Although many studies have focused on the plight, poverty, and severe malnutrition of rural Ethiopians, few have managed to incorporate qualitative and quantitative data. This project is unique in that it combined both types of data, through the use of anthropometric measurements and a structured questionnaire, to explore the link between agriculture, development, and nutrition. Additionally the research design incorporated feedback from local development agents, local university faculty and staff, and community leaders.  A survey of 120 households in three districts of South Wollo revealed that a majority of households suffer from severe malnutrition. Anthropometric measures showed wasting and stunting to be prevalent. Furthermore, this study found that water usage, particularly irrigation, played a significant role in crop diversity, food security, and household nutritional status.  Interviews with farmers suggest there is a critical need for agricultural extension and research as it relates to crop and water management.