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The aim of this research was to gauge the determinants of serious intense malnutrition among HIV-positive kiddies obtaining extremely active antiretroviral treatment in public health establishments associated with North Wollo Zone, Northeastern Ethiopia. An institutional-based unparalleled case-control research had been performed on 204 under-fifteen, HIV-positive children (68 cases and 136 settings). The information had been collected by reviewing medical records and by interviewing atte