pool, and an increased western Pacific sea surface temperature (SST) gradient, we show that the two dominant modes of East African boreal spring rainfall variability are tied, respectively, to western-central Pacific and central Indian Ocean SST. Variations in these rainfall modes can be predicted using two previously defined SST indices – the West Pacific Gradient (WPG) and Central Indian Ocean index (CIO), with the WPG and CIO being used, respectively, to predict the first and second rainfall modes. These simple indices can be used in concert with more sophisticated coupled modeling systems and land surface data assimilations to help inform early warning and guide climate outlooks.