Progress in the fight against malnutrition in Mozambique: A review of policies, action plans, and nutritional intervention programs

Authors

DOI:

https://doi.org/10.33448/rsd-v12i12.44053

Keywords:

Malnutrition; Prevalence; Health policy.

Abstract

Malnutrition is a public health problem in Mozambique, where 37% of children under five suffer from chronic malnutrition and 4% from acute malnutrition. Since national independence in 1975, action plans have been implemented to reverse this situation. Objective: To analyze the progress made in the fight against malnutrition through the policies, action plans and programmes implemented in the country since independence. Methodology: Documentary study, whose main data sources consisted of Demographic and Health Survey reports, Family Budget Surveys, SMART Surveys, Integrated Classification of Food Security Stages reports, information from FAO databases, as well as other studies on the nutritional situation in the country. The WHO and UNICEF classifications were used to describe the prevalence rates of malnutrition. Results: Except for acute malnutrition, which reduced from high to low between 1997-2023, the prevalence of chronic malnutrition had no statistically significant reductions and remains very high. Factors such as food insecurity, high illiteracy rates, armed conflict in northern Mozambique, poverty, unequal distribution of basic resources between provinces, weak monitoring and evaluation systems in the action plans implemented, poor investment in agriculture, covid-19, as well as the effect of climate change, which constantly affects the country, are the main causes. Conclusion: Despite efforts, malnutrition continues not to show significant reductions, which calls for further study and improvement of policies, as well as the control of risk factors.

References

Abbas, M. (2022). Evaluation of the Report on Acute Food and Nutrition Security in Mozambique. Rural highlight n° 151, OMR.

Amaro, M., Magunjo K., Pereira, A. S., Santos, P., Azambuja, G., Olumene, C. V., et al. (2018). Nutritional Treatment and Rehabilitation Manual Volume I: 0 to 14 years. Reference Book.

Brito, L., et al. (n.d.). Poverty, inequalities and vulnerability in Mozambique. Communications presented at the 2nd Conference of the Institute of Social and Economic Studies; IESE.

Cinquenta, A., Buanamade, E. C., Abdulkarim, S., & Ramos, I. C. (2022). Assessment of the nutritional status of children aged 6-59 months: the case of internally displaced persons from Cabo Delgado, Northern Mozambique. Research, Society and Development, 11(17), e293111739412. https://doi.org/10.33448/rsd-v11i17.39412.

Integrated Classification of Food Security Phase - IPC. (2023). IPC Analysis of Acute Food Insecurity: November 2022 - March 2023.

Integrated Classification of Food Security Phase - IPC. (2021). IPC Analysis of Acute Malnutrition: February 2021 - January 2021. Situation of Acute Malnutrition in Cabo Delgado Province.

Costa, J. I. M. da, & Castigo, P. (2021). Analysis of the progress, constraints and challenges of the "Sustenta" agrarian programme in Mozambique. Research, Society and Development, 10(14), e244101421682. https://doi.org/10.33448/rsd-v10i14.21682.

Culpa, M., et al. (2022). Child malnutrition and its immediate, underlying, and basic determinants in Mozambique: an analysis of its evolution from 1997 to 2015. Doi: 10.35953/raca. v3i2.138.

Maputo City Government (2015). Multisectoral Action Plan for Reducing Chronic Malnutrition - Maputo City.

INE. (2023). Mozambique Demographic and Health Survey 2022-23: Key Indicators Report. www.ine.gov.mz.

INE. (2023). Family Budget Survey - IOF 2022: Final Report.

INE. (2021). Demographic and Health Survey 2003. MOZ-INE-IDS-2003-v01. mozdata.microdatahub.com/index.php/catalog/4/datafile/F2/V799.

INE. (2021). Family budget survey 2019/20. Retrieved from https://mozdata.ine.gov.mz/index.php/catalog/88.

INE. (2012). Mozambique Demographic and Health Survey 2011: Preliminary Report.

INE. (2009). Progress and challenges in child survival and development, education, gender equality, child protection and AIDS. Multiple Indicator Cluster Survey 2008.

INE. (2011). Final report of the Family Budget Survey - IOF 2008/9.

INE. (2016). Final report of the Household Budget Survey - IOF 2014/15.

INS. (2019). Projection of interventions for the reduction of chronic malnutrition in Mozambique from 2010 to 2020. Abstract 01 - Volume 02.

INS. (2019). RMCS-V5_2019.

Machava, J. (n.d). The poverty situation in Mozambique: regional differentiations and main challenges. Geographical Studies, Rio Claro, 5(1): 27-46, 2007 (ISSN 1678-698X).

Maíra, C., & Morais, G. (2014). Casa de Oswaldo Cruz-FIOCRUZ Postgraduate Programme in the History of Science and Health.

Maquenzi, J. (2021). Poverty and inequalities in Mozambique: A case study in six districts. Rural highlight no. 113, OMR.

Republic of Mozambique (n.d.). Action Plan for the Reduction of Absolute Poverty, 2001-2005. Final Version Approved by the Council of Ministers April 2001.

Republic of Mozambique Ministry of Health (2010). Multisectoral action plan for the reduction of chronic malnutrition in Mozambique 2011-2015 (2020). MISAU: Nutrition Department.

Republic of Mozambique - Ministry of Planning and Development. (2010). Poverty and well-being in Mozambique: third national assessment.

Santos, R., & Salvucci, V. (n.d). Poverty in Mozambique: significant progress but challenges remain. United Nations University.

SETSAN. (2007). Food and nutrition security strategy and action plan.

-2015: Food and Nutrition Security, a Right for a Hunger-Free and Healthy Mozambique.

SETSAN. (2014). Report of the 2013 food and nutrition security baseline study in Mozambique.

The World Bank (n.d.). World Bank assistance has evolved from aid aimed at stabilizing the economy to close collaboration with the government, development partners and civil society. https://www.worldbank.org/pt/country/mozambique/overview.

UNICEF. (2021). The Situation of Children in Mozambique: Summary Report. p11.

UNICEF. (2023). Child Malnutrition: Stunting has declined steadily since 2000 - but faster progress is needed to reach the 2030 target. Wasting persists at alarming rates and overweight will require a reversal in trajectory if the 2030 target is to be achieved.

United Nations (2013). National Policy Analysis Impact of agricultural and food systems on Nutrition Mozambique August 2013: Case study of the United Nations System Standing Committee on Nutrition for the Second World Summit on Nutrition.

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Published

18/11/2023

How to Cite

CINQUENTA, A. .; ABDUL-KARIM, S.; FRIO, E. T.; LIA, B. F. . Progress in the fight against malnutrition in Mozambique: A review of policies, action plans, and nutritional intervention programs. Research, Society and Development, [S. l.], v. 12, n. 12, p. e107121244053, 2023. DOI: 10.33448/rsd-v12i12.44053. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/44053. Acesso em: 22 dec. 2024.

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Section

Health Sciences