Severe Acute Malnutrition (SAM) is one of the greatest child survival challenges in the world today and reportedly affects more than 16.2 million children each year1. High impact, proven treatment interventions exist yet sadly approximately only 3.2 million children with SAM have access to treatment each year2. Thus, there is a need to scale up interventions to improve coverage and access across high burden countries. While efforts are currently underway to expand services in many countries, obstacles remain. One critical barrier to expanding SAM treatment services is the acceptance, accessibility and utilisation of ready-to-use therapeutic food (RUTF). In some countries and contexts, RUTF is still not fully accepted by community members; while other countries face problems with procurement, storage and supply chain management which impact on availability and use3. Reports from Ghana and Zambia highlighted that stock- outs and logistical challenges are often noted as key contributors to high default rates in outpatient treatment centres4.