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Page 1: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

2013 Nutrition Surveillance Profiles

Viet Nam

Page 2: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

ACKNOWLEDGMENTS We are very grateful to the Board of Directors, Nutrition Surveillance Unit (NSU), and other related Units and Departments of the National Institution of Nutrition for providing strong support for the completion of the survey and report. Thanks go to UNICEF and Alive & Thrive Viet Nam for providing technical and financial support for the implementation of the study, data management and analysis, and writing report. Special thanks to Provincial Department of Health, Center for Preventive medicine in all 63 provinces and cities nationwide and the Center for Nutrition in Ho Chi Minh City for their support and implementation of data collection. Finally, thank you to the women and children who participated in the survey and made it a success.

CONTRIBUTORS:

National Institute of Nutrition Le Danh Tuyen, Associate Professor, MD, PhD Tran Thanh Do, PhD Nguyen Lan, MD, PhD Nguyen Viet Luan, MD Nguyen Van Khang, MD, MSc Nguyen Viet Dung, BSc Nguyen Duy Son, BSc Ha Huy Tue, MSc Trinh Hong Son, MSc

UNICEF

Roger Mathisen, MSc, RD Nguyen Dinh Quang, MD, MSc

Alive & Thrive initiative

Nemat Hajeebhoy, MHS, MSW Nguyen Thanh Tuan, MD, PhD Tran Thi Ngan, BPH Nguyen Thi Thu Trang, BPH

Suggested citation: Viet Nam National Institute of Nutrition, UNICEF, Alive & Thrive. Nutrition Surveillance Profiles 2013. Ha Noi, Viet Nam, 2014.

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TABLE OF CONTENTS Quang Binh 147 ACKNOWLEDGMENTS 1 Quang Tri 151 Table of contents 2 Thua Thien Hue 155 Overview 4 Da Nang 159 Nationwide 7 Quang Nam 163 Mekong river delta 11 Quang Ngai 167 Northern midlands and mountainous 15 Binh Dinh 171 North Central area and Central costal 19 Phu Yen 175 Central Highland 23 Khanh Hoa 179 South East 27 Kon Tum 183 Mekong river delta 31 Gia Lai 187 Ha Noi 35 Dak Lak 191 Hai Phong 39 Dak Nong 195 Hai Duong 43 TP. Ho Chi Minh 199 Hung Yen 47 Lam Dong 203 Ha Nam 51 Ninh Thuan 207 Nam Dinh 55 Binh Phuoc 211 Thai Binh 59 Tay Ninh 215 Ninh Binh 63 Binh Duong 219 Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap 239 Tuyen Quang 87 An Giang 243 Yen Bai 91 Tien Giang 247 Thai Nguyen 95 Vinh Long 251 Phu Tho 99 Ben Tre 255 Vinh Phuc 103 Kien Giang 259 Bac Giang 107 Can Tho 263 Bac Ninh 111 Tra Vinh 267 Quang Ninh 115 Soc Trang 271 Lai Chau 119 Bac Lieu 275 Son La 123 Ca Mau 279 Hoa Binh 127 Hau Giang 283 Dien Bien 131 Ha Noi - Thanh thi 287 Thanh Hoa 135 Ha Noi - Nong thon 291 Nghe An 139 Ho Chi Minh city – Urban 295 Ha Tinh 143 Ho Chi Minh city – Rural 299 Questionnaire 303

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OVERVIEW Annually, a nutrition surveillance is conducted by the National Institute of Nutrition (NIN) and Preventive Medical Centres of 63 provinces/cities nationwide and the Nutrition Centre in Ho Chi Minh City in the period from July to September. The nutrition surveillance aims at collecting and evaluating the trend of the maternal and child nutritional status, core indicators of infant and young child feeding practices (IYCF), the implementation of target programs such as prevention of vitamin A deficiency, the use of iodized salt, and accessing to IYCF information. Information provided by the surveillance system is used to monitor and evaluate the implementation of Vietnam nutrition program within the National Nutrition Stategy for each decade, and to provide information for annual provincial nutrition planning.

TARGET POPULATION AND METHODOLOGY 1. Sample size and sampling stratergy This is a cross-sectional survey using two-stage cluster sampling method:

Stage 1 – selecting clusters: NIN randomly selects 30 clusters (commune/ward) for each province/city using the probadlity proportionate to size method (PPS). For Ha Noi and Ho Chi Minh Cities we first stratify by urban and rural areas, then select 30 clusters are randomly selected for each area using the PPS method.

Stage 2 – selecting villages: From each commune/ward selected in the stage 1, three 3 villages are randomly selected (using lottery or the table of random number.

Stage 3 – selecting participants: The provincial surveillance team or nutrition specialist randomly select 17 children under 5 years of age from each village using the door to door method (in case without complete list of the children in the village) or using excel (in case with complete list of the village’s children). Ensure that the number of sampled children in each village follow the ratios: 2 children 0-5 months, 5 children 6-23 months, and 10 children 24-59 months. The number of surveyed children is:

• Each cluster: 17 children x 3 villages = 51 children • Each province: 30 clusters x 51 children = 1530 children • In Ha Noi and Ho Chi Minh City: 2 areas x 1530 children = 3060 children • Nationwide: 1950 clusters x 51 children = 99450 children

2. Surveillance content As described earlier, the NIN surveillance collects basic information related to maternal and child nutritional status based on anthropometric measurement, core indicators of coverage rate of services to prevent micronutrient deficiency, and core indicators of IYCF practices. The criteria are used based on WHO reference standards on definitions and data collection method in order to maximize the consistency of the criteria among different years, as well as the value in using and comparing data when needed (see the indicator definition section). A structured questionaire is developed including neccessary information along with guidance materials for interviewers and supervisors.

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3. Field data collection Members of the nutrition surveillance system include: technical group (Department of Nutrition Surveillance and Policy, NIN), supervisors (Provincial, National and Regional), surveillance specialists, field leaders, interviewers, and data entry group (Department of Nutrition Surveillance and Policy, NIN). Interviewers are provincial staffs, normally from provincial preventive medical centres. Repeated technical trainings are conducted for interviewers by the national level before the field work. Data collection process for each cluster consists the following stages: 3.1. Preparation before field work The preparation process starts immediately after the training for field leaders and interviewers. In addition, all previous steps such as cluster selection, village selection, and respondent selection must be completed already. The steps include: unifying surveillance plan among levels, preparing neccessary documents and administrative procedures, and conducting conferences to prepare for the implementation (if possiple). Before going to the field, it is needed to directly contact with the district and commune to make sure about their readiness. Besides, each member needs to prepare him/herself about physical and mental health, family work and work handover before the field trip. 3.2. Inplementation in the field Provincial surveillance team collaborates with the commune in following activities: preparing places, inviting and making appointment with respondents, mobilizing support from local staffs on reception, calling respondents, directing, translating, and other supports during the survey process. 3.3. Data collection The field data collection is conducted with four following steps: Note: Staff = Staff of provincial surveillance team 3.4. Complete data in each cluster Steps should be taken after the end of the data collection include:

− Reviewing the situation and recording cases that could not be measured; − Checking scale and meter; − Gathering, checking, packing, and arranging data forms by cluster, village and mother code; − Informing some results based on the initial findings of local child nutritional status and thanks

for being helped. 4. Data management, anslysis and results Data are entered and checked using Epidata software at national level. After that, data are managed using MS Access software: creating and defining indicators follow the questionaire. All data are analysed using Stata 12 (Stata Inc., TX, USA). Results will be integrated into a general reporting template developed on MS Excel to generate nationwide report and reports by ecological region, province, and urban/rural area. Depending on each year, Nutrition profile is printed or uploaded to the website. In addition, the trend over time of some indicators are also developed in this Nutrition profile.

