The purpose of this Policy Note is to examine the trends in undernutrition in Odisha and to document trends and geographic variability in the major determinants of nutrition and the coverage of key nutrition and health interventions. In doing this analysis, we aim to highlight the key areas of action to improve nutrition in Odisha. This analysis builds upon our previous work on documenting nutrition change in Odisha (Menon et al. 2016; Kohli et al. 2017).