United States of America

Agencies involved: African Development Foundation, Department of Agriculture, Department of Defence, Department of Health and Human Services, Department of Labour, Department of State, Department of the Interior, Inter-American Foundation, Millennium Challenge Corporation, Peace Corps, Trade and Development Agency, and the U.S. Agency for International Development

Nutrition for Growth (N4G) commitment

Reported progress


Financial commitments
London 2013

The US expects to provide, over a three-year period comprising fiscal years 2012 through 2014, USD $1.096 billion for nutrition-specific interventions and USD $8.919 billion for nutrition-sensitive activities. The U.S. Government plans to continue to support the Global Agriculture and Food Security Program (GAFSP) and to provide $1 of funding for every $2 provided by other donors, up to a maximum of $475 million.

Reported progress



2015: US$234,612,986

2016: US$282,056,157

2017: US$157,743,022

2018: US$224,622,543


2015: US$382,890,749

2016: US$296,973,592

2017: US$195,920,610

2018: US$177,948,226

2019: US$278,938,874



2015: US$2,627,008,442

2016: US$3,312,312,866

2017: US$3,852,050,669

2018: US$3,464,482,651


2015: US$2,555,332,029

2016: US$3,038,180,168

2017: US$3,548,197,344

2018: US$3,745,170,446

2019: US$3,458,122,743

Reached commitment
Basis of assessment

The total amount committed (US$10.015bn) was not met in the specified timeframe (2012-14 cumulative disbursements = US$7.856bn). This target was subsequently surpassed in 2015 (2012 - 2015 cumulative disbursements = US$10.794bn)

Non-financial commitments
London 2013

Support country-owned, country-led interventions that contribute to ending the scourge of undernutrition, particularly in the 1,000 days from pregnancy to a child’s second birthday.

Reported progress

The US Government supports country-led interventions contributing to ending undernutrition with a focus on the first 1,000 days through health, agriculture and food systems, and emergency programming. In Fiscal Year 2020, the US Government, primarily through United States Agency for Internation Development (USAID), supported the implementation of evidence-based, non-emergency nutrition interventions in 31 countries.

On course
Basis of assessment

Reported progress shows that actions to support country-owned, country-led interventions with a focus on the first 1,000 days are ongoing

Milan 2017

Since the last Summit, the U.S. invested $2-3 billion annually between 2013 and 2015 (the years for which we have data) in nutrition-specific and nutrition-sensitive programs in international development and humanitarian assistance settings. In 2016, the Global Food Security Act was enacted, which further demonstrates the U.S. Government’s support for reducing global poverty, hunger, and malnutrition. The U.S. remains deeply committed to improving global nutrition for the world's most vulnerable people, including women, children, and people facing the threat of famine and food insecurity. The U.S. will continue to take a comprehensive approach to undernutrition. And we encourage our public and private sector partners to work hand-in-hand with other governments to achieve our global nutrition goals. As part of this year’s Global Nutrition Summit, the U.S. Government will multiply our impact through the following:

- Forge a partnership with the United Kingdom's Department for International Development (DFID) and the Eleanor Crook Foundation (ECF) to pursue innovative and cost-effective approaches that catalyse sustainable solutions, build the evidence-base on nutrition innovations, strengthen local capacity to improve nutrition, and foster collaboration to promote effective investments that deliver the biggest impact.

- Engage in a partnership with the Bill and Melinda Gates Foundation to strengthen nutrition metrics that empower donors and practitioners to better track and evaluate our nutrition investments.

Reported progress

USAID continued work on the two research studies resulting from the Broad Agency Announcement on Nutrition in Complex Environments in East Africa. One Nutrition in Complex Environments (ONCE) is a three-arm, cluster-randomized study to assess the effects of a nutrition-specific and -sensitive social and behavior change program, low-cost agriculture and water, sanitation and hygeine (WASH) inputs/technologies on food security, food safety and resilience in Uganda. Feed the Future Ethiopia Studying Animal Food Markets in Rural Areas (SAFIRA) explores the potential of market-based interventions to improve the nutrition of children aged 6-23 months through animal source foods. These two operational research activities, which originated through a partnership with ECF and Department for International Development and were developed in a co-creation process with a variety of implementing partners, began activities in 2019.

USAID has a long-standing relationship with the Bill & Melinda Gates Foundation related to nutrition metrics. In Fiscal Year 2020, USAID continued to engage in this partnership to strengthen nutrition metrics that empower donors and practitioners to better track and evaluate nutrition investments, including through support to the nutrition unit of the Demographic and Health Surveys (DHS). The new DHS-8 questionnaire will include new and exciting nutrition data including: 1. Minimum dietary diversity for women; 2. Source for iron-containing supplements taken during pregnancy; 3. Expanded questions on sugary drinks and unhealthy foods for children and women; 4. Coverage of nutritional counseling during pregnancy; 5. Coverage of breastfeeding counseling during antenatal care; 6. Coverage of nutrition counseling for infants; 7. Coverage of growth monitoring for children.

On course
Basis of assessment

At least half of the individual commitment components are assessed to be on course