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Examines trends in child nutrition in 141 countries. Despite substantial reductions in the prevalence of moderate and severe stunting and underweight in developing countries, about 30% of children younger than 5 years were moderately or severely stunted and 19% were moderately or severely underweight in 2011. For all countries, the predicted likelihood of achievement of the Millennium Development Goal (MDG) of halving hunger by 2015 was estimated at less than 5%. Access to Lancet subscribers only.