This qualitative study investigates the operational realities of implementing the Community-Based Management of Acute Malnutrition (CMAM) program in Dire Dawa, Ethiopia. It explores the lived experiences, professional challenges, and systemic facilitators encountered by frontline health workers, such as health extension workers and nurses, who are responsible for identifying, treating, and managing cases of acute malnutrition in the community. The inquiry focuses on key operational dimensions including supply chain reliability for Ready-to-Use Therapeutic Foods (RUTF), training adequacy, supervision and referral mechanisms, community engagement barriers, and the impact of workload and resource constraints on service delivery. Through in-depth interviews and focus group discussions, the study aims to generate nuanced insights into the practical facilitators and bottlenecks within the CMAM system, providing evidence to inform program strengthening, policy adjustment, and improved support structures for frontline staff in this critical public health intervention.