As early as March 2016 it was clear that a humanitarian food and nutritional crisis was looming in Borno. Following meetings with His Excellency, Governor Kashim Shettima and the World Food Programme Executive Director, the alarm about a growing food crisis was sounded at the inaugural Rebuild Borno meeting in April 2016. Despite this, denial endured in certain quarters even as conditions deteriorated on the ground. Much work was ongoing behind the scenes by AOA with local and international donor agencies leading up to the 27th June 2016 meeting. Towards the end of June crisis point was reached, and the roundtable was convened within 48 hours by Dr. Alakija in response to the urgency of the situation. Successful military action had led to a spike in levels of malnutrition being recorded as former captives’ condition became apparent since being liberated from Boko Haram. The rate of malnutrition in Dikwa IDP camp, where team AOA visited in May and expressed the alarm at the conditions there, is actually double that of Bama which has been in the news recently. With rains coming and the lean season upon us, people’s plight has worsened still. A concerted effort is being made but still more needs to be done. The response must be Nigeria “owned and led” and the world will rally round.