Conclusion, feedback

(Field leader)

Reception (Village health

workers)

Anthropometric measurement

(1-2 trained staff)

Interview (2-3 trained staff)

Quality supervision

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5. Definition of core indicators Height-for-age Z scores (HAZ), weight-for-age Z scores (WAZ) and weight-for-height Z scores (WHZ) are calculated based on World Health Organization (WHO) reference standards for child anthropometry0F

1. The criteria on infant and young child feeding practices are based on the most recent IYCF indicators based World Health Organization guidance1F

2. Indicators Definition Anthropometry Stunting Height-for-age Z score <-2SD Underweight Weight-for-age Z score<-2SD Wasting Weight-for-height Z score<-2SD Infant and young child feeding indicators (IYCF)

Early initiation of breastfeeding Proportion of children born in the last 24 months who were breastfed within 1 hour of birth

Exclusive breastfeeding (EBF) under 6 months

Proportion of infants 0-5.9 months of age who are fed exclusively with breast milk

Predominant breastfeeding under 6 months

Proportion of infants 0-5.9 months of age who are predominantly breastfed. Predominant BF might include certain liquids, other than non-human milk or food-based fluids.

Continued breastfeeding at 1 year Proportion of children 12-15.9 months of age who are fed breast milk Continued breastfeeding at 2 years Proportion of children 20-23.9 months of age who are fed breast milk

Minimum dietary diversity Proportion of children 6-23.9 months of age who receive foods from 4 or more food groups

Minimum meal frequency Proportion of breastfed and non-breastfed children 6-23.9 months of age who receive solid, semi-solid or soft foods the minimum number of times or more

Minimum acceptable diet Proportion of children 6-23.9 months of age who receive a minimum acceptable diet (apart from breast milk)

Consumption of iron-rich or iron-fortified foods

Proportion of children 6-23.9 months of age who receive an iron-rich food or iron-fortified food that is especially designed for infants and young children, or that is fortified in the home

Age-appropriate breastfeeding Proportion of children 0-23.9 months of age who are appropriately breastfed

No bottle feeding Proportion of children 0-23.9 months of age who a not fed with a bottle Maternal indicators Chronic energy deficiency (CED) Proportion of mothers who have BMI<18,5kg/m2 Iron tablet supplementation during last 6 months

Proportion of women who reported taking iron supplements in the last 6 months

Iron tablet supplementation during pregnancy

Proportion of women who reported starting taking iron supplements during first, second or third trimester of pregnancy

Vitamin A use postpartum Proportion of women who reported taking vitamin A during post-partum period

Accessing to IYCF information

Direct contact with health staffs Proportion of women who reported receiving information from communal health center staffs, village health worker/nutrition volunteer, women union during last 3 months

Information from mass-media Proportion of women who reported receiving information from the mass-media such as TV, radio/loudspeaker, newspapers/magazines, posters, flipcharts, internet… during last 3 months

Topics of nutritional counseling Topics on IYCF which were counseled during the last 3 months

1 WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva: World Health Organization; 2006. 2 Daelmans B, Dewey K, Arimond M. New and updated indicators for assessing infant and young child feeding. Food Nutr Bull. 2009;30:S256-62.

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 643 No. of hospitals 966 No. of wards, town districts, and communes 11,111 No. of polyclinics 609 No. of villages 125,618 No. of commune health centers 11,028 Population No. of maternity homes 79 No. of children <5 years of age No. of doctors 49,033 No. of children <2 years of age No. of assistant doctors 50,588

(estimated to be 41.1% of the under 5) 41% No. of nurses 68,527 Percent ethnic minorities 14.3% No. of midwives/birth attendants 25,522 Poverty rate 12.9% No. of village health workers 100,834

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25.9%, underweight was 15.3% and

wasting was 6.6%; while the prevalence of overweight and obesity was 4.6%.

2,924,514 7,115,606

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Nationwide

Nutrition profile 2013

87,610,947

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 86%; main sources of information were mass media channels, especially TV. The proportion

of mothers who met a health worker in the last 3 months was 59.4%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.1%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 82.8% and the rate of using Vitamin A after delivery was 46.8%.

The rate of early initiation of breastfeeding was 54.3%, continued breastfeeding at 2 years rate was

22.6% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 66.4%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 86.3%.

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2. Nationwide

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

88.6

58.7

42.2 46.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=85529) 2013 (n=91203)

28.6

21.5

14.3

21.2 21.6

14.7

9.4

15.1

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=90652) 2013 (n=81719)

17.5

29.3

7.1 3.9

15.3

25.9

6.6 4.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=96043) 2013 (n=99421)

5.4 7.4

10.2 11.9 13.2 14.4 16.7 15.1 15.8 16.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=95588) 2013 (n=99421)

9.2 12.1

18.4

23.4 21.3

23.8 25.7

22.9 22.0 19.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=95119) 2013 (n=98759)

6.5 6.1 5.5 4.9 5.9 5.2 5.5 5.0 5.6 6.1

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=102672) 2013 (n=106519)

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3. Nationwide

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

9.4

61.3

19.1 24.1

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=41992)

86.6

6.9 0

20406080

100

Iodized salt use (n=91203)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=54280)

22.6

50.2

75.8 78.2

020406080

100

Continued breastfeeding at 2years (n=6446)

Child deworming (last 6months) (n=54197)

Vitamin A supplementation(last 6 months) (n=54197)

Child 24-35 months get vitaminA (n=46461)

95.2 96.7

54.3

79.7

020406080

100

Child born in ahealth facility

(n=24476)

Ever breastfed(n=44742)

Early initiation ofbreastfeeding

(n=44742)

No squeezing outcolostrum(n=42716)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

32.1

64.1 55.3

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=5701)

No bottle feeding(n=10826)

No prelactealfeeding in the first3 days (n=44742)

71.5 87.1 82.2

66.4 80.6 83.9

56.4

020406080

100

Continuedbreastfeeding at 1

year (n=7430)

Minimum mealfrequency(n=33916)

Minimum dietarydiversity

(n=33916)

Minimumacceptable diet

(n=33916)

Consumption ofiron-rich or iron-fortified foods

(n=33916)

Vitamin Asupplementation(last 6 months)

(n=34538)

No bottle feeding(n=33916)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

9

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Nationwide

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

40.3 38.8

12.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=91203)

75.6 75.2

54.8 67.6 71.6 72.7 77.9

65.7

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=82149)

4.2 11.3

65.8

83.8

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=82149)

86.0

59.4

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=82149)

62.2

27.2 16.9

10.2 11.7

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=82149)

10

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 119 No. of hospitals 210 No. of wards, town districts, and communes 2,452 No. of polyclinics 68 No. of villages 25,652 No. of commune health centers 2,453 Population No. of maternity homes 4 No. of children <5 years of age No. of doctors 11,345 No. of children <2 years of age No. of assistant doctors 9,205

(estimated to be 41.1% of the under 5) 41% No. of nurses 14,769 Percent ethnic minorities 1.6% No. of midwives/birth attendants 4,440 Poverty rate 7.0% No. of village health workers 20,619

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 21%, underweight was 10.8% and

wasting was 5.4%; while the prevalence of overweight and obesity was 4.2%.

681,115 1,657,214

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Red River Delta

Nutrition profile 2013

19,883,325

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 95.4%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 59.4%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 16.2%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 76.3% and the rate of using Vitamin A after delivery was 39.2%.

The rate of early initiation of breastfeeding was 49%, continued breastfeeding at 2 years rate was 22%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 70.2%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 87.6%.

