Child malnutrition remains a significant public health concern in Karamoja, Uganda. This study investigated the prevalence and determinants of simultaneous wasting, stunting, and anaemia (collectively termed WaStAn) among children aged 6-59 months in Karamoja. Secondary data from the Food Security and Nutrition Assessment (FSNA) collected by World Food Program, UNICEF and Uganda Bureau of
... [Show full abstract] Statistics in February 2022 were used. The participants included women aged 15-49 years and children aged 0-59 months living with their mothers. The analysis revealed a high prevalence of wasting (13.0%), stunting (41.4%), and anaemia (55.1%), with younger children (12-23 months) disproportionately affected. A worrying 4.6% of children presented with WaStAn, highlighting the need for comprehensive approaches targeting multiple forms of undernutrition. Factors associated with WaStAn included age, sex (males more affected), geographical location, socioeconomic status, maternal education, food consumption score (wasting), and residence type (stunting). The study underscores the urgency for multisectoral interventions addressing these risk factors across various levels. Recommendations include improved screening and treatment, promotion of optimal feeding practices, micronutrient supplementation, deworming, hygiene improvements, women's empowerment, enhanced food security, and strengthened district-level capacity for nutrition management.