Tackling undernutrition is a global priority. It is the single largest risk factor influencing the burden of disease estimates at the global level. The Annapurna Project was undertaken by Government of Maharashtra to provide nutritious meals to Ashram/residential tribal school students through a centralized kitchen for achieving optimal growth and development and to prevent morbidity. Objectives: The primary objective of this study was to ascertain whether the provision of nutritious meals through centralized kitchens improves the proportion of underweight and stunted children.