Uttarakhand is one of the few states in India where women are the active workforce in agriculture, due to their total involvement with agriculture, animal husbandry, fodder and fuel-wood collection and household activities. (Population Foundation of India 2002). Women here are therefore considered as the backbone of hill agriculture and are the mainstay of rural economy. Small land holdings, low agricultural productivity and less job opportunities have given rise out migration. This has dramatically dislocated Uttarakhand village communities. Further, changes in the climate usually have more impact on sectors that are traditionally associated with women, such as crop cultivation, collection of fuel and fodder etc. Because of male migration and thus reduced workforce, women who already do a disproportionate share of work are now doing an ever-increasing portion of the work towards agriculture and earning livelihoods. This phenomenon is referred to as the feminization of hill agriculture and livelihood. Increasingly women are left with no other choice but to cope with the food shortages and the management of the home and farm. In Manipur, the average percent of female cultivator/farm labourer to male cultivator/ farm labourer is 44.3 percent. About 15.49 percent of total female population in hill areas of Manipur are involved in forest based livelihood system. Women play a significant role in agricultural and allied fields development including crop production, livestock production, horticulture, post harvest operations, agro-forestry, fisheries etc in Manipur. Poor health has repercussions not only for women but also their families. Women with poor health and nutrition are more likely to give birth to low weight infants. Women everywhere work for longer hours, the plight of poor rural women in hills is rather worse. The agricultural and household workload in hill area is nightmarish to them in terms of drudgery involved in these activities.The strenuous physical tasks allocated to women, combined with limited food intake, exacerbate malnutrition. Efforts have been done by various institutions to raise the economic status of rural families through interventions in the field of agriculture. But nutritional status of women depends upon several factors like food intake, income, healthcare practices and status of women in the society. While malnutrition is prevalent among all segments of the population, poor nutrition among women begins at infancy and continues throughout their lifetime. The major nutritional deficiency diseases of women in the developing world are protein-energy malnutrition (PEM), iron deficiency anaemia, iodine deficiency disorders (IDDs), and Vitamin A deficiency. All four show gender differentials in prevalence and severity, with three of the four representing a more serious problem for women than men. The prevalence of PEM is significantly higher among women. Experiences has, however shown that increasing food production alone can not address the issue of malnutrition, unless there is a nutrition focus and the poorest have access to a source of diversified and nutritious foods. Food security encompasses Availability, Accessibility and Utilization which include absorption and bioavailability of food making it inclusive of nutritional security. Most of the women in hills suffer from lower back pain due to carrying heavy loads over long distances; they also suffer from various skin problems due to long exposure to sun. Due to use of agro-chemicals women are exposed to several health hazards and gynecological infection. In case of rice transplantation, arthritis, intestinal and parasitic infections may take place due to long hours of work in mud and water (Pandey 2001).Constantly carrying heavy weights/loads on spine, commonly on head and back has severe health implications. Backache and joints pain are common and in extreme cases curved spines and pelvic deformities can result creating complications in child birth. Women are particularly vulnerable to diseases during dry season. During this time the journey times to collect water are the longest, food stocks are lowest, the workload is highest and diseases most common. The proposed project is aimed to provide need based interventions to improve nutritional status and mitigate drudgery of women for enhanced health and efficiency.