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The Reality Checks are implemented between 2011- 2016, with fieldwork being carried out each year in the Districts of Cuamba, Majune and Lago in the Niassa Province. Sub-Team Leaders are Carmeliza Rosário, Minna Tuominen and Inge Tvedten. This is the Annual Report for the 2nd Reality Check, synthesising the main findings from the three sub- reports. The report is written by the Team Leader for the Reality Checks in Mozambique Dr. Inge Tvedten - with support from Carmeliza Rosário, Minna Tuominen and Aslak Orre (Thematic Advisor).