Hi there, thanks for open to all of us;

1. My strong belief, vital for malnutrition; I will push the button of "Multi-sectoral Nutrition"
2. Of those barriers we (my colleagues and I) experienced at ground level, if we are let to choose only one, is the complexity of many valuable guides compounded. I would like to push the button to open towards an actionable (automated or near-possible automated) comprehensive step by step program management guides for different levels of program. 

Looking forwards to see your article

These are great questions!

Q1. Really getting serious with promoting, protecting and supporting breastfeeding. Breastfeeding is the only nutritional intervention that can tackle all forms of malnutrition (under- and overnutrition). To do this I believe we need recognition of breastfeeding counsellors or lactation consultants as a profession (like midwives have become!). They need to be given the time, space, training and compensation they deserve! They should be as much of a commonly found profession as a midwife in a primary health care facility and she should be the one advising, training and supervising all other health care workers she works with on evidence-based breastfeeding support. Unless we go beyond promotion, we will always lag behind and as long as we accept that some health care professionals go against the evidence, we will never gain true progress.

Q2. Many doctors continue to provide advice on breastfeeding that goes against the evidence and the recommendations (national guidelines, WHO, UNICEF etc). This creates confusion for mothers when different health care professionals say different things. Another major barrier is that we continue to struggle with being able to stop organisations, health care professionals, etc from breaking the International Code on Breastmilk Marketing, especially in humanitarian contexts. What does zero tolerance on this mean in practice?

(Note: these are my personal opinions)

I would push a button to ensure universal access to affordable, diverse, and nutritious food through sustainable local food systems. This would mean every household regardless of location or income has year-round access to safe, culturally appropriate, and nutrient-rich foods produced locally. Addressing malnutrition requires not just calories, but quality diets; this one action would empower communities, improve health outcomes, support local economies, and build long-term food resilience.

I would remove fragmentation and underfunding across nutrition-related sectors. Currently, health, agriculture, education, and social protection systems often operate in silos, with limited coordination and inconsistent funding for nutrition programs. By eliminating these barriers and fostering integrated, multisectoral collaboration with predictable and adequate financing we can create more efficient, people-centered systems that prevent and treat malnutrition comprehensively.

I am an MPH (Nutrition) student from the University of Health and Allied Sciences, F.N. Binka School of Public Health, Hohoe, Volta Region, Ghana.

Q1.

If I were an all-powerful leader and could push a button to address malnutrition, I would push a button that creates a global initiative for sustainable food security. This initiative would encompass several key components: 

• Policy and Advocacy: Advocate for policies that support food security, including subsidies for healthy foods and regulations against food deserts.
• Support for Local Agriculture: Invest in local farming initiatives to promote sustainable agricultural practices, increase food production, and reduce dependence on imported foods.
• Infrastructure Development: Improve transportation and storage infrastructure to minimise food waste and ensure fresh produce reaches underserved areas.
• Universal Access to Nutritious Food: Ensure that all individuals, regardless of socioeconomic status, have access to affordable and nutritious food.
• Education and Awareness: Implement educational programmes on nutrition, cooking, and sustainable agricultural practices to empower communities to make informed food choices. 

I believe it will bring an immediate improvement in the nutritional status of the population, leading to the reduction in malnutrition rates. There is also going to be a stronger local economy through support for farmers and food producers that will enhance economic stability. Diet-related diseases lead to improved public health outcomes through a healthier population. Implementing this comprehensive approach, the initiative would have a lasting positive impact on malnutrition globally.

Q2.

If I could remove one major constraint to the provision of comprehensive services and systems that prevent and effectively treat malnutrition, it would be funding and resource allocation. Many programmes aimed at combating malnutrition suffer from chronic underfunding, limiting their reach and effectiveness. Resources are often unevenly distributed, with rural and underserved communities lacking access to essential services. Adequate funding is crucial for developing the necessary infrastructure for food distribution, healthcare services, and educational programmes. Increased funding would enable research into innovative solutions, such as new nutritional products, effective delivery systems, and sustainable agricultural practices. Financial support can enhance the capacity of local organisations and governments to implement and sustain nutrition programmes.

It is expected that funding and resource allocation will enhance programme-reach, ensuring more comprehensive and widespread services to prevent and treat malnutrition. Development of holistic systems that address the multifaceted nature of malnutrition, including education, health care, and food security, and then long-term viability of programmes that can adapt to changing needs and challenges. Local entities, especially communities, would have the means to tailor solutions to their specific contexts, leading to more effective interventions. By removing the constraint of inadequate funding and resource allocation, we could significantly enhance the effectiveness and sustainability of efforts to combat malnutrition globally.