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As stated in the 2018 global Multidimensional Poverty Index (MPI) report, Ethiopia has the second largest multidimensionally poor population in Africa (after Nigeria). The global MPI was created to measure household's multiple deprivations, but little systematic study has been carried out on the application of MPI measures on a smaller scale and vis-à-vis other measures of poverty. In addition, most of the few existing studies ignore any measure of inequality amongst the multidimensionally poor. This study explored multidimensional poverty in three different drought-prone agro-ecological settings of the Upper Blue Nile basin, Ethiopia. A preliminary participatory exercise was carried out at the study sites to select important indicators and then a structured survey was administered to 390 systematically and randomly selected households. The Alkire–Foster method was used to analyse multidimensional poverty and verified it with Correlation Sensitive Poverty Index (CSPI). Multidimensional poverty incidence, adjusted head count ratio and inequality were significantly different between study sites (p < 0.001). Results indicated a high incidence (88%, 82% and 80%), intensity (52%, 55% and 56%), MPI (46%, 45% and 45%) and inequality (53%, 60% and 63%) of poverty in Aba Gerima, Guder and Dibatie study sites, respectively. A high level of divergence was revealed between the MPI and CSPI in terms of identifying the poor. The living standard and land and livestock ownership dimensions contributed the most to MPI. The case study signifies the importance of inclusion of land and livestock indicators for the national MPI. Besides, it implies that researchers and policymakers need to account for smaller scale contextualised indicators and location differences when studying and designing anti-poverty interventions. [ABSTRACT FROM AUTHOR]