PSI South Sudan started from humble beginnings, run out of a tent with a core start‐up staff in 2005. Beginning with a small program to deliver LLINs, the platform built experience in campaign delivery of LLINs, through World Bank and Global Fund (GF) funding, and in the process built a strong relationship with the government of the Republic of South Sudan and Ministry of Health (MOH). With MOH guidance and technical support from the MCSD, PSI/South Sudan introduced an HMM program to distribute ACTs via CBDs in 2009, with GF funding, before exploring opportunities to include diarrhea and pneumonia prevention. Building on experiences of PSI/Malawi, PSI/Mali, ACMS (PSI’s network member in Cameroon), and ASF (PSI’s network member in DRC) and in partnership with Bangladesh Rural Advancement Committee (BRAC) and the Diocese of Torit, PSI/SS developed an iCCM program that is now active in 7 counties. Given the challenges of implementing iCCM, particularly in remote areas, expanding a program incrementally by building on existing systems and programs in place is easier than building a comprehensive program from scratch.