Over the past 30 years, Vietnam has made significant progress in improving nutrition through nationwide programs and policies, but challenges remain. Key developments include: 1) Establishing the National Institute of Nutrition in 1980 to conduct research and implement nutrition programs. 2) Implementing nationwide vitamin A and iron supplementation programs in the 1980s-1990s that helped eliminate xerophthalmia and reduce anemia. 3) Approving the National Nutrition Strategy in 2001 to improve nutrition status through 2020 via community-based and multi-sectoral interventions. 4) Reducing underweight children under 5 from 36.7% in 1999 to 19.9% in 2008, though stunting rates remain high.

1. 30 years of Nutrition program in Vietnam: Implementation, progress and challenges Ha Huy Khoi, MD, DSc Vietnam Nutrition Association- National Institute of Nutrition

18. Implementation Mechanism/System MOH NIN Preventive Medicine /Maternal and Child Care Centers Commune Health Center 104,000 Nutrition Collaborators

19. NATIOAL cHILD MALNUTRITION CONTROL PROGRAM National Conference for Nutrition Collaborators

20. Food preparation demonstration/practices

21. Mother’s club Nutrition contest Growth monitoring

27. - Nutrition Training and Education - Credit programs - Providing new seeds and breeds World Mission projects

28. Progress and sustainability

31. Trend of underweight among under 5 children in Vietnam 1985-2008 (%)

32. Underweight (W/A) 2008: 19.9% Suy dinh d­ìng trÎ em n¨m 2008: 19,9% Suy dinh d­ìng trÎ em n¨m 1999: 36,7% 1999 2008 % SDD

33. Trend of Stunting among children under 5 years of age in Vietnam from 1985 -2008 (%)

35. Secular trend in growth of Vietnamese children during 1875-2003 periods

36. Prevalence of vitamin A deficiency (serum retinol <0.7umol/L) among <5 (VDD/UNICEF, 2006) Vietnam: xerophthalmia free since 1994

37. Anaemia prevalence (in 1995 and 2000)

38. Overweight and obesity (BMI ≥25) in 2005

39. Overweight and Obesity of adults (2005) Nguån: Tổng điều tra BÐo ph× toµn quèc 2005

43. Thank you !