Key data for Sierra Leone

NCI25th HRCI32nd HANCI30th
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: 37.90% Wasting: 9.40% Proportion of population underweight: 18.10% Source: Gov. of Sierra Leone (DHS, 2013)

Strong Performance

  • The Government encourages varied agricultural research and extension services, and local farmer organisations are involved in setting policy priorities. The extension system is effective and properly reaches out to poor farmers. Government policies, strategies and mechanisms seek to ensure gender equity in access to extension services.
  • Relative to other HANCI countries, Sierra Leone's medium/long term national development policy (The Agenda for Properity. Thrid generation PRSP ) assigns strong importance to nutrition.
  • Sierra Leone instituted a separate budget line for nutrition, enabling transparency and accountability for spending.
  • The National Nutrition Policy/Strategy identifies time bound nutrition targets and a multisectoral and multistakeholder policy coordination mechanism has been set up.
  • Policymakers in Sierra Leone benefit from regular nutrition surveys that are statistically representative at national level. The last survey was published in 2013.
  • The Government of Sierra Leone promotes complementary feeding practices.
  • In Sierra Leone 97.1% of women aged 15-49 were visited at least once during pregnancy by skilled health personnel in 2013.
  • In Sierra Leone, constitutional protection of the right to social security is strong.

Areas for improvement

  • Spending on agriculture (6.65% of public spending in 2014), does not meet government commitments set out in the African Union’s Maputo Declaration (10% of public spending).
  • Sierra Leone’s spending in its health sector (10.8% of public spending in 2014) does not fully meet (15%) commitments set out in the Abuja Declaration.
  • In Sierra Leone, law does neither give women economic rights or agricultural land access rights equal to men. This increases women and children's vulnerability to hunger and undernutrition.
  • The Government of Sierra Leone has not enshrined the International Code of Marketing of Breastmilk Substitutes into domestic law.
  • The Government of Sierra Leone has only achieved two high doses of vitamin A supplementation for 8% of children in 2014.
  • Weak access to an improved source of drinking water (62.6% in 2015) and an improved sanitation facility (13.3% in 2015) prevents positive outcomes for hunger and nutrition in Sierra Leone.
  • In Sierra Leone, constitutional protection of the right to food is weak.
  • Social safety nets in Sierra Leone 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
Public spending on health as share of total public spending
Policies Score Year HRCI rank of 45
Access to land (security of tenure)
Access to agricultural research and extension services
Civil registration system — coverage of live births
Functioning of social protection systems
Laws Score Year HRCI rank of 45
Level of constitutional protection of the right to food
Equality of women’s access to agricultural land
In Law, not in Practice201441st
Equality of women’s economic rights
Not in Law201126th
Constitutional right to social security

Nutrition Commitment Index (NCI)

Public Spending Score Year NCI rank of 45
Separate budget for nutrition
Policies Score Year NCI rank of 45
Vitamin A supplementation coverage for children
Government promotes complementary feeding
Population with access to an improved water source
Population with access to improved sanitation
Health care visits for pregnant women
Nutrition features in national development policy
National Nutrition Policy/Strategy
Multisector and multistakeholder policy coordination
Time bound nutrition targets
National nutrition survey in last 3 years
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law
Not Enshrined in Law201633rd