Background Even though more than one-third of children under five in the country still suffer impaired linear growth, Bangladesh has observed a decline in the rates of stunting - with an annual rate of reduction of around 1.2% that is not uniform throughout the country (BDHS 1997-2014). The country has also made remarkable progress in reducing the incidence of poverty during the last decade, though the changes are not inclusive, and poverty (based on the lower poverty line) has remained almost unchanged in the Sylhet division. Bangladesh also faces regional income inequalities, which are more pronounced in rural Bangladesh; the Sylhet region is no exception. This spatial disparity demands customized interventions. From a public health perspective, it is essential to improve the growth of children to prevent the related negative consequences. Priority action areas for improving linear growth and accelerating the decline in the rate of stunting in Bangladesh include multi-sectoral coord