TikurAnbessa specialized hospital (TASH) started providing service to the whole country since 1964 (â€˜Healthcare in Ethiopiaâ€™, 2020) as a memorial of Prince Mekonnen, the Duke of Harar. TASH annually serves about half a million patients in the outpatient department; 50,000 patients in the inpatient department and 40,000 patients in the emergency department.The pediatric department provides services under different units and the ward consists around 200 beds. In general, the hospital does not provide optimal food service for pediatric patients admitted except for malnutrition treatment unit and the hematology unit that are temporarily supported by Non-Governmental Organizations (NGOs).rnHospital malnutrition is a one major health concern in hospitals adding more to the existing disease conditions. Malnutrition in hospitals may include the nutritional status before and after admission and in both cases, dieticians are going to intervene to restore the health of the patient.According to the initial communication done with Tikur Anbessa Specialized Hospital (unpublished communication), the rate of malnutrition on discharge is higher than rate of malnutrition on admission in the pediatric department.rnObjectivernThe objective of this project is to ensure that optimal nutritional care service is included in the health care management of the pediatric patients in TASHrnMethodsrnThis project was done between October 2020 G.C. and February 2021 G.C. in TASH pediatric ward. It included proposal development, general patient assessments on the patients admitted and were able to participate, ward inspection and information gathering, report writing and developing a meal guide.rnResultrnWe found 2 (5.4%) children who were severely malnourished (13.5cm). Using other anthropometric parameters such as weight for age, weight for height and height for age we were able to differentiate children who had actual and potential nutrition related problems.