Key data for São Tomé and Príncipe

NCI42nd HRCI15th HANCI33rd
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 Sao Tome And Principe (MICS,2014)

Strong Performance

  • In São Tomé and Príncipe, the law gives women equal access to agricultural land as men and these rights are upheld in practice. This reduces women’s vulnerability to hunger and undernutrition.
  • São Tomé and Príncipe has introduced a multisectoral and multistakeholder policy coordination mechanism to support delivery of the 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 2018.
  • 96.8% of the population of São Tomé and Príncipe in 2017 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 (10.8% of public spending in 2017) does not fully meet (15%) commitments set out in the Abuja Declaration.
  • In São Tomé and Príncipe, the law does not give women equal economic rights as men, increasing women’s vulnerability to hunger and undernutrition.
  • São Tomé and Príncipe does not have a separate budget line for nutrition; this prevents transparency and accountability for spending.
  • São Tomé and Príncipe does not yet have a National Nutrition Policy/Strategy.
  • 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 32% of children in 2018.
  • Weak access to improved sanitation facilities (43% in 2017) 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%201613th
Public spending on health as share of total public spending
?
10.8%20177th
Policies Score Year HRCI rank of 45
Access to land (security of tenure)
?
Moderate201933rd
Access to agricultural research and extension services
?
Moderate201931st
Civil registration system — coverage of live births
?
95.2%20146th
Functioning of social protection systems
?
Weak2018Joint 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 & Practice2019Joint 1st
Equality of women’s economic rights
?
Not in Law2019Joint 16th
Constitutional right to social security
?
Yes2013Joint 1st

Nutrition Commitment Index (NCI)

Public Spending Score Year NCI rank of 45
Separate budget for nutrition
?
No2019Joint 39th
Policies Score Year NCI rank of 45
Vitamin A supplementation coverage for children
?
32%201839th
Government promotes complementary feeding
?
No2018Joint 42nd
Population with access to an improved water source
?
96.8%20175th
Population with access to improved sanitation
?
43%201714th
Health care visits for pregnant women
?
97.5%20149th
Nutrition features in national development policy
?
Moderate2012-201629th
National Nutrition Policy/Strategy
?
No2019Joint 33rd
Multisector and multistakeholder policy coordination
?
Yes2019Joint 1st
Time bound nutrition targets
?
Yes2019Joint 1st
National nutrition survey in last 3 years
?
Yes2018Joint 1st
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law
?
Not Enshrined in Law2019Joint 33rd