Key data for Sao Tome and Principe

NCI41st HRCI8th HANCI29th
HANCI Africa compares 45 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: 31.60% Wasting: 11.20% Proportion of population underweight: 14.40% Source: Gov. of Sao Tome and Principe (DHS, 2008)

Strong Performance

  • Sao Tome and Principe has devised a National Nutrition Policy/Strategy.
  • Policymakers in Sao Tome and Principe benefit from regular nutrition surveys that are statistically representative at national level. The last survey was published in 2014.
  • 97.1% of the population of Sao Tome and Principe in 2015 has access to an improved drinking water source.
  • In Sao Tome and Principe 97.5% of women aged 15-49 were visited at least once during pregnancy by skilled health personnel in 2014.
  • In Sao Tome and Principe, constitutional protection of the right to social security is strong.

Areas for improvement

  • Spending on agriculture (8.45% of public spending in 2014) is close to, yet not fully meeting government commitments set out in the African Union’s Maputo Declaration (10% of public spending).
  • Sao Tome and Principe’s spending in its health sector (12.4% of public spending in 2014) is close to, yet not fully meeting government commitments set out in the African Union's Abuja Declaration (15% of public spending).
  • In Sao Tome and Principe, 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 Sao Tome and Principe 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 Sao Tome and Principe has not enshrined the International Code of Marketing of Breastmilk Substitutes into domestic law.
  • The Government of Sao Tome and Principe does not promote complementary feeding practices and has only achieved two high doses of vitamin A supplementation for 56% of children in 2013.
  • Weak access to improved sanitation facilities (34.7% in 2015) obstructs better hunger and nutrition outcomes.
  • Social safety nets in Sao Tome and Principe 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
?
8.45%20149th
Public spending on health as share of total public spending
?
12.4%201411th
Policies Score Year HRCI rank of 45
Access to land (security of tenure)
?
Moderate201421st
Access to agricultural research and extension services
?
Moderate201326th
Civil registration system — coverage of live births
?
75.1%2008-200918th
Functioning of social protection systems
?
Weak201440th
Laws Score Year HRCI rank of 45
Level of constitutional protection of the right to food
?
Moderate20138th
Equality of women’s access to agricultural land
?
In Law, not in Practice20131st
Equality of women’s economic rights
?
In Law, not in Practice20111st
Constitutional right to social security
?
Yes20061st

Nutrition Commitment Index (NCI)

Public Spending Score Year NCI rank of 45
Separate budget for nutrition
?
Sectoral only201318th
Policies Score Year NCI rank of 45
Vitamin A supplementation coverage for children
?
56.0%201334th
Government promotes complementary feeding
?
No201442nd
Population with access to an improved water source
?
97.1%20153rd
Population with access to improved sanitation
?
34.7%201521st
Health care visits for pregnant women
?
97.5%20146th
Nutrition features in national development policy
?
Moderate2012-201628th
National Nutrition Policy/Strategy
?
Yes20131st
Multisector and multistakeholder policy coordination
?
No201336th
Time bound nutrition targets
?
No201432nd
National nutrition survey in last 3 years
?
Yes20141st
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law
?
Not Enshrined in Law201633rd