Key data for São Tomé and Príncipe

NCI41st HRCI8th HANCI28th
HANCI-Africa compares 45 African countries for their performance on 22 indicators of political commitment to reduce hunger and undernutrition. All the countries compared in the index have high rates of hunger and undernutrition. The comparative approach of the index means that country scores are calculated in relation to the political commitment of the other countries in the index.
Existing rates of: Stunting: 17.2% Wasting: 4% Proportion of population underweight: 4% Source: Government of São Tomé and Príncipe (MICS, 2014)

Strong Performance

  • São Tomé and Príncipe has devised a National Nutrition Policy/Strategy.
  • Policymakers in São Tomé and Príncipe benefit from regular nutrition surveys that are statistically representative at national level. The last survey was published in 2014.
  • 95.1% of the population of São Tomé and Príncipe in 2015 has access to an improved drinking water source.
  • In São Tomé and Príncipe 97.5% of women aged 15-49 were visited at least once during pregnancy by skilled health personnel in 2014.
  • In São Tomé and Príncipe, constitutional protection of the right to social security is strong.
  • Strong civil registration rates (95.2% in 2014) potentially enable children’s access to critical public services such as health and education.

Areas for improvement

  • Spending on agriculture (8.5% of public spending in 2016) is close to, yet not fully meeting government commitments set out in the African Union’s Maputo Declaration (10% of public spending).
  • São Tomé and Príncipe’s spending in its health sector (10.7% of public spending in 2015) does not fully meet (15%) commitments set out in the Abuja Declaration.
  • In São Tomé and Príncipe, the law gives women and men equal economic rights and equal legal access to agricultural land. However, these laws are not effectively enforced and discriminatory practices against women continue, increasing their vulnerability to hunger and undernutrition.
  • Even though São Tomé and Príncipe has developed a National Nutrition Policy/Strategy, clear time-bound nutrition targets and a multisectoral and multistakeholder policy coordination mechanism are still lacking.
  • The Government of São Tomé and Príncipe has not enshrined the International Code of Marketing of Breastmilk Substitutes into domestic law.
  • The Government of São Tomé and Príncipe does not promote complementary feeding practices and has achieved two high doses of vitamin A supplementation for only 42% of children in 2015.
  • Weak access to improved sanitation facilities (40.1% in 2015) obstructs better hunger and nutrition outcomes.
  • Social safety nets in São Tomé and Príncipe are basic and only cover few risks for a limited number of beneficiaries.

Hunger Reduction Commitment Index (HRCI)

Public Spending Score Year HRCI rank of 45
Public spending on agriculture as share of total public spending
?
8.5%201612th
Public spending on health as share of total public spending
?
10.7%2015Joint 10th
Policies Score Year HRCI rank of 45
Access to land (security of tenure)
?
Moderate2016Joint 25th
Access to agricultural research and extension services
?
Moderate201326th
Civil registration system — coverage of live births
?
95.2%20145th
Functioning of social protection systems
?
Weak2014Joint 41st
Laws Score Year HRCI rank of 45
Level of constitutional protection of the right to food
?
Moderate2017Joint 8th
Equality of women’s access to agricultural land
?
In Law, not in Practice2013Joint 1st
Equality of women’s economic rights
?
In Law, not in Practice2011Joint 1st
Constitutional right to social security
?
Yes2017Joint 1st

Nutrition Commitment Index (NCI)

Public Spending Score Year NCI rank of 45
Separate budget for nutrition
?
Sectoral only2013Joint 17th
Policies Score Year NCI rank of 45
Vitamin A supplementation coverage for children
?
42%2015Joint 35th
Government promotes complementary feeding
?
No2014Joint 42nd
Population with access to an improved water source
?
95.1%20156th
Population with access to improved sanitation
?
40.1%201518th
Health care visits for pregnant women
?
97.5%20145th
Nutrition features in national development policy
?
Moderate2012-201630th
National Nutrition Policy/Strategy
?
Yes2013Joint 1st
Multisector and multistakeholder policy coordination
?
No2017Joint 35th
Time bound nutrition targets
?
No2017Joint 39th
National nutrition survey in last 3 years
?
Yes2014Joint 1st
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law
?
Not Enshrined in Law2016Joint 33rd