 This study found that 1.82% of under five children in sub-Saharan Africa have concurrent stunting and overweight or obesity. Factors such as age of the child, vaccination status, maternal age, maternal obesity, and region of sub-Saharan Africa are associated with under five CSO. Nutrition policies and programs should be based on these factors and promote a quality and nutritious diet to reduce the risk of developing CSO in early life. This article was authored by Malcolmu Adreji Zemeem, Denikie Tenor Anli, Natnell Atnafou Jebehyu, and others.