الفهرس 
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Abstract
Growth impairment is considered a relatively early sign of poor health in children .Depending on its setting and the age of the child the impairment is sever always. Failure to thrive is a term often used in the first years of life and is either defined as poor weight for age, poor weight for length or poor length for age.
The general objectives of the study were to assess prevalence of stunted growth and determinants of stunting among studied group.
The obtained results from the present study show that the prevalence of the stunted growth in preschool children of the studied group is 13.32% . A statistical significant difference between studied groups was detected regards socioeconomic level (p value 0,004), age of children (stunting was more in less than 24 months in 69 % ),father occupation , father and mother education.
According to their age , there was statistical significant difference between normal children and stunting children not only regarding their height but also regarding their weight ,The difference in weight were detected in less than 48 months children, while older children shows no statistical significant difference between groups regarding their weight .
The study detected statistical significant difference between the stunting and normal height group as regarding family size (stunting is more in big size families), child order in family (stunting is more in 3rd or more child) and family history of short stature (more among stunted growth children than normal children . Regarding prenatal history as risk factor of stunted growth among studied groups taking drugs during pregnancy ,anemia during pregnancy is statistical significantly more frequent among stunting group than the normal group (p value < 0.001,< 006) while passive smoking during pregnancy and age of mother at delivery shows no statistical significantly difference among them .
As regarding postnatal history, the study shows that children delivered by caesarian section , those needed incubation after delivery or suffered neonatal jaundice and those needed postnatal hospitalization were statistical significant more among stunting group than the normal height group. The current study revealed that increase prevalence of stunting among children of mother who didn’t receive iron supplementation during pregnancy and among children who were suffering from repeated attack of asthma , gastroenteritis and urinary tract infection.
The prevalence of stunting growth increases in children suffering from anemia. child diseases as asthma , repeated gastroenteritis, repeated urinary tract infection ,repeated otitis media, heart disease and delayed age of walking and teething were more statistical significantly frequent among stunting than the normal group. Adequate nutrition on the last three day recall was more among stunting children than normal height children while eating sufficient vegetables and milk were significantly more among normal height children than stunting group.
Based on the obtained results from the present study, one could recommend that the family physician should be focused on early detection of stunted growth in children under five years old (by routine follow up of height, length, weight of children admitted to primary health unite for routine vaccination and proper management.
Proper management of children with low weight, anemia ,bad nutrion and to prevent and delay short stature in children. Targeted screening and follow-up of children with positive family history of stuntedgrowth