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2. Red River Delta

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

95.7

52.9

35.3 39.2

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=14934) 2013 (n=16989)

31.0

25.0

19.1

24.2 24.8

15.3

9.8

16.2

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=15372) 2013 (n=19080)

14.6

25.5

6.1 3.1

10.8

21.0

5.4 4.2

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=16618) 2013 (n=18557)

3.9 6.3

8.8 8.4 10.2 11.0 12.6 10.7

13.5 12.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=16285) 2013 (n=18557)

7.6 10.3

16.3 20.1

18.0 20.8 21.6

19.8 19.1 15.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=16737) 2013 (n=18470)

5.1 5.3 5.3 4.1

5.4 3.9 4.0 3.8 4.5 5.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=17835) 2013 (n=19841)

12

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3. Red River Delta

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

12.7

58.0

16.2 24.8

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=9394)

92.3

9.9

020406080

100

Iodized salt use (n=16989)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=9736)

22.0 37.6

63.2 84.6

020406080

100

Continued breastfeeding at 2years (n=1176)

Child deworming (last 6months) (n=10188)

Vitamin A supplementation(last 6 months) (n=10188)

Child 24-35 months get vitaminA (n=8745)

99.2 97.0

49.0

88.2

020406080

100

Child born in ahealth facility

(n=4501)

Ever breastfed(n=8244)

Early initiation ofbreastfeeding

(n=8244)

No squeezing outcolostrum(n=7936)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

30.7

66.2 61.7

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=1131)

No bottle feeding(n=2025)

No prelactealfeeding in the first3 days (n=8244)

80.2 88.8 85.3 70.2

83.4 85.5 65.5

020406080

100

Continuedbreastfeeding at 1

year (n=1390)

Minimum mealfrequency(n=6219)

Minimum dietarydiversity (n=6219)

Minimumacceptable diet

(n=6219)

Consumption ofiron-rich or iron-fortified foods

(n=6219)

Vitamin Asupplementation(last 6 months)

(n=6358)

No bottle feeding(n=6219)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

13

Page 15: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Red River Delta

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

42.5 36.8

14.9

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=16989)

85.5 87.0

63.0 80.4 83.1 82.4 86.3

75.7

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=15212)

2.5

16.3

87.3 93.5

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=15212)

95.4

59.4

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=15212)

79.6

47.9

32.1

15.8 24.6

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=15212)

14

Page 16: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 127 No. of hospitals 192 No. of wards, town districts, and communes 2,540 No. of polyclinics 220 No. of villages 30,656 No. of commune health centers 2,516 Population No. of maternity homes 1 No. of children <5 years of age No. of doctors 7,690 No. of children <2 years of age No. of assistant doctors 11,272

(estimated to be 41.1% of the under 5) 41% No. of nurses 10,789 Percent ethnic minorities 54.9% No. of midwives/birth attendants 4,069 Poverty rate 27.7% No. of village health workers 29,585

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 31.9%, underweight was 20.9% and

wasting was 7.4%; while the prevalence of overweight and obesity was 3%.

467,397 1,137,219

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Northern midlands and mountainous

Nutrition profile 2013

11,240,918

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 89.5%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 71.7%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.3%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 71.2% and the rate of using Vitamin A after delivery was 49%.

The rate of early initiation of breastfeeding was 68.8%, continued breastfeeding at 2 years rate was 25%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 61.8%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 88.7%.

15

Page 17: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

2. Northern midlands and mountainous

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

91.5

61.8

45.8 49.0

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=19828) 2013 (n=20239)

20.2 17.6

14.5 18.4 17.2

15.4

11.1 15.3

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=20541) 2013 (n=12157)

22.1

33.7

7.4

3.0

20.9

31.9

7.4

3.0

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=21346) 2013 (n=21240)

8.3 12.3

16.5 18.5 19.9 19.3

24.3 23.2 24.5 22.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=20996) 2013 (n=21240)

15.9 18.5

28.9

35.1 31.8

35.0

39.7 35.5

37.8

30.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=21100) 2013 (n=21041)

9.1 8.8 7.7 7.0

8.9 6.9

7.8 7.4 6.4

7.6

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=22761) 2013 (n=22694)

16

Page 18: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

3. Northern midlands and mountainous

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

10.3

51.6

16.3 18.4

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=5711)

95.0

5.5 0

20406080

100

Iodized salt use (n=20239)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=11935)

25.0

60.3 82.4 83.2

020406080

100

Continued breastfeeding at 2years (n=1286)

Child deworming (last 6months) (n=11990)

Vitamin A supplementation(last 6 months) (n=11990)

Child 24-35 months get vitaminA (n=11023)

88.3 97.9

68.8 86.4

020406080

100

Child born in ahealth facility

(n=5321)

Ever breastfed(n=9216)

Early initiation ofbreastfeeding

(n=9216)

No squeezing outcolostrum(n=8789)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

29.1

76.6

39.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=1050)

No bottle feeding(n=2424)

No prelactealfeeding in the first3 days (n=9216)

84.5 83.7 79.7 61.8 70.8

85.7 70.7

020406080

100

Continuedbreastfeeding at 1

year (n=1387)

Minimum mealfrequency(n=6792)

Minimum dietarydiversity (n=6792)

Minimumacceptable diet

(n=6792)

Consumption ofiron-rich or iron-fortified foods

(n=6792)

Vitamin Asupplementation(last 6 months)

(n=6871)

No bottle feeding(n=6792)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

17

Page 19: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Northern midlands and mountainous

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

48.0 54.5

15.4

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=20239)

77.5 77.0

50.0 66.1 73.0 76.4 78.8

70.6

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=18792)

5.1 12.5

63.3

86.9

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=18792)

89.5

71.7

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=18792)

60.9

25.5

9.6 11.6 9.5

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=18792)

18

Page 20: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 156 No. of hospitals 224 No. of wards, town districts, and communes 2,914 No. of polyclinics 141 No. of villages 26,924 No. of commune health centers 2,908 Population No. of maternity homes 39 No. of children <5 years of age No. of doctors 9,836 No. of children <2 years of age No. of assistant doctors 11,572

(estimated to be 41.1% of the under 5) 41% No. of nurses 13,838 Percent ethnic minorities 9.6% No. of midwives/birth attendants 6,083 Poverty rate 18.2% No. of village health workers 25,655

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 29.8%, underweight was 18.4% and

wasting was 6.9%; while the prevalence of overweight and obesity was 3.6%.

599,775 1,459,307

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

North Central area and Central costal

Nutrition profile 2013

18,994,709

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 77.6%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 57.5%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 16.4%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 89.9% and the rate of using Vitamin A after delivery was 48.4%.

The rate of early initiation of breastfeeding was 63.7%, continued breastfeeding at 2 years rate was

23.6% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 74.2%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 88.6%.

19

Page 21: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

2. North Central area and Central costal

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

93.1

67.4

43.8 48.4

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=18327) 2013 (n=19156)

29.5

24.0

17.1

22.5 25.6

16.1

11.5

16.4

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=20133) 2013 (n=16756)

19.8

31.4

7.6 3.3

18.4

29.8

6.9 3.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=21392) 2013 (n=21488)

4.6 7.0

9.2 12.1

14.0 15.7 19.4

15.7 16.9 17.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=21395) 2013 (n=21488)

6.9

11.9

18.5

25.5 22.8

25.6 27.4

23.6 23.3 21.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=21074) 2013 (n=21365)

5.9 6.5 5.5 5.0 5.6 4.9 5.7

4.5 6.4 6.6

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=22949) 2013 (n=23167)

20

Page 22: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

3. North Central area and Central costal

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

7.5

64.4

23.0 22.5

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=9062)

75.8

7.3 0

20406080

100

Iodized salt use (n=19156)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=11072)

23.6

50.3

83.9 86.6

020406080

100

Continued breastfeeding at 2years (n=1472)

Child deworming (last 6months) (n=11691)

Vitamin A supplementation(last 6 months) (n=11691)

Child 24-35 months get vitaminA (n=9497)

95.5 96.8

63.7

86.0

020406080

100

Child born in ahealth facility

(n=5130)

Ever breastfed(n=9659)

Early initiation ofbreastfeeding

(n=9659)

No squeezing outcolostrum(n=9241)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

