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ACF conducted a Link-NCA in the maize livelihood belt of Aleto Chucko and Aleta Wondo Districts. Data collection took place in four villages during March and April 2014 at the beginning of the hunger gap. The prevalence of GAM was estimated at 5.6%. The major causal pathways of undernutrition were multi-sectoral and related to child health status, poor health service access and utilization, the WASH environment, economic factors, care practices. The low status of women was found to be a significant underlying factor.