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Egata and Nida.: The burden and underlying determinants Asian Journal of Medical Sciences | Jul-Aug 2019 | Vol 10 | Issue 4 67 country.6 In 2014 nationally 44%, 25% and 9% of children under the age of five year were underweight and wasted respectively.7 In addition, in Ethiopia 51 % of deaths that occurred among under five years children were associated with malnutrition.7 In 2014, 44%, 26% and 7% of under year’s children living in Southern part of Ethiopia were stunted, underweight and wasted respectively.7 The risk factors of malnutrition are multifaceted and complex. Besides, relative importance of each of the known risk factors is can vary from region to region and country to country. It has long been recognized that poor socioeconomic status, low education, sub-optimal nutrition and poor environmental and personal hygiene condition, poor nutritional status of the mother as a major risk factors of malnutrition but the relative importance of each of the known risk factors are can vary from set up to set up. There were a multiple of epidemiological studies done on determinants of childhood malnutrition but none of them simultaneously examine the role of food insecurity and maternal disempowerment on the risk of malnutrition. Besides, to the best of authors knowledge there is no empirical study done to assess the prevalence of malnutrition in Gurage zone. Hence, this study aimed to determine the prevalence and the determinates of malnutrition in Gurage zone. METHODS AND MATERIALS Study area The study was conducted within community of Gurage zone which is located in southern region of Ethiopia with a total population of 1,279,646 (622,078 were men and 657,568 were women). The livelihoods of the residents were mainly based on agricultural product. Currently, the zone has one general hospital and different private and governmental health institution that has been offering different health care services.

The burden and underlying determinants of under nutrition among under five year children in Gurage Zone