26.2

62.5 46.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=1324)

No bottle feeding(n=2184)

No prelactealfeeding in the first3 days (n=9659)

79.7 88.1 89.2 74.2

84.8 87.0

60.9

020406080

100

Continuedbreastfeeding at 1

year (n=1647)

Minimum mealfrequency(n=7475)

Minimum dietarydiversity (n=7475)

Minimumacceptable diet

(n=7475)

Consumption ofiron-rich or iron-fortified foods

(n=7475)

Vitamin Asupplementation(last 6 months)

(n=7643)

No bottle feeding(n=7475)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

21

Page 23: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. North Central area and Central costal

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

37.5 40.9

13.0

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=19156)

70.3 68.6

50.4 66.6 67.8 68.5 72.7

60.8

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=17193)

2.6 9.3

61.9

76.0

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=17193)

77.6

57.5

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=17193)

62.4

22.8

11.2 8.3 8.6

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=17193)

22

Page 24: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 56 No. of hospitals 72 No. of wards, town districts, and communes 722 No. of polyclinics 45 No. of villages 7,371 No. of commune health centers 721 Population No. of maternity homes 2 No. of children <5 years of age No. of doctors 2,626 No. of children <2 years of age No. of assistant doctors 2,514

(estimated to be 41.1% of the under 5) 41% No. of nurses 4,288 Percent ethnic minorities 35.3% No. of midwives/birth attendants 1,762 Poverty rate 20.5% No. of village health workers 7,015

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 36.4%, underweight was 24.6% and

wasting was 6.7%; while the prevalence of overweight and obesity was 2.9%.

206,228 501,772

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Central Highland

Nutrition profile 2013

5,278,679

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 74.4%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 71.5%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 13.1%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 72.7% and the rate of using Vitamin A after delivery was 50%.

The rate of early initiation of breastfeeding was 64.6%, continued breastfeeding at 2 years rate was

47.9% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 49.2%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 85.8%.

23

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2. Central Highland

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

94.4

64.6

47.7 50.0

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=6664) 2013 (n=6956)

23.1

17.2

12.5

18.0 17.1

12.7

8.3

13.1

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=7336) 2013 (n=6582)

24.7

35.2

8.1

2.7

24.6

36.4

6.7 2.9

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=7700) 2013 (n=7774)

7.2 11.3

17.0

25.2 24.3 23.7 24.1 23.6 23.5 27.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=7747) 2013 (n=7774)

10.7

17.8

27.4

39.1

32.7 34.1 36.9

34.0 34.2 36.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=7570) 2013 (n=7717)

6.7 5.0 5.7

8.0 8.3 6.9

5.0 5.4 6.2 6.9

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=8131) 2013 (n=8358)

24

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3. Central Highland

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

13.3

55.9

13.5 14.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=3330)

99.1

9.3 0

20406080

100

Iodized salt use (n=6956)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=3557)

47.9

78.7 95.5 88.1

020406080

100

Continued breastfeeding at 2years (n=504)

Child deworming (last 6months) (n=4293)

Vitamin A supplementation(last 6 months) (n=4293)

Child 24-35 months get vitaminA (n=3503)

80.7 97.7

64.6

88.2

020406080

100

Child born in ahealth facility

(n=1848)

Ever breastfed(n=3453)

Early initiation ofbreastfeeding

(n=3453)

No squeezing outcolostrum(n=3333)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

29.2

86.7

45.8

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=369)

No bottle feeding(n=867)

No prelactealfeeding in the first3 days (n=3453)

86.2 77.5 63.1

49.2 65.9

80.3 75.6

020406080

100

Continuedbreastfeeding at 1

year (n=565)

Minimum mealfrequency(n=2586)

Minimum dietarydiversity (n=2586)

Minimumacceptable diet

(n=2586)

Consumption ofiron-rich or iron-fortified foods

(n=2586)

Vitamin Asupplementation(last 6 months)

(n=2620)

No bottle feeding(n=2586)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

25

Page 27: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Central Highland

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

47.6 50.2

17.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=6956)

70.1 68.8 53.1

66.0 63.3 69.3 71.0 60.1

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=6655)

3.0 7.3

50.2

75.2

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=6655)

74.4 71.5

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=6655)

50.2

12.4 6.6 4.2 5.6

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=6655)

26

Page 28: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 67 No. of hospitals 114 No. of wards, town districts, and communes 872 No. of polyclinics 43 No. of villages 22,216 No. of commune health centers 868 Population No. of maternity homes 22 No. of children <5 years of age No. of doctors 8,914 No. of children <2 years of age No. of assistant doctors 4,775

(estimated to be 41.1% of the under 5) 41% No. of nurses 14,557 Percent ethnic minorities 6.5% No. of midwives/birth attendants 4,181 Poverty rate 1.9% No. of village health workers 6,337

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 19.7%, underweight was 10.2% and

wasting was 5.5%; while the prevalence of overweight and obesity was 9.2%.

441,407 1,073,983

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

South East

Nutrition profile 2013

14,888,149

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 89.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 35.8%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 12.9%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 89.8% and the rate of using Vitamin A after delivery was 46.9%.

The rate of early initiation of breastfeeding was 32.8%, continued breastfeeding at 2 years rate was

20.5% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 69.9%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 79.6%.

27

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2. South East

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

73.4

56.1

39.1 46.9

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=8275) 2013 (n=9917)

29.8

17.8

9.4

18.2 21.7

12.8

6.6

12.9

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=8880) 2013 (n=10992)

10.7

19.2

5.2 7.8

10.2

19.7

5.5 9.2

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=9195) 2013 (n=10784)

3.6 3.8 3.5 5.5 6.1 7.7 9.2 8.0 8.1 8.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=9213) 2013 (n=10784)

6.5 5.9 8.0

12.2 11.2 12.6 13.9 13.1 10.4 10.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=9101) 2013 (n=10718)

5.0 3.7

2.6 1.5

2.4 3.1 4.0 3.9 3.5 4.1

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=9793) 2013 (n=11482)

28

Page 30: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

3. South East

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

10.1

70.8

17.4 29.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=6282)

92.8

8.8 0

20406080

100

Iodized salt use (n=9917)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=6434)

20.5

48.7 71.9 62.4

020406080

100

Continued breastfeeding at 2years (n=780)

Child deworming (last 6months) (n=5412)

Vitamin A supplementation(last 6 months) (n=5412)

Child 24-35 months get vitaminA (n=4614)

99.2 94.3

32.8

62.7

020406080

100

Child born in ahealth facility

(n=2746)

Ever breastfed(n=5303)

Early initiation ofbreastfeeding

(n=5303)

No squeezing outcolostrum(n=5034)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

28.2 37.1

77.7

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=753)

No bottle feeding(n=1093)

No prelactealfeeding in the first3 days (n=5303)

47.9

90.7 84.4 69.9

83.8 77.1

31.3

020406080

100

Continuedbreastfeeding at 1

year (n=994)

Minimum mealfrequency(n=4210)

Minimum dietarydiversity (n=4210)

Minimumacceptable diet

(n=4210)

Consumption ofiron-rich or iron-fortified foods

(n=4210)

Vitamin Asupplementation(last 6 months)

(n=4297)

No bottle feeding(n=4210)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

29

Page 31: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. South East

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

23.1 17.8

8.5

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=9917)

77.2 76.0

45.9 56.2

75.5 68.6 80.4

63.6

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=8189)

5.9 13.5

71.8

86.0

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=8189)

89.9

35.8

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=8189)

67.0

25.0 29.9

12.6 14.4

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=8189)

30

Page 32: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 118 No. of hospitals 154 No. of wards, town districts, and communes 1,611 No. of polyclinics 92 No. of villages 12,799 No. of commune health centers 1,562 Population No. of maternity homes 11 No. of children <5 years of age No. of doctors 8,622 No. of children <2 years of age No. of assistant doctors 11,250

(estimated to be 41.1% of the under 5) 41% No. of nurses 10,286 Percent ethnic minorities 8.0% No. of midwives/birth attendants 4,987 Poverty rate 11.6% No. of village health workers 11,623

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25%, underweight was 13.8% and

wasting was 6.7%; while the prevalence of overweight and obesity was 4.6%.

