Malnutrition is a condition that occurs when the body does not get enough nutrients, mainly as a result of an unbalanced diet. Pakistan is a developing country with a high poverty rate which affects the nutritional status of the people. In addition to political and economic instability, Pakistan also hosts many refugees and internally displaced people. Therefore, the magnitude of the problem is large and despite the presence of several policies, the demand for basic nutrition for the citizens is unmet. Gender discrimination and lack of health education are also major contributors to the state of malnutrition in women and children under 5 years of age. Hence, we provide a review of articles to assess the existing reasons behind malnutrition in women and under-five children in Pakistan along with ways to improve the condition. Due to lack of political will and leadership, implementation and sustainability of health programs fails to address needs of the affected population. The use of nutritional surveillance system and interventions is imperative for the improvement of nutritional status of women and children.