Key data for Pakistan

NCI25th HRCI34th HANCI30th
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: 45.00% Wasting: 10.5% Proportion of population underweight: 31.60% Source: Gov. of Pakistan (DHS, 2012)

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.
  • Pakistan has devised a National Nutrition Policy/Strategy.
  • Pakistan has introduced a multisectoral and multistakeholder policy coordination mechanism to support delivery of the National Nutrition Policy/Strategy.
  • Policymakers in Pakistan benefit from regular nutrition surveys that are statistically representative at national level. The last survey was published in 2012-2013.
  • The Government has fully enshrined the International Code of Marketing of Breastmilk Substitutes into domestic law.
  • The Government of Pakistan promotes complementary feeding practices and has achieved two high doses of vitamin A supplementation for 99% of children in 2012.
  • 91.4% of the population of Pakistan in 2012 has access to an improved drinking water source.
  • In Pakistan, constitutional protection of the right to social security is strong.

Areas for improvement

  • In Pakistan, 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, Pakistan's medium/long term national development policy (Vision 2030) places weak importance to nutrition.
  • Pakistan does not have a separate budget line for nutrition; this prevents transparency and accountability for spending.
  • Even though Pakistan has developed a National Nutrition Policy/Strategy and a multisectoral and multistakeholder policy coordination mechanism, clear time-bound nutrition targets are still lacking.
  • Weak access to improved sanitation facilities (47.6% in 2012) obstructs better hunger and nutrition outcomes.
  • Civil registration rates are weak (33.6% in 2012-2013) and potentially hold back children’s access to critical public services such as health and education.

Hunger Reduction Commitment Index (HRCI)

Public Spending Score Year HRCI rank of 45
Public spending on agriculture as share of total public spending
?
0.6%201245th
Public spending on health as share of total public spending
?
4.7%201243rd
Policies Score Year HRCI rank of 45
Access to land (security of tenure)
?
Moderate201332nd
Access to agricultural research and extension services
?
Strong201312th
Civil registration system — coverage of live births
?
33.6%2012-201335th
Functioning of social protection systems
?
Weak201422nd
Laws Score Year HRCI rank of 45
Level of constitutional protection of the right to food
?
Moderate20118th
Equality of women’s access to agricultural land
?
In Law, not in Practice20144th
Equality of women’s economic rights
?
Not Enforced20115th
Constitutional right to social security
?
Yes20061st

Nutrition Commitment Index (NCI)

Public Spending Score Year NCI rank of 45
Separate budget for nutrition
?
Sectoral only201428th
Policies Score Year NCI rank of 45
Vitamin A supplementation coverage for children
?
99.0%20121st
Government promotes complementary feeding
?
Yes20121st
Population with access to an improved water source
?
91.4%20128th
Population with access to improved sanitation
?
47.6%201217th
Health care visits for pregnant women
?
73.1%201338th
Nutrition features in national development policy
?
Weak201331st
National Nutrition Policy/Strategy
?
Yes20141st
Multisector and multistakeholder policy coordination
?
Yes20141st
Time bound nutrition targets
?
No201237th
National nutrition survey in last 3 years
?
Yes20141st
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law
?
Fully enshrined20141st