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Maternal and Child Nutrition in Viet Nam

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The prevalence of child undernutrition and micronutrient deficiencies in Viet Nam is among the highest in the world. Despite some progress, maternal and child undernutrition remains a persistent social and economic concern.

  • 90% of the world’s stunted children live in just 36 countries, including Viet Nam.
  • While Viet Nam has made significant progress in reducing child underweight (by one-third in the last decade) stunting still affects more than one-third of Vietnamese children, with the highest incidence in rural areas and among ethnic minorities.
  • Deficiencies of the key micronutrients – iron, vitamin A, zinc and iodine – persist in Viet Nam and significantly affect child survival, children's growth and cognitive development and maternal. 

Efforts to reduce undernutrition, in particular stunting, must focus on women before and during pregnancy and in a child’s first two years—a time when significant damage occurs and nutrition programs are most cost-effective for the health of children and the economic and social development of Viet Nam.

  • Improved nutrition among Viet Nam’s population is achievable when proven interventions are effectively brought to scale.
  • Effective programs in Viet Nam and internationally include micronutrient supplements for women in reproductive age, particularly during pregnancy, deworming, nutrition education on breastfeeding and good complementary feeding, supplementary food for children 6-24 months and conditional cash transfer.  Significant focus and coordination is needed to bring these interventions to scale, and reach those in need.

Breastfeeding promotion, appropriate complementary feeding and vitamin A and zinc supplementation have the greatest potential for reducing child deaths and undernutrition.

  • Breastfeeding. In Viet Nam, all newborns should be put on the mother's breast immediately after birth and breastfed, without receiving water or anything else, until they are six months old.  Only slightly more than half of all newborns in Viet Nam are breastfed within one hour after birth and less than one in five of those younger than six months old are exclusively breastfed.
  • Vitamin A. Vitamin A supplements could benefit more children and mothers.  Currently, vitamin A is given only to children from 6 to 36 months, but in some areas vitamin A deficiency continues to afflict children up to five years of age.  Only half of children under five who need vitamin A receive it, and only one-third of mothers receive the recommended dose after giving birth.
  • Zinc. Every child with diarrhea should receive zinc tablets which will reduce the severity of the disease and prevent future attacks.  Currently, zinc treatment is not given to Vietnamese children with diarrhea.

Interventions to reduce iron and iodine are important for maternal survival and children's cognitive development, educability, and future economic productivity.

  • Iron. All pregnant women should receive and take iron-folate supplements to prevent anemia and improve birth outcomes.  Approximately 60% of women currently take iron during pregnancy.  A program selling weekly iron folic acid supplements to women of reproductive age has reduced the prevalence of anemia, and improved iron status during pregnancy and birthweights.
  • Iodine. All salt in Viet Nam should be iodized to prevent the goiter and other iodine deficiency diseases.  Viet Nam has made progress battling iodine deficiency and should not relax efforts to iodize salt.

The Lancet’s Series on Maternal and Child Undernutrition

The Lancet’s Series on Maternal and Child Undernutrition is a landmark series of research papers published in the world’s leading international medical journal that offer new information regarding the critical factors related to undernourished children, where and why they are undernourished, and makes recommendations based on evidence-based interventions to reduce undernutrition.

  • The five-part series reviews and analyzes the effectiveness and potential impact of nutrition-related interventions and policy options in developing countries and includes recommended actions to accelerate efforts to improve maternal and child undernutrition.
  • It follows a number of earlier important series from The Lancet, such as those on Child Survival and Neonatal Health, which have shaped policy and action in countries around the world.

The launch of the series in Viet Nam provides an important opportunity to draw national attention to this critical issue and what can be done to accelerate actions to improve maternal and child undernutrition.

  • Coordinated efforts to implement proven interventions and address the causes of malnutrition at the national and provincial levels will improve the health and well-being and future development of generations.

Undernutrition is caused by a poor dietary intake that does not provide sufficient nutrients and by common infectious diseases, such as diarrhea.

