<p>The prevalence of stunting, wasting, and concurrent stunting and wasting at birth was 25.30%, 10.32%, and 1.82%, respectively. &nbsp;</p><p>The risk of stunting at birth was higher among newborns from mothers with inadequate dietary practices (ARR= 1.78; 95% CI: 1.20, 2.63), were undernourished (ARR= 1.36; 95% CI: 1.01, 1.84), had low food consumption scores (ARR= 1.65; 95% CI: 1.07, 2.52), consumed lower tercile leafy local foods (ARR= 1.54; 95% CI: 1.05, 2.25), lacked dietary counseling (ARR= 2.04; 95% CI: 1.18, 3.51), consumed lower tercile nutrient-dense foods (ARR= 1.82; 95% CI: 1.67, 2.84), were primiparous (ARR= 1.44; 95% CI: 1.07, 1.94), had husband with no formal education (ARR= 1.44; 95% CI: 1.07, 2.02).&nbsp;</p><p>The level of Husband education and maternal decision-making autonomy had significant direct and total effects on stunting at birth through maternal nutritional status. Similarly, minimum dietary diversity, meal frequency, and household socioeconomic status had significant indirect effects on stunting at birth through maternal dietary practices.</p><p>The risk of wasting at birth was higher among newborns whose mothers had inadequate dietary practices (ARR = 1.98; 95% CI: 1.09, 3.61) but lower among newborns whose mothers had good dietary knowledge (ARR = 0.24; 95% CI: 0.16, 0.97) and those whose mothers belonged to middle (ARR = 0.55; 95% CI: 0.31, 0.98) or higher (ARR = 0.24; 95% CI: 0.11, 0.56) socio-economic groups.&nbsp;</p>