Six years after the introduction of community-based management of acute malnutrition (CMAM) in Nigeria, the country is entering a key stage in its fight against severe acute malnutrition (SAM). This review was carried out by Action Against Hunger with the support of the Children’s Investment Fund Foundation. Its goal is to help policy makers and practitioners answer some fundamental questions about the scale of the SAM problem in Nigeria, the performance of CMAM services to-date, and its implications for the future of SAM management in Nigeria and beyond. The structure of the review follows a basic line of enquiry focusing on understanding the challenges, reviewing the solutions and extracting the broader implications. The review is thus structured along a series of key, sequential questions: > What is the state of SAM? > How have treatment services responded to this situation? > How have these services performed? > What proportion of SAM cases have services succeeded in reaching? > Why have some failed to access services? > Can these challenges be addressed? > What does it mean for the future of CMAM in Nigeria and beyond? To read the full report please click here! If you prefer to read the executive summary, it is available here!