This report describes a learning activity to 1) document the factors that promoted and/or hindered successful implementation of small-quantity lipid-based nutrient supplements (SQ-LNS) programs in highly food insecure contexts and 2) garner perspectives on considerations for scale-up. The activity found that partners implementing SQ-LNS programs in Honduras, Niger, and Somalia operated through different delivery strategies and in varying program contexts. Despite this, one universal theme common across the partners was their strong relationship and coordination with national and/or local partner nongovernmental organizations (NGOs).