Key data for China

NCI41st HRCI1st HANCI18th
HANCI 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: 8.1% Wasting: 1.9% Proportion of population underweight: 1.9% Source: Government of China (CNHS, 2013)

Strong Performance

  • The Government investment in the health sector is comparatively high at 10.1% of total public spending in 2015.
  • The Government of China has ensured tenure security for rural populations. Land titling is common and land markets function well. Policy promotes equitable access to common property resources. This has been the case for an extended period.
  • 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.
  • The National Nutrition Policy/Strategy identifies time bound nutrition targets and a multisectoral and multistakeholder policy coordination mechanism has been set up.
  • The Government of China promotes complementary feeding practices.
  • 96.7% of the population of China in 2015 has access to an improved drinking water source.
  • In China 96.2% of women aged 15-49 were visited at least once during pregnancy by skilled health personnel in 2014.
  • In China, constitutional protection of the right to social security is strong.
  • Strong civil registration rates (92.8% in 2011) potentially enable children’s access to critical public services such as health and education.

Areas for improvement

  • In China, 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, China’s medium/long term national development policy (13th five-year plan for economic and social development of the People´s Republic of China) places weak importance to nutrition.
  • China does not have a separate budget line for nutrition; this prevents transparency and accountability for spending.
  • Policymakers in China do not benefit from regular nutrition surveys that are statistically representative at national level. The last survey was published in 2010.
  • The Government of China has achieved two high doses of vitamin A supplementation for only 29% of children in 2011.

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)
Very Strong20161st
Access to agricultural research and extension services
Strong2013Joint 12th
Civil registration system — coverage of live births
Functioning of social protection systems
Moderate2016Joint 5th
Laws Score Year HRCI rank of 45
Level of constitutional protection of the right to food
Moderate2017Joint 10th
Equality of women’s access to agricultural land
In Law, not in Practice2014Joint 4th
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
No2017Joint 35th
Policies Score Year NCI rank of 45
Vitamin A supplementation coverage for children
29%2011Joint 35th
Government promotes complementary feeding
Yes2012Joint 1st
Population with access to an improved water source
Population with access to improved sanitation
Health care visits for pregnant women
96.2%2014Joint 6th
Nutrition features in national development policy
National Nutrition Policy/Strategy
Yes2017Joint 1st
Multisector and multistakeholder policy coordination
Yes2017Joint 1st
Time bound nutrition targets
Yes2012Joint 1st
National nutrition survey in last 3 years
No2010Joint 40th
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law
Few Aspects Enshrined2016Joint 34th