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Nevertheless, over the past 20 years, Nepal sustained one of the most rapid reductions in the prevalence of stunting worldwide. First, our study analysed the trends in height\u2010for\u2010age z\u2010score (HAZ), stunting prevalence, and available nutrition\u2010sensitive and nutrition\u2010specific determinants of linear growth faltering in under\u2010three children across Nepal's Family Health Survey 1996 and Nepal's Demographic and Health Surveys 2001, 2006, 2011, and 2016. Second, we constructed pooled multivariable linear regression models and decomposed the contributions of our time\u2010variant determinants on the predicted changes in HAZ and stunting over the past two decades. Our findings indicate substantial improvements in HAZ (38.5%) and reductions in stunting (\u221242.6%) and severe stunting prevalence (\u221263.9%) in Nepalese children aged 0\u201335 months. We also report that the increment in HAZ, across the 1996\u20132016 period, was significantly associated (confounder\u2010adjusted <jats:italic>p<\/jats:italic> &lt; .05) with household asset index, maternal and paternal years of education, maternal body mass index and height, basic child vaccinations, preceding birth interval, childbirth in a medical facility, and prenatal doctor visits. Furthermore, our quantitative decomposition of HAZ identified advances in utilisation of health care and related services (31.7% of predicted change), household wealth accumulation (25%), parental education (21.7%), and maternal nutrition (8.3%) as key drivers of the long\u2010term and sustained progress against child linear growth deficits. Our research reiterates the multifactorial nature of chronic child undernutrition and the need for coherent multisectoral nutrition\u2010sensitive and nutrition\u2010specific strategies at national scale to further improve linear growth in Nepal. 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