Background: Anemia is a common health concern among the elderly population, particularly in rural areas. This study aimed to determine the prevalence of anemia and its associated factors among elderly individuals residing in a rural area. Methods: A community-based cross-sectional study was conducted among 600 elderly individuals aged 60 years and above in a rural area. Socio-demographic characteristics, dietary habits, past medical history, and physical examination findings were collected using a structured questionnaire. Hemoglobin levels were measured to determine the presence of anemia. Descriptive statistics and chi-square tests were used to analyze the data. Results: The overall prevalence of anemia among the elderly participants was 61.8%, with 60.9% in males and 62.9% in females. Factors significantly associated with anemia included age (p<0.001), past history of chronic illness (p=0.004), dietary intake (p<0.001), and presence of pallor (p<0.001). Older age, presence of chronic illnesses, inadequate dietary intake, and pallor were identified as potential risk factors for anemia in this population. Conclusion: The high prevalence of anemia among elderly individuals in rural areas highlights the need for targeted interventions and health programs to address this public health issue. Regular screening, nutritional education, and management of chronic illnesses could help reduce the burden of anemia in this vulnerable population.