528,592 1,286,111

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Mekong river delta

Nutrition profile 2013

17,325,167

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 83%; main sources of information were mass media channels, especially TV. The proportion

of mothers who met a health worker in the last 3 months was 62.9%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 14.9%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 89.3% and the rate of using Vitamin A after delivery was 50.9%.

The rate of early initiation of breastfeeding was 53.6%, continued breastfeeding at 2 years rate was

11.5% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 59.6%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 86%.

31

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2. Mekong river delta

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

84.6

53.8 46.1

50.9

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=17501) 2013 (n=17946)

32.1

21.6

12.1

21.9 21.9

14.1

8.7

14.9

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=18390) 2013 (n=16153)

16.8

28.2

7.4 3.4

13.8

25.0

6.7 4.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=19807) 2013 (n=19578)

6.3 7.0

12.6 11.5 12.3 13.7 14.6 15.3 13.3

15.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=19952) 2013 (n=19578)

9.2 12.8

20.6 20.2 19.4 19.1 20.8 18.7

15.5 14.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=19537) 2013 (n=19448)

7.7 7.2 7.4 6.2 6.4 6.3 6.6 5.8 6.5 6.8

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=21203) 2013 (n=20977)

32

Page 34: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

3. Mekong river delta

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

4.9

63.1

23.9 29.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=8213)

75.4

1.9 0

20406080

100

Iodized salt use (n=17946)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=11546)

11.5

47.5 72.0 64.9

020406080

100

Continued breastfeeding at 2years (n=1228)

Child deworming (last 6months) (n=10623)

Vitamin A supplementation(last 6 months) (n=10623)

Child 24-35 months get vitaminA (n=9079)

97.8 96.9

53.6 69.0

020406080

100

Child born in ahealth facility

(n=4930)

Ever breastfed(n=8867)

Early initiation ofbreastfeeding

(n=8867)

No squeezing outcolostrum(n=8383)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

46.2 63.1

54.0

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=1074)

No bottle feeding(n=2233)

No prelactealfeeding in the first3 days (n=8867)

60.0

86.9 77.7 59.6

82.3 84.5

45.3

020406080

100

Continuedbreastfeeding at 1

year (n=1447)

Minimum mealfrequency(n=6634)

Minimum dietarydiversity (n=6634)

Minimumacceptable diet

(n=6634)

Consumption ofiron-rich or iron-fortified foods

(n=6634)

Vitamin Asupplementation(last 6 months)

(n=6749)

No bottle feeding(n=6634)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

33

Page 35: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Mekong river delta

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

44.8 38.3

6.6

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=17946)

69.2 68.6 60.1 63.2 61.7 66.7

73.9 59.0

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=16108)

6.3 6.8

48.9

80.0

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=16108)

83.0

62.9

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=16108)

44.0

16.1 5.8 5.6 2.3

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=16108)

34

Page 36: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 29 No. of hospitals 40 No. of wards, town districts, and communes 577 No. of polyclinics 29 No. of villages 7,908 No. of commune health centers 575 Population No. of maternity homes 4 No. of children <5 years of age No. of doctors 2,974 No. of children <2 years of age No. of assistant doctors 2,584

(estimated to be 41.1% of the under 5) 41% No. of nurses 3,970 Percent ethnic minorities 1.3% No. of midwives/birth attendants 1,173 Poverty rate 4.3% No. of village health workers 3,428

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 15.5%, underweight was 7% and

wasting was 2.8%; while the prevalence of overweight and obesity was 4.9%.

242,989 591,214

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ha Noi

Nutrition profile 2013

6,629,465

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 93.7%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 31.2%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 14.5%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 81.4% and the rate of using Vitamin A after delivery was 46.8%.

The rate of early initiation of breastfeeding was 35.1%, continued breastfeeding at 2 years rate was

23.3% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 81.5%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 89.3%.

35

Page 37: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

2. Ha Noi

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

96.4

62.9

41.9 46.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1341) 2013 (n=3018)

34.5

24.0

18.0

22.9 23.9

13.8

6.6

14.5

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1415) 2013 (n=6769)

10.8

21.8

4.8 3.7 7.0

15.5

2.8 4.9

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1555) 2013 (n=3211)

2.8 4.5 4.9 5.9 8.1 7.2 8.7

6.7

12.7

7.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1534) 2013 (n=3211)

5.4 5.6 9.7

14.8 13.2 15.1

13.2 14.8 16.0

10.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1551) 2013 (n=3197)

2.5 2.3 3.6

2.5 3.3 2.8 2.9 1.8

3.3 3.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1650) 2013 (n=3437)

36

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3. Ha Noi

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

13.3

61.8

17.7 40.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=3208)

96.8

16.5

020406080

100

Iodized salt use (n=3018)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=1819)

23.3 40.4

65.2 81.1

020406080

100

Continued breastfeeding at 2years (n=195)

Child deworming (last 6months) (n=1825)

Vitamin A supplementation(last 6 months) (n=1825)

Child 24-35 months get vitaminA (n=1641)

99.6 97.2

35.1

84.8

020406080

100

Child born in ahealth facility

(n=752)

Ever breastfed(n=1377)

Early initiation ofbreastfeeding

(n=1377)

No squeezing outcolostrum(n=1351)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

35.1

55.8

77.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=314)

No bottle feeding(n=390)

No prelactealfeeding in the first3 days (n=1377)

76.5 92.7 92.2 81.5 87.4 87.3

55.9

020406080

100

Continuedbreastfeeding at 1

year (n=224)

Minimum mealfrequency(n=987)

Minimum dietarydiversity (n=987)

Minimumacceptable diet

(n=987)

Consumption ofiron-rich or iron-fortified foods

(n=987)

Vitamin Asupplementation(last 6 months)

(n=1001)

No bottle feeding(n=987)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

37

Page 39: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Ha Noi

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

25.2

12.4 5.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=3018)

80.1 83.1

55.3

75.8 80.4 82.1 83.2 70.1

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=2678)

2.7 6.9

85.6 92.4

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=2678)

93.7

31.2

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=2678)

75.4

35.1 32.3

18.5

34.0

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=2678)

38

Page 40: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 15 No. of hospitals 24 No. of wards, town districts, and communes 223 No. of polyclinics 2 No. of villages 3,056 No. of commune health centers 224 Population No. of maternity homes - No. of children <5 years of age No. of doctors 1,403 No. of children <2 years of age No. of assistant doctors 689

(estimated to be 41.1% of the under 5) 41% No. of nurses 2,111 Percent ethnic minorities 0.2% No. of midwives/birth attendants 545 Poverty rate 5.8% No. of village health workers 1,774

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 20%, underweight was 8.9% and

wasting was 5.4%; while the prevalence of overweight and obesity was 3.6%.

65,092 158,375

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Hai Phong

Nutrition profile 2013

1,870,732

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 96.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 28.6%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.3%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 84.3% and the rate of using Vitamin A after delivery was 14%.

The rate of early initiation of breastfeeding was 24.5%, continued breastfeeding at 2 years rate was

18.3% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 81.1%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 85.8%.

