Mozambique: Acute Malnutrition Situation July – September 2016 and Projection for October 2016 – February 2017
01.07.2016 > 28.02.2017



& next steps


Current Acute Malnutrtion Situation - July-September 2016

Sofala, and Zambezia, which are on alert and/or serious situationduring the current season, are also affected by conflict and poor access to sanitation (only 10% of the households has access to toilets in Zambezia and only less a quarter of the households in Sofala has access to sanitation facilities). Additionally, some districts within the 2 provinces are also affected by drought. The magnitude of the acute malnutrition is largest in Zambezia province due to its large population size. Nampula province also have relatively high number of children with acute malnutrition.

There is contradicting information on acute malnutrition in Cabo Delgado province. Although based on GAM by MUAC from the SETSAN Assessment of July 2016, Cabo Delgado province is classified as Phase 2 in IPC for acute malnutrition, according to the screening data of Ministry of Health from the Child Health Days of 2016, it would be classified as Phase 4.

The high levels of anaemia warrant immediate attention in all provinces, especially in Cabo Delgado and Zambezia where it exceeds 70% among children 6-59 months according to the Malaria and HIV AIDS survey of 2015 (the survey measured the haemoglobin levels in blood in the survey).

Projected Acute Malnutrtion Situation - October 2016 - February 2017

The current levels of acute malnutrition is expected deteriorate further in all provinces. This deterioration will likely to make the 3 provinces (Tete, Gaza and Nampula) move to the next phase – from acceptable levels to alert and/or serious. Although there will likely be no Phase changes in other provinces, the overall acute malnutrition situation is likely to further worsen in all provinces because of the following reasons: (1) according to the IPC Acute food Insecurity analysis, more households moving from food secure to insecure, (2) based on historical trends, increased incidence of seasonal diseases such as diarrhoea and malaria that are expected during the upcoming season, and (3) the poor access to water and sanitation situation and low nutrition rehabilitation programme coverage – note that although access to water may increase during the next season but the overall quality of the water is likely to decrease because of possible contamination of rainwater.

In anticipation of increased disease incidence during the projection period, there is a need to ensure enhanced disease surveillance in all provinces in the upcoming season so that if there is any abnormal increase in the incidents of the diseases, this can be addressed immediately. Furthermore, there is a need to improve water and hygiene practices and exclusive breastfeeding. Conflict, drought, and flooding are likely risk factors in the upcoming season and it warrants emergency preparedness – it has been noted during the analysis that in some areas, historically, there have been drought 3 before the rain starts during the projection period.

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