Dry zones with a seasonal rainfall or else uncertain are particularly vulnerable to drought impacts.   Droughts start to appear gradually, and their occurrence goes unnoticed until community is influenced by a continuing decrease in rainfall.  Under nutrition is a health issue, particularly in the African Sahel and Ethiopia's lowlands, which have frequently been affected by drought. Estimated 800 million people worldwide are food insecure, and 2 billion suffer from micro nutrient deficiencies. This study describes the health needs of the affected communities in the four Zones.