Objective: This study examined whether there is a significant relationship between routine cleaning of poultry cages and the incidence of underweight in children aged 6-59 months in Indonesia. Raising poultry has a significant relationship with the incidence of recurrent infections. Families who keep poultry have greater incidence of fevers and colds. This is a concern when the management of the poultry cage is poor, as the presence of poultry in the environment is one of the causes of

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... infectious diseases with symptoms of cold or fever, and has a significant relationship with underweight. Method: This cross sectional study in Babakan Madang Subdistrict with participants of 612 mother and children under five, and 298 of them have poultry. Interviewing respondents using questionnaire and poultry management observations. Anthropometric measurements in children under five are weight and height. Descriptive analysis and the relationship of independent variables with the incidence of underweight using chi-square for bivariate analysis. Results: 10.8% of children aged 6-59 months were underweight. Significant relationships were found between underweight status and routine cage cleaning (p= 0.017; OR 3.205; 90%CI:1,268-8,101); family income (p = 0.050; OR 1,728; 90% CI:1,033-2,892); recurrent fever (p = 0.046; OR 1,763; 90% CI:1,042-2981); and recurrent colds (p = 0.003; OR 2,259; 90%CI: 1,348-3,784). Conclusion: Routine cleaning of poultry cages at least once per day is the key to maintaining environmental cleanliness so that the poultry that are kept do not cause infectious diseases that lead to underweight among children.