The article reviews institutional solutions proposed by Amartya Sen, which would be applicable to poverty and famine. These solutions relate to the so-called public action seen as public activity at all levels - from the individual and local one to the central one. Basic foundations underlying the idea of public action are discussed. Main issues involved with selection of public action subject are presented, along with the choice of appropriate public action strategies applicable to famine disasters. Detailed institutional solutions are analysed (traditional safeguard systems, early warning systems, direct supplies, aid in cash, job creation, mechanisms behind free market food distribution and distribution through government agencies). Major problems associated with sustained forms of famine and poverty in the world are covered as well.