  • Undernutrition includes a wide array of effects including intrauterine growth restriction (IUGR) resulting in low birth-weight; stunting, a chronic restriction of growth in height indicated by a low height-for-age; wasting, an acute weight loss indicated by a low weight-for-height; and Micronutrient deficiencies.
  • These conditions are most significant in the first two years of life, highlighting the importance of nutrition in pregnancy and the window of opportunity for preventing undernutrition from conception through 24 months. 

Undernutrition is a key factor in child development and has a long-lasting adverse impact on health, education and productivity.

  • Efforts to reduce undernutrition in children must focus on improved nutrition of women before and during pregnancy and of children during the first two years of life.  
  • Poor fetal growth or stunting in the first two years of life leads to irreversible damage, including shorter adult height, lower attained schooling, reduced adult income, and offspring with lower birth weight.
  • Children who are undernourished in the first two years of life and put on weight rapidly at later in childhood and in adolescence are at high risk of nutrition-related chronic diseases.



Harsh punishment for child offenders doesn’t prevent further criminality

The age at which a child, can be held criminally liable is a controversial issue around the world. Within Viet Nam, this issue is currently being grappled with in the Penal Code amendments. Some argue that a "get tough on crime" approach is necessary to punish children to prevent further criminality.

However, international research shows that because of their developmental stages, labelling and treating children as criminals at an early age can have serious negative impacts on their development and successful rehabilitation.


New Year Greetings from the United Nations Resident Coordinator a.i. in Viet Nam


On the occasion of New Year 2017, on behalf of the United Nations family in Viet Nam I wish to reiterate our appreciation and express our warmest wishes to our partners and friends throughout the country. We wish our partners and their families in Viet Nam peace, prosperity, good health and happiness in the coming year.

As we enter the second year of the Sustainable Development Goals era, we look forward to continuing our close cooperation for the sake of Viet Nam’s future development; one which is inclusive, equitable and sustainable, with no one left behind.

Youssouf Abdel-Jelil
United Nations Resident Coordinator a.i. in Viet Nam


UN Secretary-General Ban Ki-moon’s message for World AIDS Day, observed on 1 December


Thirty-five years since the emergence of AIDS, the international community can look back with some pride.  But we must also look ahead with resolve and commitment to reach our goal of ending the AIDS epidemic by 2030.

There has been real progress in tackling the disease. More people than ever are on treatment.  Since 2010, the number of children infected through mother to child transmission has dropped by half. Fewer people die of AIDS related causes each year.  And people living with HIV are living longer lives.

The number of people with access to life-saving medicines has doubled over the past five years, now topping 18 million. With the right investments, the world can get on the fast-track to achieve our target of 30 million people on treatment by 2030.  Access to HIV medicines to prevent mother to child transmission is now available to more than 75 per cent of those in need.


The secretary-general's message for the International Day to End Violence against Women and Girls


25 November 2016 - At long last, there is growing global recognition that violence against women and girls is a human rights violation, public health pandemic and serious obstacle to sustainable development.  Yet there is still much more we can and must do to turn this awareness into meaningful prevention and response.


UNIDO Director General's Op-Ed Article to media on the occasion of UNIDO's 50th anniversary


Did you know that in Viet Nam, the net flow of foreign direct investment increased from USD1billion in 2003 to USD10 billion in 2008, and that by 2015 reached USD23 billion?  Or that the total value of exports rose from USD2 billion in 1990 to USD72 billion in 2010, to reach USD162 billion in 2015? These impressive figures highlight the country’s robust economic success, providing a boost to the economy and employment.

These accomplishments are largely due to the reforms undertaken by Viet Nam since Doi Moi in 1986 which liberalized the economy, attracted foreign investment, fostered exports and reduced poverty. To prepare for reform, Viet Nam received extensive technical assistance from the international community, including from the United Nations Industrial Development Organization (UNIDO), well before 1986 and, more precisely, since 1978.

For more than 35 years, UNIDO has been sharing international best practices to help Viet Nam develop inclusive and sustainable industry. With more than USD100 million in expenditure, UNIDO’s technical cooperation activities have been carried out across a broad range of fields, including support to the private sector and technical and industrial research organizations, facilitation of technology transfer, trade capacity-building, human resource development, environmental protection, energy efficiency, investment promotion and responsible business practices.

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