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A combined regional drought analysis and forecast is elaborated and applied to the Aison River Basin (Greece). The historical frequency, duration and severity were estimated using the standardized precipitation index (SPI) computed on variable time scales, while short-term drought forecast was investigated by means of 3-D loglinear models. A quasi-association model with homogenous diagonal effect was proposed to fit the observed frequencies of class transitions of the SPI values computed on the 12-month time scale. Then, an adapted submodel was selected for each data set through the backward elimination method. The analysis and forecast of the drought class transition probabilities were based on the odds of the expected frequencies, estimated by these submodels, and the respective confidence intervals of these odds. The parsimonious forecast models fitted adequately the observed data. Results gave a comprehensive insight on drought behavior, highlighting a dominant drought period (1988–1991) with extreme drought events and revealing, in most cases, smooth drought class transitions. The proposed approach can be an efficient tool in regional water resources management and short-term drought warning, especially in irrigated districts.