This study examined the level of household food accessibility/entitlement in one of the most populous zones in Southern Ethiopia, the Sidama Zone. The study used primary data collected from 1094 households with a child under 24 months of age located in nine kebeles (the smallest administrative district) selected by a multi stage probability sampling technique. The level of food accessibility was measured with the Household Food Insecurity Access Scale (HFIAS), developed by the Food and Nutrition Technical Assistance project (FANTA). This set of questions, designed to be used cross culturally, revealed that only 17.7 percent of the households were food secure. The percentages of households who were mild, moderately and severely food insecure was 6.8, 27.7 and 47.8 respectively. (Supported by Hawassa University – NORAD Project)