With a focus on promoting equality in food and health systems, this year’s report calls on governments, businesses, and civil society to act now to mainstream nutrition into food and health systems. It examines the causes of nutrition inequalities, identifying insufficient deployment of resources; inadequate implementation of policies, programs, and interventions; and lack of coordination across sectors. The authors suggest that improving data and using multi-sectoral efforts are important actions. The report also includes a forward dedicated to the impact of COVID-19 on nutrition programming.