In 2015, the new constitution of Nepal promulgated the country as a federal republic with three autonomous government levels of federal, province, and local, each with an elected assembly. Consequently, numerous policies and plans were formulated as per the new federal system. In line with this change, the government of Nepal (GoN) has formulated Multi-Sector Nutrition Plan-II (MSNP II) (2017-2022) to improve the nutrition status of mothers, adolescents, and children by scaling up nutrition-specific and nutrition-sensitive interventions throughout the country. This study reveals the transitional state of nutrition and early childhood development (ECD) in the country as it is adjusting itself in federal structure and governance.