In 2008, there were an estimated 963 million undernourished people. Today, the prevalence of child malnutrition continues to be alarmingly high in some parts of the world. Malnutrition has the greatest impact on children under the age of 2 years, who are particularly vulnerable to the long-term, deleterious impacts of inadequate nutrition. Children need access to adequate food in terms of quality and quantity, to prevent micronutrient deficiencies, stunting, and diminished brain development. Food aid can provide an essential safety net. At present, the United States is the largest provider of food aid through a variety of programs, the largest being Title II, which is administered by the U.S. Agency for International Development. However, traditional food aid staples, such as corn-soy blend, do not fully address the nutritional needs of children. For this reason, the nutritional standards for food aid products should be improved. Improving the content of food aid is one way to enhance the Title II programming, but larger U.S. policy reforms are needed to help achieve lasting solutions to hunger and malnutrition. Such policies include reducing strict domestic preferencing requirements in order to create greater flexibility in procuring food through a combination of local, regional, and domestic sources.