<p>The majority (82.4%) of the refugee households in protracted crisis were food insecure. Over half (50.7%) were severely food insecure. The significant factors associated with food security were; geographical location [Adjusted Odds Ratio (AOR) 3.48; 95% CI (1.23–9.17)], age of household heads [AOR 3.06 CI (1.11–8.49)], education level of household heads [AOR 2.68, 95%CI (1.31–5.47)], monthly incomes [AOR 2.14; 95% CI (1.14–4.03)], tribe [AOR 0.33; 95%CI (0.15–0.75)], and emergency of households that were not on initial humanitarian aid plan. Major food insecurity coping strategies included; reducing the quantity of food cooked (54.9%), reducing the number of meals per day (28%), and selling domestic assets to buy food (21.7%).</p>