The 2025 assessment highlights a worsening child nutrition crisis among refugee and host communities in Kenya, driven by rapid refugee population growth, over 40% declines in humanitarian funding, and prolonged drought. Malnutrition is most severe in camp settings. For instance, in Kalobeyei, severe acute malnutrition rose to 4% in 2025, tripling since 2021, while Kakuma remains in a “serious” category. Stunting is also rising, with 32% moderately stunted and 10% severely stunted in Kalobeyei, well above the global average of 23%. Underweight prevalence has worsened to 26% (7% severe). Host communities in Turkana face similarly critical conditions, with 23% acute malnutrition and 3% severe cases, reflecting a broader regional crisis. Urban refugees in Nairobi show better outcomes, underscoring the role of economic opportunity. Urgent, integrated action is needed to sustain essential services and protect vulnerable children.