Key data for Tunisia

NCI36th HRCI1st HANCI15th
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: 10.1% Wasting: 2.8% Proportion of population underweight: 2.8% Source: Government of Tunisia (MICS, 2011-12)

Strong Performance

  • The Government of Tunisia has ensured tenure security for rural populations. Land titling is common and land markets function well. Policy promotes equitable access to common property resources.
  • The Government of Tunisia promotes complementary feeding practices and has achieved two high doses of vitamin A supplementation for 100% of children in 2005.
  • Strong access to an improved source of drinking water (98.6% in 2015) andan improved sanitation facility (93.1% in 2015) drives better hunger and nutrition outcomes in Tunisia.
  • In Tunisia 98.1% of women aged 15-49 were visited at least once during pregnancy by skilled health personnel in 2011-2012.
  • In Tunisia, constitutional protection of the right to social security is strong.
  • Strong civil registration rates (99.2% in 2011-2012) potentially enable children’s access to critical public services such as health and education.

Areas for improvement

  • Spending on agriculture (4.1% of public spending in 2016), does not meet government commitments set out in the African Union’s Maputo Declaration (10% of public spending).
  • Tunisia’s spending in its health sector (13.6% of public spending in 2015) is close to, yet not fully meeting government commitments set out in the African Union’s Abuja Declaration (15% of public spending).
  • In Tunisia, 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.
  • Relative to other HANCI countries, Tunisia’s medium/long term national development policy (XIIème Plan de Développement) places weak importance to nutrition.
  • Tunisia does not have a separate budget line for nutrition; this prevents transparency and accountability for spending.
  • Tunisia has not developed a National Nutrition Policy/Strategy. Time-bound nutrition targets and a multisectoral and multistakeholder policy coordination mechanism are also lacking.
  • Policymakers in Tunisia do not benefit from regular nutrition surveys that are statistically representative at national level. The last survey was published in 2011-2012.

Hunger Reduction Commitment Index (HRCI)

Public Spending Score Year HRCI rank of 45
Public spending on agriculture as share of total public spending
4.1%2016Joint 28th
Public spending on health as share of total public spending
Policies Score Year HRCI rank of 45
Access to land (security of tenure)
Strong2016Joint 7th
Access to agricultural research and extension services
Moderate2013Joint 27th
Civil registration system — coverage of live births
Functioning of social protection systems
Moderate2016Joint 3rd
Laws Score Year HRCI rank of 45
Level of constitutional protection of the right to food
Moderate2016Joint 8th
Equality of women’s access to agricultural land
In Law, not in Practice2014Joint 1st
Equality of women’s economic rights
In Law, not in Practice2014Joint 1st
Constitutional right to social security
Yes2017Joint 1st

Nutrition Commitment Index (NCI)

Public Spending Score Year NCI rank of 45
Separate budget for nutrition
No2014Joint 33rd
Policies Score Year NCI rank of 45
Vitamin A supplementation coverage for children
Government promotes complementary feeding
Yes2010Joint 1st
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
Weak2010-2014Joint 38th
National Nutrition Policy/Strategy
No2017Joint 40th
Multisector and multistakeholder policy coordination
No2017Joint 35th
Time bound nutrition targets
No2014Joint 39th
National nutrition survey in last 3 years
No2011-2012Joint 36th
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law
Many Aspects Enshrined2016Joint 15th