Among all of the countries ranked in the 2012 GHI, Burundi has the highest score and thus the highest level of hunger.
In Burundi, the proportion of undernourished people has been rising. The prevalence of child underweight has declined since 2000, but remains one of the highest in Sub-Saharan Africa.
Increased hunger in Burundi, Comoros, and Côte d’Ivoire since 1990 can be attributed to prolonged conflict and political instability.
The regional 2012 GHI score for Sub-Saharan Africa is 16 percent lower than the 1990 score.
Because insufficient data are available to calculate the Democratic Republic of Congo’s GHI score, it is not listed as “extremely alarming.” It is unlikely, however, that the situation has improved dramatically.
Twenty three percent of children are underweight in Sub-Saharan Africa.
Since 2001, child mortality rates have declined in Sub-Saharan Africa. A range of factors— including a decrease in the prevalence of malaria; higher immunization rates; improved access to clean water and sanitation; and increasing levels of income, leading to better nutrition and access to medical care—have contributed to the reduced mortality rates.
One country in Sub-Saharan Africa—Ghana—is among the 10 best performers that have improved their GHI score since 1990.
Burkina Faso, Chad, Democratic Republic of Congo, Mali, Sierra Leone, and Somalia have the highest child mortality rates of children under age five in world.