Malnutrition in India has been called ‘The Silent Emergency’. The proportion of undernutrition among children and women in India is one of the highest in the world. In spite of unprecedented economic growth, improvements in childhood nutritional status in India over the last decade has been slow. Suboptimal infant and young child feeding practices in particular continue to be a serious challenge to reducing malnutrition among children. High rates of maternal undernutrition measured by low body mass index and anaemia adversely affect the health and survival of mothers and newborns. Further, chronic malnutrition in early years of life is responsible for widespread stunting and adverse health and social consequences throughout the lifespan. Community based approaches have been the mainstay of interventions to address the problem of maternal and child malnutrition in developing societies. Community based care delivered through health care workers like anganwadi workers, (AWW), auxillary nurse midwives (ANM) and accredited social health activists (ASHA), can have a vital impact on maternal and child health and nutritional status.