Chronic malnutrition affects 165 million children and causes 3.1 million child deaths annually, or 45% of all child deaths.1 Malnutrition is the single largest cause of death because it potentiates fatal infectious diseases. And if children survive, malnourished children have higher odds of poor health and development outcomes.1 We know how to prevent almost all these deaths and improve nutrition, health and child development with current interventions, but poor implementation and low quality of service delivery remain major bottlenecks to achieving scale and impacts.2 In response to these challenges and the threats to food security caused by climate change, conflicts and economic crises, there is renewed interest and investment in nutrition, exemplified by the Scaling Up Nutrition (SUN) Movement, the Nutrition for Growth Summit, the Sustainable Development Goals, the Second International Conference in Nutrition, and the Power of Nutrition Fund. As commitments build, and countries engage more deeply with questions about how to deliver nutrition programs at scale, the two critical challenges are: achieving high coverage, and delivering high impact from interventions already shown to have health and human capital benefits.
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