  'Fragmentation in care' continuum is often considered as a shortcoming of
Health system whereas, 'Integration of care' is widely acclaimed as a viable
solution to fragmentation. In last two decades, Information and communication
technologies (ICTs), by virtue of their ability to integrate information for
action, has been extensively used in addressing many public health problems
like malnutrition. Tackling the public health challenge of malnutrition demands
attention to interconnectedness and interactions between multiple systems. In
this paper, using a case study of an ICT application used by community workers
for malnutrition management in Karnataka, we argue that lack of recognition of
interconnectedness and interactions among stakeholders and context can pose a
challenge to integration of care. ICTs can be key enablers to overcome
fragmentation, provided it recognizes the inherent complexities of malnutrition
and its management. We argue that for an effective ICT enabled integration of
Severe Acute Malnutrition (SAM) management, a thorough understanding of
perspectives of multiple stakeholders together with rich picture of the
contextual dynamics should not be ignored at design and implementation phase.
