In early 2011, the scale of famine affecting the Horn of Africa was only just beginning to receive international attention, despite early warnings in the previous year. It was not until July that famine was formally declared. The famine killed 250,000 people in southern Somalia alone, and displaced and destroyed the livelihoods of hundreds of thousands of others. Many sought refuge in Kenya, which was also coping with a nation-wide drought and food shortages. Six years after the 2011 famine, the region is facing a disaster of a similar scale. On 8 February 2017, the Rift Valley Institute and the Centre for Humanitarian Change, convened a roundtable meeting of UN agencies and international and Somali NGOs to discuss the drought crisis in the Horn of Africa and to identify ways to prevent another famine. This report summarizes the discussions that took place.