Key data for Nepal

NCI3rd HRCI15th HANCI8th
HANCI compares 45 developing 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: 40.5% Wasting: 11.2% Proportion of population underweight: 29.1% Source: National Nutrition Survey (2012)

Strong Performance

  • Government investment in the agricultural and health sectors is comparatively high within the region at 8.5% and 9.6% of total public spending respectively.
  • A range of nutrition focused policies have been put in place in the last decade. The Government promotes complementary feeding practices and 91% of children aged 6–59 months received 2 high doses of vitamin A supplements within the last year.
  • Nepal has instituted a separate budget line for nutrition, improving public oversight and accountability for spending.
  • Regular (once every three years) nutrition surveys enable policymakers to have access to up to date information. The most recent ones were the MICS (2014) and the DHS (2011).
  • The Constitution of Nepal clearly references the right to social security.
  • The Government has fully enshrined the International Code of Marketing of Breastmilk Substitutes into domestic law.

Areas for improvement

  • Only 35.4% of the population has access to sanitation.
  • Social protection systems cover few people and limited risks.
  • There is substantial scope for improving the coverage of Nepal’s civil registration system, as 42.3% of live births are registered. This potentially limits children from gaining access to basic services, including health and education, as this is dependent on proof of legal identity.
  • Only 58.3% of women aged 15-49 were attended once by skilled health workers during their pregnancy.
  • A right to food could be more clearly enshrined in the (currently redrafted) Constitution of Nepal.
  • More effective enforcement of women’s economic rights could reduce their vulnerability to hunger.

Hunger Reduction Commitment Index (HRCI)

Public Spending Score Year HRCI rank of 45
Government spending on agriculture ?6.9%201313th
Government spending on health ?10.4%201220th
Policies Score Year HRCI rank of 45
Security of access to land?Moderate201325th
Access to agri. extension services ?Moderate201335th
Civil registration of live births ?42.3%201132nd
Status of safety nets?Non-Existent201436th
Laws Score Year HRCI rank of 45
Constitutional right to food ?Strong20111st
Women’s access to agricultural land?In Law, not in Practice20144th
Women’s Economic rights ?Not Enforced20115th
Constitutional right to social security?Yes20061st

Nutrition Commitment Index (NCI)

Public Spending Score Year NCI rank of 45
Nutrition budget ?Yes20141st
Policies Score Year NCI rank of 45
Vitamin A coverage ?99%20131st
Governments promote complementary feeding?Yes20141st
Access to drinking water ?88.09999999999999%201210th
Access to sanitation?36.7%201222nd
Skilled birth attendance ?58.3%201142nd
Extent of nutrition features in national dev. policies/strategies?Weak201419th
National nutrition policy, plan or strategy?Yes20141st
Multi-sectoral and multi-stakeholder coord. mechanism?Yes20141st
Time bound nutrition targets?Yes20121st
National nutrition survey ?Yes20141st
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law ?Fully enshrined20141st