| Abstract: |
Malnutrition remains a persistent challenge in rural communities worldwide despite decades of intervention programs. This empirical study investigates the interrelationship between three key social determinants land rights, water sanitation, and household income and their collective impact on malnutrition prevalence in rural settings. Using a mixed-methods approach, data was collected from 2,438 households across 78 rural communities in four regions with historically high malnutrition rates. Multiple regression analysis and structural equation modeling revealed that insecure land tenure significantly limits agricultural productivity and dietary diversity (β=-0.42, p |