This research brief presents preliminary findings from work in Nepal that explores how multi- sectoral programming explicitly linking agriculture with health and nutrition achieves impacts on the ground. Recognition that ?merely producing more food does not ensure food security or improved nutrition? (Herforth et al. 2012) begs questions about when, where and why does it, or does it not ensure food security or support improved nutrition? In particular, more understanding is needed of how various stakeholders involved in program and policy implementation at various levels of governance understand key problems and engage with collaborators in other sectors to seek solutions.