USAID Nawiri conducted this pilot to look at the expansion of integrated management of acute malnutrition (IMAM)/health surge to be applied in a more holistic way; better manage key childhood illness services and those for acute malnutrition by supporting health teams to anticipate, prepare for, and manage increased demand; and use data to inform community action. The approach included setting up a committee to foster collective ownership and strengthen community-clinic linkages and to select drivers of seasonal child and maternal morbidity (diarrhea, upper respiratory tract infections, malaria). The pilot found that the success of the adapted approach depends on functionality of community health units as the main link between community health services and health facilities; community health volunteer capacity to identify malnutrition; health surge components focused on prevention and health system capacity (human resources, medical and non-medical supplies); and reliable IMAM commodities.