1. In the present hospital based cross sectional study, 64.97% under five children in rural area were found to be 'at risk'. 2. The most common 'at risk' factor found in these under five children was weight below 70% of the reference (39.1%) followed by acute gastroenteritis and respiratory infections (19.3%), spacing of less than 2 years (13.2%) and working mothers where the child was being looked after by a substitute (12.2%). 3. More than one 'at risk' factors were found in 43 (21.8%) children. 4. Statistically significant association was found between 'at risk' children and illiteracy and poverty.

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