This review shows the full extent of hunger in Senegal. It presents a situation, which far from being catastrophic, however requires implementation of policy reforms. The review analyzes specific projects and programs aimed at combating food insecurity and malnutrition, and identifies their limitations and inconsistencies. It also proposes strategic policy shifts for efficient implementation of the Plan Émergent Sénégal as a vehicle to eliminate hunger, ensure food security, improve nutrition and promote sustainable agriculture.