The mountain people of the Hindu Kush Himalaya (HKH) face large challenges in food and nutrition security. Although progress has been made in calorie intake, malnutrition remains a serious challenge (well-established). About 50% of the population suffers from malnutrition, and women and children suffer more. Ending hunger and achieving food and nutrition security—as articulated in the Sustainable Development Goals—is an urgent need for the governments of the region.