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It is recognised that undernutrition has been neglected in international development programmes in recent years despite the persistently high rates of chronic undernutrition, and recently there have been renewed efforts to reduce these rates [].

They agreed to commit to a number of targets to be achieved by 2025, known as the WHA global targets, including a reduction of 40 % in the number of stunted children in the world (against global estimates for 2010), and a reduction of the prevalence of wasting to 5 % [].

In 2013 at the Nutrition for Growth summit in London, a set of individual commitments to beat hunger and improve nutrition were made including a commitment of USD4.15 billion to scale up nutrition specific actions by 2020 [].

It is timely to review these issues given the current political momentum to reduce the numbers of children affected by undernutrition, and because of the commitments made to this end by national governments, international organisations, and donors.

For example in May 2012, health leaders worldwide adopted the World Health Assembly (WHA) Comprehensive Implementation Plan on Maternal, Infant and Young Child Nutrition.

A periodic evaluation of the process should be an integral part of surveillance activities.

For national systems the ideal coordinating institution should sit within a government structure separate from those with direct involvement in health or agriculture, such as a ministry of planning, as those who lead the surveillance must be independent of decision-makers but need to understand and prioritise their needs for information.

The findings need to be communicated clearly and the means of presentation adapted to different audiences.

To promote participation, the findings should be shared with stakeholders at all levels.

Attention is also now being focussed on identifying factors relating to the context in which nutrition programmes are delivered to make them cost-effective and sustainable, and how those factors can be favourably influenced [].

This emphasis on political as well as technical issues is a new development in the discourse on tackling poor nutrition, and an important additional sphere of action has been identified relating to the processes and environments that shape and support policy development and execution.

For nutrition surveillance activities to be sustainable, there needs to be: demand for the information; a reasonable cost as well as a cost-efficient process; speedy generation and dissemination of good quality information; secure allocation of resources from the government and/or donor; and a central, organizing institution for strong coordination of data collection, analysis, interpretation and communication.