This document provides a regional assessment of food security and vulnerability for SADC member countries, and aims to synthesise national level vulnerability assessments, facilitate discussions and a shared vision for reducing vulnerability, and discuss emerging trends in vulnerability assessments. This document describes the regional food and nutrition security outlook for 2018/19 and analyses the factors that influence this security, including an assessment of the 2017/18 rainfall season, food production, agricultural employment and household income, water, sanitation and hygiene, HIV/AIDS and tuberculosis, and gender. It presents current acute needs, structural constraints and recommendations for addressing the vulnerability to food and nutrition security across the region.