By Jessica Fanzo and Paul Pronyk

As the world focuses on the ten-year progress made towards achieving the Millennium Development Goals (MDGs) at the MDG Summit in New York City, it is with great hope that nutrition is front and center in the discussions and decision making at the luminous building that sits on the East River at 42nd Street.
One of the targets of the first MDG is to reduce the proportion of people who suffer from hunger by half between 1990 and 2015, with hunger measured as the proportion of the population who are undernourished and the prevalence of children under five who are underweight.
So where does the world stand so far? Unfortunately, many countries have not yet reached this target with some, far off. Some of the progress made has been eroded by the 2007-2008 global food price and economic crises, and potentially more so with the recent Russian wheat crisis. As we enter the final five years to achieve the MDGs, we look upon one of the greatest challenges of our time with one billion people hungry, 129 million and 195 million children underweight and stunted respectively and more than 2 billion people deficient in micronutrients.
Of the 117 countries analyzed by UNICEF in late 2009, 63 are on track to meet the MDG1 target based on the proportion of children underweight. Three years ago, only 46 were on track, which holds some promise of improvements for certain countries. There are standouts or “trailblazers” with many in Southeast Asia and some in Asia. Of the 20 countries classified as not making any progress at all towards the MDG1, most are in Africa, and it is very clear that those falling behind are countries devastated by conflict.
But not all is lost. Recent calls for greater attention to undernutrition highlight the importance of integrating technical interventions with broader approaches to address underlying causes of food insecurity – incorporating perspectives from agriculture, health water and sanitation, infrastructure, gender and education – with a huge focus on smallholder farmers. Such initiatives as the US Government’s Feed the Future and One Thousand Days Initiatives, the UN’s High Level Task Force on Food Security and the new Scaling Up Nutrition (SUN) have put nutrition security back on the map and will be highly visible at this MDG Summit.
Through energetic and engaged national leadership and with the support of dynamic international partnerships, rapid progress in reducing levels of undernutrition by 50% by 2015 is attainable. Accelerating progress towards these targets is less about the development of novel innovations and new technologies and more about putting what is already known into practice. Success will hinge on linking clear policies with effective delivery systems for an evidence-based and contextually relevant package of interventions that can rapidly be taken to scale. Persistent undernutrition remains an inexcusable unfinished agenda and successfully closing the few remaining gaps is a pre-condition for wider global progress towards achieving the MDGs.
Jessica Fanzo is a Senior Scientist of Nutrition at Bioversity International in Rome Italy.
Dr. Paul Pronyk is Monitoring and Evaluation Coordinator for the Millennium Villages Project.
Global nutrition security will not occur due to a multitude of factors. Some of those factors are civil unrest, climate change and a land mass that is unable to support the population base.
It is good to see a clear message that food security needs to be embedded within a range of broader approaches, but where in your list is dietary diversity? Are we to assume that it is part of “agriculture”? Because if it is, the past history of agricultural simplification and market distortions do not give me any great hope that leaving it to “agriculture” will do anything to diversify diets.