Malnutrition in Somalia is a huge public health problem, negatively affecting growth, development and survival of the population. Situational analysis shows a long term nutrition crisis characterised by persistently high rates of acute and chronic malnutrition throughout the country with some variation by zone and livelihood system. This situation reflects nearly two decades of armed conflict and insecurity, with breakdown in social and public services coupled with recurrent droughts and flooding seriously affecting food security and livelihoods. In response to the alarming rates of acute malnutrition, nutrition programming coordinated by the Nutrition Cluster, has been primarily focussed on the immediate.