Aim: To evaluate the effect of Mid-Day Meal scheme and its impact on the nutritional status of children in India. Materials and Methods: Database search was done in PubMed, Scopus, Cochrane Library, Ovid Medline, Elsevier science direct, Wiley online library, Grey literature, Embase. MeSH terms used to collect the articles for this systematic review are ‘Mid Day Meal’ AND ‘nutritional status’ AND ‘school children’. Of 135 articles 107 were screened and eight studies were eligible for this systematic review. PICO model and PRISMA guidelines was used. Cochrane risk assessment tool was used for bias analysis. Results: Eight studies were reviewed. Studies showed that there is a reduction in stunting another study showed that there is a gender differences, MDM showed underweight whereas non MDM school showed nutritional deficiency. Conclusion: This study concludes that the MDM scheme is effective in reducing the number of nutritional deficiencies with the presence of stunting and wasting diseases. Hence encouraging a more nutritious food should be included in the MDM scheme.