This new strategy sets out a clear and comprehensive approach for preventing the short-term suffering that leads to physical stunting and reduced mental capacity - and ultimately has serious implications for the chances these children have to get into productive employment as adults and enjoy long and healthy lives.

1. The neglected crisis of undernutrition: DFID’s Strategy

2. 1 in 3 children stunted 3 children, all 3 years old. Roshani on the left is 16cm shorter than Sonam on the right. The chance of Roshani being this short naturally is less than 3 in 100. Madhya Pradesh, India

3. 19 million children severely wasted Less than 5% of these children are treated 19 x more likely to die

4. Foundational for development but SILENT EMERGENCY HIDDEN HUNGER NEGLECTED

5. The window of opportunity: pre-conception to 2 years of age – 1000 days Beyond two years stunting is largely irreversible

6. Indirect interventions Health systems strengthening Social protection Agricultural devt Water and sanitation Gender equality Girls education Governance Direct Interventions Vit A supplementation Therapeutic Zinc Iron and Folate Support for breastfeeding Nutrition education Treatment of infections Treatment of severe acute malnutrition . Direct and indirect interventions Indirect interventions Direct interventions

7. 5 Guiding principles Focus Multi-sectoral Aid effectiveness Making investments go further Gender High burden countries, pre-conception to 2 years, poorest Health, food security, social protection, education, water & sanitation and governance Spending using existing instruments Support of national plans Targeting and empowering women