39

Page 41: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

2. Hai Phong

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

97.6

70.6

13.3 14.0

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1364) 2013 (n=1222)

33.6

25.0

17.0

24.7 23.2

14.5 11.4

15.3

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1481) 2013 (n=1545)

12.3

24.9

5.8 2.4

8.9

20.0

5.4 3.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1527) 2013 (n=1524)

5.5 6.7 8.7 10.5

7.3 8.9 9.5 10.5 6.9

16.4

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1536) 2013 (n=1524)

4.8

10.2 12.2

21.1

11.9 12.7 10.2 11.3

6.9 9.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1593) 2013 (n=1519)

7.5 8.2 6.8

4.1 6.0

2.6 0.7

4.0 4.0

6.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1639) 2013 (n=1623)

40

Page 42: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

3. Hai Phong

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

8.1

50.4 29.1

14.2

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=913)

73.6

6.6 0

20406080

100

Iodized salt use (n=1222)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=653)

18.3 24.2

53.0

87.3

020406080

100

Continued breastfeeding at 2years (n=104)

Child deworming (last 6months) (n=792)

Vitamin A supplementation(last 6 months) (n=792)

Child 24-35 months get vitaminA (n=505)

100.0 94.1

24.5

91.6

020406080

100

Child born in ahealth facility

(n=354)

Ever breastfed(n=717)

Early initiation ofbreastfeeding

(n=717)

No squeezing outcolostrum(n=712)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

27.2

61.0

81.3

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=81)

No bottle feeding(n=146)

No prelactealfeeding in the first3 days (n=717)

74.0 94.9 93.0 81.1 90.7 83.6

59.9

020406080

100

Continuedbreastfeeding at 1

year (n=146)

Minimum mealfrequency(n=571)

Minimum dietarydiversity (n=571)

Minimumacceptable diet

(n=571)

Consumption ofiron-rich or iron-fortified foods

(n=571)

Vitamin Asupplementation(last 6 months)

(n=587)

No bottle feeding(n=571)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

41

Page 43: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Hai Phong

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

18.6 12.4

4.5

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1222)

88.8 85.5 77.5 81.5 87.2 92.6 86.0 79.8

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1163)

2.2

20.7

82.0

97.1

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1163)

96.9

28.6

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1163)

79.8

16.0 5.9

16.0 20.5

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1163)

42

Page 44: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 11 No. of hospitals 21 No. of wards, town districts, and communes 265 No. of polyclinics 5 No. of villages 1,425 No. of commune health centers 265 Population No. of maternity homes - No. of children <5 years of age No. of doctors 839 No. of children <2 years of age No. of assistant doctors 887

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,340 Percent ethnic minorities 0.3% No. of midwives/birth attendants 513 Poverty rate 9.4% No. of village health workers 1,844

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 22%, underweight was 12.8% and

wasting was 5.8%; while the prevalence of overweight and obesity was 4.6%.

52,592 127,962

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Hai Duong

Nutrition profile 2013

1,717,192

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 99.3%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 93.5%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 16.2%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 90% and the rate of using Vitamin A after delivery was 24.6%.

The rate of early initiation of breastfeeding was 70.6%, continued breastfeeding at 2 years rate was

18.8% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 74.1%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 78.5%.

43

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2. Hai Duong

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

94.2

38.4

24.5 24.6

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1524) 2013 (n=1529)

29.5 25.3

18.9 23.1

25.0

14.7 13.2 16.2

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1625) 2013 (n=1845)

16.6

26.6

6.9

2.3

12.8

22.0

5.8 4.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1673) 2013 (n=1605)

3.1 6.2

10.3 7.9 9.7

14.0 16.4

13.1 11.7 11.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1608) 2013 (n=1605)

14.1

9.3 8.8

19.4 20.2

29.1 26.1

24.2

16.7 14.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1677) 2013 (n=1601)

5.3 4.9 5.1 7.1

5.3 5.0 6.7

7.9

2.5

5.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1750) 2013 (n=1718)

44

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3. Hai Duong

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

7.6

79.3

9.8 16.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=751)

96.5

2.0 0

20406080

100

Iodized salt use (n=1529)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=995)

18.8 33.0

51.7

92.6

020406080

100

Continued breastfeeding at 2years (n=80)

Child deworming (last 6months) (n=973)

Vitamin A supplementation(last 6 months) (n=973)

Child 24-35 months get vitaminA (n=903)

100.0 98.4

70.6 89.9

020406080

100

Child born in ahealth facility

(n=356)

Ever breastfed(n=626)

Early initiation ofbreastfeeding

(n=626)

No squeezing outcolostrum(n=621)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

7.8

78.9 76.5

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=64)

No bottle feeding(n=194)

No prelactealfeeding in the first3 days (n=626)

81.0 93.8 85.6 74.1

90.5 71.2 75.2

020406080

100

Continuedbreastfeeding at 1

year (n=100)

Minimum mealfrequency(n=432)

Minimum dietarydiversity (n=432)

Minimumacceptable diet

(n=432)

Consumption ofiron-rich or iron-fortified foods

(n=432)

Vitamin Asupplementation(last 6 months)

(n=438)

No bottle feeding(n=432)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

45

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Hai Duong

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

66.0 60.8

33.9

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1529)

99.1 98.2

75.1

96.3 97.2 98.0 98.3 91.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1526)

0.1

34.5

99.8 99.3

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1526)

99.3 93.5

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1526)

95.2

81.9

63.4

25.6

39.9

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1526)

46

Page 48: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 9 No. of hospitals 16 No. of wards, town districts, and communes 161 No. of polyclinics - No. of villages 848 No. of commune health centers 162 Population No. of maternity homes - No. of children <5 years of age No. of doctors 562 No. of children <2 years of age No. of assistant doctors 551

(estimated to be 41.1% of the under 5) 41% No. of nurses 673 Percent ethnic minorities 0.1% No. of midwives/birth attendants 271 Poverty rate 9.4% No. of village health workers 1,059

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25.1%, underweight was 13.4% and

wasting was 7.5%; while the prevalence of overweight and obesity was 4%.

38,164 92,857

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Hung Yen

Nutrition profile 2013

1,134,933

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 99.4%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 89.2%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 16.2%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 80.7% and the rate of using Vitamin A after delivery was 34.2%.

The rate of early initiation of breastfeeding was 47.8%, continued breastfeeding at 2 years rate was

21.4% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 79.6%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 93.6%.

47

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2. Hung Yen

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

90.8

15.9

33.8 34.2

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1409) 2013 (n=1431)

25.5 27.2

19.5

25.6 21.6

16.4

8.4

16.2

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1432) 2013 (n=1240)

16.8

28.9

6.7 8.5

13.4

25.1

7.5 4.0

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1474) 2013 (n=1501)

3.1

8.1

19.9

14.3 15.4 17.0 16.9

11.6 12.3 14.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1449) 2013 (n=1501)

6.4

17.0

33.3 32.2

23.0

30.9 33.1

24.1 22.3

26.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1464) 2013 (n=1488)

4.3 5.9

9.3

6.8

10.6

3.3

8.1 7.4

10.2 10.1

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1565) 2013 (n=1626)

48

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3. Hung Yen

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

10.6

62.6

17.3 18.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=563)

96.2

6.5 0

20406080

100

Iodized salt use (n=1431)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=864)

21.4

65.4 55.8 78.5

020406080

100

Continued breastfeeding at 2years (n=70)

Child deworming (last 6months) (n=848)

Vitamin A supplementation(last 6 months) (n=848)

Child 24-35 months get vitaminA (n=785)

100.0 99.2

47.8

95.3

020406080

100

Child born in ahealth facility

(n=376)

Ever breastfed(n=646)

Early initiation ofbreastfeeding

(n=646)

No squeezing outcolostrum(n=622)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

29.7

84.2

48.6

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=64)

No bottle feeding(n=190)

No prelactealfeeding in the first3 days (n=646)

84.8 87.5 95.0 79.6 86.0 92.0 67.8

020406080

100

Continuedbreastfeeding at 1

year (n=105)

Minimum mealfrequency(n=456)

Minimum dietarydiversity (n=456)

Minimumacceptable diet

(n=456)

Consumption ofiron-rich or iron-fortified foods

(n=456)

Vitamin Asupplementation(last 6 months)

(n=465)

No bottle feeding(n=456)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

49

Page 51: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Hung Yen

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

85.5

43.4

15.4

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1431)

65.5

86.3

50.2 66.2

81.7 91.9 90.7

67.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1413)

10.2 13.0

96.1 99.5

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1413)

99.4

89.2

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1413)

92.8

58.4

18.3 26.0

14.6

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1413)

50

Page 52: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 5 No. of hospitals 12 No. of wards, town districts, and communes 116 No. of polyclinics 2 No. of villages 1,311 No. of commune health centers 116 Population No. of maternity homes - No. of children <5 years of age No. of doctors 493 No. of children <2 years of age No. of assistant doctors 383

(estimated to be 41.1% of the under 5) 41% No. of nurses 763 Percent ethnic minorities 0.2% No. of midwives/birth attendants 170 Poverty rate 10.5% No. of village health workers 1,263

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 23.9%, underweight was 14.6% and

wasting was 6.3%; while the prevalence of overweight and obesity was 5.3%.

