The Government of the Republic of Mozambique (GRM) has made reducing malnutrition one of its key economic and health priorities. Despite recent decades of impressive economic growth and investments in food security and nutrition, the prevalence of malnutrition has remained high, with 38 percent stunting and 6 percent wasting among children under five years of age (MISAU, INE, and ICFI 2011). Among the country’s 11 provinces, Nampula has the highest population and is economically important because of agricultural productivity and its positioning as a transportation corridor. Yet, the prevalence of chronic malnutrition among children under five is highest in Nampula (47 percent), and prevalence of wasting is third highest (5 percent), despite numerous investments in nutrition, health, HIV, water, sanitation, agriculture, and economic growth programs (MISAU, INE, and ICFI 2011).