<p><strong>Conclusion: </strong>The findings underscore the high proportion of severe acute malnutrition, it reached its highest point in 2020 at 50.9%, accompanied with acceptable recovery rates that surpassed Sphere standards (78–82%) and a death rate below 2.5%. However, critical gaps in screening coverage and untreated cases indicate a need for improved healthcare access and community-based interventions. Addressing geographical disparities with targeted, zone-specific strategies is vital for conducting severe malnutrition and enhancing outcomes across the region.</p>