22,601 54,991

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ha Nam

Nutrition profile 2013

786,562

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 96.3%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 64.8%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 17%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 79.7% and the rate of using Vitamin A after delivery was 16.3%.

The rate of early initiation of breastfeeding was 77.3%, continued breastfeeding at 2 years rate was

23.7% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 80.8%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 91.8%.

51

Page 53: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

2. Ha Nam

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

90.4

60.0

16.2 16.3

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1352) 2013 (n=1368)

32.1 31.6

14.1

27.2 27.2

15.3 13.0

17.0

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1454) 2013 (n=731)

17.4

27.5

6.9

2.4

14.6

23.9

6.3 5.3

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1528) 2013 (n=1549)

2.2

10.1 14.0

11.9 15.2 17.0

23.9

14.7 16.9

13.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1513) 2013 (n=1549)

10.1

14.8

26.0

41.0

29.0

21.1

35.1

27.7 28.7

9.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1521) 2013 (n=1545)

3.9 5.6

9.3

5.2 4.0

10.9

8.2

5.6

2.9

5.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1625) 2013 (n=1684)

52

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3. Ha Nam

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

2.2

70.4

7.8 7.5 0

20406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=348)

99.9

1.4 0

20406080

100

Iodized salt use (n=1368)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=775)

23.7 48.4 55.0

100.0

020406080

100

Continued breastfeeding at 2years (n=76)

Child deworming (last 6months) (n=889)

Vitamin A supplementation(last 6 months) (n=889)

Child 24-35 months get vitaminA (n=719)

99.2 99.5 77.3

93.5

020406080

100

Child born in ahealth facility

(n=377)

Ever breastfed(n=649)

Early initiation ofbreastfeeding

(n=649)

No squeezing outcolostrum(n=648)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

12.8

93.2

59.6

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=78)

No bottle feeding(n=176)

No prelactealfeeding in the first3 days (n=649)

82.5 91.1 92.2 80.8 85.2 91.3 90.3

020406080

100

Continuedbreastfeeding at 1

year (n=97)

Minimum mealfrequency(n=473)

Minimum dietarydiversity (n=473)

Minimumacceptable diet

(n=473)

Consumption ofiron-rich or iron-fortified foods

(n=473)

Vitamin Asupplementation(last 6 months)

(n=483)

No bottle feeding(n=473)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

53

Page 55: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Ha Nam

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

59.7

32.6

14.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1368)

90.7 91.1 77.4

89.4 88.3 92.2 88.8 79.7

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1362)

1.8 1.8

94.6 93.5

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1362)

96.3

64.8

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1362)

89.9

32.9 32.7

7.8 18.9

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1362)

54

Page 56: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 9 No. of hospitals 18 No. of wards, town districts, and communes 229 No. of polyclinics - No. of villages 3,499 No. of commune health centers 229 Population No. of maternity homes - No. of children <5 years of age No. of doctors 955 No. of children <2 years of age No. of assistant doctors 640

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,378 Percent ethnic minorities 0.2% No. of midwives/birth attendants 377 Poverty rate 8.6% No. of village health workers 3,104

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 2/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 21.6%, underweight was 13.6% and

wasting was 5.3%; while the prevalence of overweight and obesity was 4.3%.

61,576 149,819

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Nam Dinh

Nutrition profile 2013

1,831,056

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 91%; main sources of information were mass media channels, especially TV. The proportion

of mothers who met a health worker in the last 3 months was 71.4%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 17.1%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 83.7% and the rate of using Vitamin A after delivery was 16.1%.

The rate of early initiation of breastfeeding was 38.1%, continued breastfeeding at 2 years rate was

19.1% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 54.3%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 88.2%.

55

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2. Nam Dinh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

99.7

23.3

13.2 16.1

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1295) 2013 (n=1399)

23.9 24.7

19.6

24.1 24.1

16.4

10.1

17.1

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1378) 2013 (n=1560)

16.7

25.4

6.4

2.0

13.6

21.6

5.3 4.3

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1389) 2013 (n=1529)

1.3 5.4 6.5

3.7

10.9

5.7 9.2 9.1 8.4

11.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1309) 2013 (n=1529)

2.6 4.7

14.7 14.3 12.9 15.3

28.8

16.0 13.1 13.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1402) 2013 (n=1516)

6.3 7.6

3.9 3.2

7.6

3.2 4.2 3.5

5.7 6.6

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1505) 2013 (n=1635)

56

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3. Nam Dinh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

9.4

53.4 26.0

10.1 0

20406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=867)

89.4

2.7 0

20406080

100

Iodized salt use (n=1399)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=769)

19.1 30.1

78.2 95.8

020406080

100

Continued breastfeeding at 2years (n=136)

Child deworming (last 6months) (n=795)

Vitamin A supplementation(last 6 months) (n=795)

Child 24-35 months get vitaminA (n=672)

99.2 97.8

38.1

92.1

020406080

100

Child born in ahealth facility

(n=399)

Ever breastfed(n=727)

Early initiation ofbreastfeeding

(n=727)

No squeezing outcolostrum(n=687)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

31.8

81.4 68.9

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=88)

No bottle feeding(n=156)

No prelactealfeeding in the first3 days (n=727)

80.2 84.6 77.4 54.3

80.9 86.7 82.1

020406080

100

Continuedbreastfeeding at 1

year (n=96)

Minimum mealfrequency(n=571)

Minimum dietarydiversity (n=571)

Minimumacceptable diet

(n=571)

Consumption ofiron-rich or iron-fortified foods

(n=571)

Vitamin Asupplementation(last 6 months)

(n=585)

No bottle feeding(n=571)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

57

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Nam Dinh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

37.7

51.8

14.6

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1399)

87.3 85.3 78.0 79.1 83.2 82.5 83.3 83.2

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1146)

0.9

12.7

83.8 85.7

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1146)

91.0

71.4

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1146)

72.6

53.5

19.6

3.2 12.9

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1146)

58

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 7 No. of hospitals 21 No. of wards, town districts, and communes 286 No. of polyclinics - No. of villages 2,165 No. of commune health centers 286 Population No. of maternity homes - No. of children <5 years of age No. of doctors 1,474 No. of children <2 years of age No. of assistant doctors 825

(estimated to be 41.1% of the under 5) 41% No. of nurses 979 Percent ethnic minorities 0.1% No. of midwives/birth attendants 397 Poverty rate 9.3% No. of village health workers 2,629

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25.9%, underweight was 14.9% and

wasting was 7.4%; while the prevalence of overweight and obesity was 2%.

48,039 116,884

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Thai Binh

Nutrition profile 2013

1,788,435

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 99.1%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 88.1%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 17.8%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 69.2% and the rate of using Vitamin A after delivery was 70.4%.

The rate of early initiation of breastfeeding was 75.6%, continued breastfeeding at 2 years rate was

42.4% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 69.1%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 89.6%.

