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1%. On multivariate logistic regression, being unable to read and write (AOR = 2.09), not being married (AOR = 2.02), history of decline in food intake (AOR = 2.1), smoking (AOR = 4.9) and monthly income less then $20 (AOR = 7.5) were factors positively associated with undernutrition. Conclusion The study revealed that prevalence of undernutrition in the district was relatively high. Hence, it is among the major public health burdens in the district. Hence, to improve nutritional status of elderly the district health office and he