The Diocese needs to develop its infrastructure - it has central diocesan offices, but housing for priests is required in some areas, especially where buildings were damaged by the rains, such as Mitunje in Cabo Delgado and Quelimane in Zambezia. In Nacala the church building survived being submerged by the floods. In other parishes where they have managed o construct churches, the expense of roofing the building is often beyond the reach of local congregations. Other buildings such as schools, health centres and the hospital at Messumba require renovation.
In Milanje, the church has grown rapidly recently, mainly due to refugees from Malawi arriving in the area. Hundreds of children are currently not going to school, and the Diocese has plans to build a school to provide education for these children.
The Diocese is also concerned about the provision of health services. Cholera is a problem in some areas, and the Diocese has plans to provide wells for drinking water to help combat the problem of water-borne diseases. The hospital at Messumba is government run, but is seen locally as belonging o the Anglican Mission. The hospital is short of medicines for common illnesses such as malaria, diarrhoea and cholera.
Despite the challenges which the Diocese of Niassa faces, the church is growing through the dedication and witness of local congregations. Natural disasters and economic difficulties have not prevented the message of the Gospel being preached and heard in Mozambique.