In recent years, the world has seen unprecedented attention and political commitment to addressing malnutrition. As nutrition rapidly rises on the global agenda, guidance is urgently needed on how to design, implement, and evaluate nutrition-enhancing policies and interventions. Nourishing Millions: Stories of Change in Nutrition brings together the most intriguing stories about improving nutrition from the past five decades. These stories provide insight into what works in nutrition, what does not, and the factors that contribute to success.

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Why the book?
• Consequences of malnutrition remain huge, with obesity epidemic
now changing health landscape.
• Political commitment to act has grown, and new alliances and
partnerships have formed.
• Research has shown what can be done to turn things round….
• …but we need to understand how to improve nutrition and sustain
progress in the real world.
• This book combines a review of various analyses and studies with a
narrative approach to convey the drivers and pathways of success
in nutrition in different contexts and at different times.

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Paradigms and eras in international nutrition
• 1960s: Hunger, famine, protein deficiency
• 1970s: Multisectoral nutrition planning
• 1980s: “Nutrition isolationism”
• 1990s: UNICEF framework; micronutrients
• 2000s: Biofortification, Lancet Series
• 2010-2016: SUN, N4G, GNR

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Structure of Nourishing Millions
I. Transforming nutrition
interventions
II. Transforming sectoral actions
III. Transforming national policy
and programming
IV. Leading the way forward

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I Transforming nutrition interventions
• Community nutrition
programming
• Infant and young child feeding
• Micronutrient deficiency control
• Community-based management
of acute malnutrition

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II Transforming sectoral actions
• Agriculture
• Social protection
• Water, sanitation and hygiene
• Obesity prevention and control

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III Transforming national policy and programming
• Thailand
• Brazil
• Bangladesh
• Nepal
• Peru
• Vietnam
• Ethiopia
• Odisha (India)

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IV Leading the way forward
• Championing nutrition: effective
leadership for action
• New horizons: nutrition in the 21st
century

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Key lessons
• Multisectoral nature of nutrition now well understood, but
operationalizing such knowledge is more challenging.
• Validation of UNICEF/Lancet frameworks (food, health and care are all key
– and synergies are possible in addressing all drivers)
• Nutrition-specific interventions can make inroads if designed, targeted
and implemented in contextually appropriate ways, but addressing
structural and underlying drivers is paramount in long term.
• Enabling environments need to be created, sustained and they need to
progressively take on board the double burden.
• Commitment needs to be translated into action through focus on data,
accountability, leadership (at all levels), capacity and sustained financing.