Malnutrition remains a concern in certain parts of the country, with approximately 114,278 children aged 6-59 months, as well as 23,151 pregnant and breastfeeding women (PBW), suffering or expected to suffer from acute malnutrition through March 2026. Regarding the severity of the situation, from April to September 2025, the Mopeia district in Zambézia province is classified in IPC Acute Malnutrition (AMN) Phase 3 (Severe). Six other districts—Derre (Zambézia), Mutarara (Tete), Macossa (Manica), Mossuril and Angoche (Nampula), and Muanza (Sofala)—are classified in IPC AMN Phase 2 (Alert).

Between October 2025 and March 2026, the nutritional situation is projected to deteriorate across the majority of districts. This decline is expected to be driven by the depletion of household food reserves, limited access to safe drinking water, and inadequate coverage of essential health and sanitation services. These factors collectively heighten the risk of malnutrition, particularly among vulnerable populations.

• Targeted interventions are required to address current cases of acute malnutrition and to reinforce response capacity and community resilience. This includes tackling the underlying drivers of acute malnutrition, maintaining ongoing monitoring of contributing conditions, and implementing timely, evidence-based response planning.
• Improve coverage of safe water, sanitation, and hygiene (WASH). The combination of unsanitary environments, poor hygiene practices, and limited access to water and sanitation services creates a cycle of poor nutrition and illness, especially after crises. Improve access to safe water over the projected period to coincide with the normal to above-normal rainfall.