Key data for Tunisia

NCI34th HRCI2nd HANCI15th
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: 10.10% Wasting: 2.80% Proportion of population underweight: 2.30% Source: Gov. of Tunisia (MICS, 2012)

Strong Performance

  • 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.
  • Tunisia has devised a National Nutrition Policy/Strategy.
  • 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 (97.7% in 2015) andan improved sanitation facility (91.6% 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 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 (3.32% of public spending in 2014), 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 (14.2% 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 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.
  • Even though Tunisia has developed a National Nutrition Policy/Strategy, clear time-bound nutrition targets and a multisectoral and multistakeholder policy coordination mechanism are still 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
?
3.32%201430th
Public spending on health as share of total public spending
?
14.2%20145th
Policies Score Year HRCI rank of 45
Access to land (security of tenure)
?
Strong20147th
Access to agricultural research and extension services
?
Moderate201327th
Civil registration system — coverage of live births
?
99.2%2011-20122nd
Functioning of social protection systems
?
Moderate20163rd
Laws Score Year HRCI rank of 45
Level of constitutional protection of the right to food
?
Moderate20168th
Equality of women’s access to agricultural land
?
In Law, not in Practice20141st
Equality of women’s economic rights
?
In Law, not in Practice20117th
Constitutional right to social security
?
Yes20141st

Nutrition Commitment Index (NCI)

Public Spending Score Year NCI rank of 45
Separate budget for nutrition
?
Sectoral only201429th
Policies Score Year NCI rank of 45
Vitamin A supplementation coverage for children
?
100.0%20051st
Government promotes complementary feeding
?
Yes20101st
Population with access to an improved water source
?
97.7%20152nd
Population with access to improved sanitation
?
91.6%20152nd
Health care visits for pregnant women
?
98.1%20124th
Nutrition features in national development policy
?
Weak2010 - 201435th
National Nutrition Policy/Strategy
?
Yes20151st
Multisector and multistakeholder policy coordination
?
No201336th
Time bound nutrition targets
?
No201432nd
National nutrition survey in last 3 years
?
No2011-201235th
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law
?
Many Aspects Enshrined201615th