Despite reasonably good food security at the national level in Malawi, certain pockets of the population are unable to meet their annual food requirements. Household food security is undermined by limited access to arable land, chronic poverty, recurrent weather shocks and low levels of education. National wasting levels are acceptable, but underweight indicators are poor, anaemia prevalence is severe and stunting is above the critical threshold. With the advent of HIV, tuberculosis infections have increased.