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The poor nutritional status of children and women has been a serious problem in Ethiopia for many years. Acute and chronic malnutrition are most prevalent, with half of Ethiopian children chronically malnourished and one in ten wasted. East Hararghe (EH) is within the Ethiopian Region of Oromiya. The objective of this study was to provide a greater level of understanding of the possible causes of acute malnutrition of children 6 – 59 months in 3 livelihood zones in two districts / woredas (Fedis and Kersa) of East Harerghe Zone.