The Kakamega County stunting level stands at 11.5%, wasting at 1.5%, and underweight at 6.4% (KDHS, 2022). However, the county government demonstrates political commitment for preventing malnutrition by investing in the scale-up of selected high-impact MSN interventions. Kakamega County leadership and MSN stakeholders with the support of USAID Advancing Nutrition developed the County MSN approach, which sets priority targets for the scale-up of MSN interventions over the next five years. The MSN approach identifies priority MSN actions for each sector. The county developed an MSN scorecard that defines targets for each intervention and provides a monitoring and accountability framework as well as costing of interventions, which the county plans to adopt and implement in subsequent planning and budgeting cycles.