Factors Influencing the Failure of the Implementation of Nutrition Intervention Packages (Pin) At Calomue Health Center, Angónia District, Tete – 2025

Authors

Hassane Bacião Raúl

Zambeze University – Faculty of Health Sciences, Josina Machel Neighborhood, Provincial Hospital Campus, Tete City, Tete Province, (Mozambique)|Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), Rua Quirino de Andrade, 215, Centro, São Paulo, 01049-010, (Brazil)|.Universidade Aberta ISCED (UNISCED), Rua Carlos Pereira, parcela nº 148/07, Estoril Expansão, na cidade da Beira, (Moçambique)|Central de Medicamentos e Artigos Médicos – Armazém Central da Beira, Bairro Pioneiros, Rua Vieira da Rocha nº2319, na cidade da Beira, (Moçambique) (Moçambique)

Article Information

DOI: 10.51244/IJRSI.2026.1309000035

Subject Category: Public Health/Nutrition

Volume/Issue: 13/9 | Page No: 437-442

Publication Timeline

Submitted: 2026-09-16

Accepted: 2026-09-21

Published: 2026-10-03

Abstract

Child and maternal malnutrition remains one of the greatest public health challenges in Mozambique, despite the implementation of Nutrition Intervention Packages (PIN). This study analyzed the factors influencing the failure of PIN implementation at the Calomue Health Center, Angónia District, in 2025. A qualitative exploratory approach was adopted, using semi-structured interviews with health professionals, community leaders, and beneficiaries, complemented by documentary analysis of district reports. Results revealed that low educational attainment and socioeconomic vulnerability of beneficiaries, cultural resistance to recommended nutritional practices, shortage of specialized human resources, and logistical failures in supplement distribution were central barriers. Quantitative data confirmed that more than 60% of respondents reported insufficient technical training and limited funding as critical factors. The discussion, supported by national and international literature, showed that these findings agree with studies highlighting institutional fragility and structural poverty as determinants of malnutrition, but diverge from positive experiences in contexts with strong community mobilization. It is concluded that the failure of PIN in Calomue results from the interaction of structural, cultural, and institutional factors, requiring greater investment, intersectoral integration, and community sensitization to ensure effectiveness and sustainability.

Keywords

Nutrition, Implementation, Barriers, Mozambique

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