Can the Alma Ata principles of equity, governance and voice be used to balance the rising power of international corporations in global nutrition governance?

One third of the world are suffering from hidden hunger, while one and three people are overweight or obese and one and nine still go to bed hungry. In 2015 the Decade of Nutrition was established to raise the profile of malnutrition in all its forms: undernutrition, micronutrient deficiency and overweight or obesity. The targets set were to be achieved by 2025, however five of the six targets will not be achieved. These targets were also developed to support the achievement of Sustainable Development Goal 2 to end all forms of malnutrition by 2030. All forms of malnutrition are linked and at present are mostly addressed in silos with limited input from communities, on their priorities and challenges. Nutrition and Food systems are increasingly linked to corporate interests and resources reducing the power and voices of communities living in food insecurity. The chapter reflects on the impact of the increasing power of corporate interests and resources. The chapter questions the solutions being focused on and suggests using an adapted health and power framework. The framework considers the changes needed to address intersectoral interventions required to address malnutrition, throughout the life cycle. The framework focuses on governance, equity, power and voice through an intersectoral lens. Research indicates that the countries on track to achieve five of the six nutrition targets have better governance systems for health, nutrition and food security. If we are to meet the SDG 2 targets by 2030, we need to review how we address malnutrition in all its forms.