59

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2. Thai Binh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

98.4

81.0

70.0 70.4

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1456) 2013 (n=1447)

30.6

25.6 24.5 25.3 27.1

16.5 15.4 17.8

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1466) 2013 (n=1799)

17.3

26.7

7.8

3.0

14.9

25.9

7.4

2.0

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1523) 2013 (n=1521)

10.4 11.0 12.2 15.6

12.8

18.0

22.9 25.3 24.7

27.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1495) 2013 (n=1521)

16.0 12.0

23.5 23.4 25.0

32.8 31.4

37.9 39.2

27.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1500) 2013 (n=1514)

8.7 7.9 8.1 8.3

11.2

4.2 5.9 5.8

4.1 6.2

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1649) 2013 (n=1615)

60

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3. Thai Binh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

30.0

58.6

8.2 24.5

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=776)

92.7

16.4

020406080

100

Iodized salt use (n=1447)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=725)

42.4 27.2

76.3 67.0

020406080

100

Continued breastfeeding at 2years (n=66)

Child deworming (last 6months) (n=887)

Vitamin A supplementation(last 6 months) (n=887)

Child 24-35 months get vitaminA (n=819)

100.0 95.4 75.6 82.1

020406080

100

Child born in ahealth facility

(n=375)

Ever breastfed(n=628)

Early initiation ofbreastfeeding

(n=628)

No squeezing outcolostrum(n=624)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

13.3

44.0 51.4

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=90)

No bottle feeding(n=182)

No prelactealfeeding in the first3 days (n=628)

90.5 80.3 89.2 69.1 73.3

88.5

42.4

020406080

100

Continuedbreastfeeding at 1

year (n=126)

Minimum mealfrequency(n=446)

Minimum dietarydiversity (n=446)

Minimumacceptable diet

(n=446)

Consumption ofiron-rich or iron-fortified foods

(n=446)

Vitamin Asupplementation(last 6 months)

(n=451)

No bottle feeding(n=446)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

61

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Thai Binh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

67.9

77.4

38.1

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1447)

94.4 93.3 77.2

89.7 88.8 88.5 89.9 82.6

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1439)

1.4

22.1

91.2 97.1

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1439)

99.1

88.1

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1439)

82.6

59.9

27.7

13.4 10.6

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1439)

62

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 7 No. of hospitals 14 No. of wards, town districts, and communes 146 No. of polyclinics 12 No. of villages 1,676 No. of commune health centers 146 Population No. of maternity homes - No. of children <5 years of age No. of doctors 591 No. of children <2 years of age No. of assistant doctors 526

(estimated to be 41.1% of the under 5) 41% No. of nurses 787 Percent ethnic minorities 2.6% No. of midwives/birth attendants 163 Poverty rate 10.9% No. of village health workers 1,676

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25.7%, underweight was 15.4% and

wasting was 3.3%; while the prevalence of overweight and obesity was 2.5%.

28,937 70,406

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ninh Binh

Nutrition profile 2013

901,295

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 96.8%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 67.7%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 18%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 89.6% and the rate of using Vitamin A after delivery was 57.5%.

The rate of early initiation of breastfeeding was 77.6%, continued breastfeeding at 2 years rate was

18.1% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 77.2%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 83.5%.

63

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2. Ninh Binh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

96.6

47.9 44.3

57.5

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1313) 2013 (n=1408)

43.9

33.5

23.9

30.6 31.0

17.0

8.5

18.0

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1298) 2013 (n=643)

19.8

31.2

7.3

0.8

15.4

25.7

3.3 2.5

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1531) 2013 (n=1528)

3.7 3.1 4.3

11.2 7.2

12.7 12.0 10.7 12.9 14.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1516) 2013 (n=1528)

3.8 4.9

12.8

20.5 17.0

21.5

26.0

18.3 17.0 16.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1559) 2013 (n=1523)

7.4

3.1 3.0 2.2 3.0 2.5 2.0 3.8

5.0 4.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1649) 2013 (n=1628)

64

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3. Ninh Binh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

11.0

63.2

24.2 34.1

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=359)

96.3

9.4 0

20406080

100

Iodized salt use (n=1408)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=775)

18.1

43.6 49.5 62.5

020406080

100

Continued breastfeeding at 2years (n=149)

Child deworming (last 6months) (n=763)

Vitamin A supplementation(last 6 months) (n=763)

Child 24-35 months get vitaminA (n=666)

98.7 97.7 77.6

89.0

020406080

100

Child born in ahealth facility

(n=308)

Ever breastfed(n=742)

Early initiation ofbreastfeeding

(n=742)

No squeezing outcolostrum(n=709)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

23.1

81.0

24.9

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=39)

No bottle feeding(n=79)

No prelactealfeeding in the first3 days (n=742)

77.3 89.3 90.6 77.2 80.7 80.5 57.6

020406080

100

Continuedbreastfeeding at 1

year (n=172)

Minimum mealfrequency(n=663)

Minimum dietarydiversity (n=663)

Minimumacceptable diet

(n=663)

Consumption ofiron-rich or iron-fortified foods

(n=663)

Vitamin Asupplementation(last 6 months)

(n=687)

No bottle feeding(n=663)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

65

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Ninh Binh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

34.7

51.0

29.3

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1408)

92.0 91.3 82.4 87.8 88.8 90.6 94.3

80.2

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1085)

1.2 5.8

69.8

96.0

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1085)

96.8

67.7

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1085)

62.9

29.8

11.5 4.7 8.0

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1085)

66

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 11 No. of hospitals 15 No. of wards, town districts, and communes 195 No. of polyclinics 20 No. of villages 1,980 No. of commune health centers 175 Population No. of maternity homes - No. of children <5 years of age No. of doctors 439 No. of children <2 years of age No. of assistant doctors 1,103

(estimated to be 41.1% of the under 5) 41% No. of nurses 855 Percent ethnic minorities 86.8% No. of midwives/birth attendants 365 Poverty rate 45.5% No. of village health workers 1,981

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 35.4%, underweight was 23.5% and

wasting was 9.8%; while the prevalence of overweight and obesity was 2.9%.

32,592 79,300

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ha Giang

Nutrition profile 2013

743,881

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 98.3%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 95.8%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 12%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 47.5% and the rate of using Vitamin A after delivery was 17.2%.

The rate of early initiation of breastfeeding was 88.7%, continued breastfeeding at 2 years rate was 25%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 59.8%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 89.7%.

67

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2. Ha Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

98.0

73.0

16.8 17.2

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1422) 2013 (n=1520)

25.0 20.8

10.4

19.9

11.4 12.5 11.9 12.0

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1493) 2013 (n=1005)

25.3

38.0

7.6

1.9

23.5

35.4

9.8

2.9

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1560) 2013 (n=1522)

7.0

23.2

33.1

26.4

35.8 33.1

39.0 39.9 38.1

43.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1534) 2013 (n=1522)

18.6

34.5

46.2 47.9 46.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1527) 2013 (n=1489)

8.3 8.5 10.4

7.7

10.5 12.2

10.4 11.4

9.8 10.8

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1652) 2013 (n=1611)

68

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3. Ha Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

4.5 22.7 18.0

2.5 0

20406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=426)

99.2

1.0 0

20406080

100

Iodized salt use (n=1520)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=964)

25.0

87.4 96.0 98.9

020406080

100

Continued breastfeeding at 2years (n=104)

Child deworming (last 6months) (n=876)

Vitamin A supplementation(last 6 months) (n=876)

Child 24-35 months get vitaminA (n=874)

63.1

100.0 88.7 94.9

020406080

100

Child born in ahealth facility

(n=363)

Ever breastfed(n=646)

Early initiation ofbreastfeeding

(n=646)

No squeezing outcolostrum(n=584)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

2.9

98.9

12.7

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=35)

No bottle feeding(n=186)

No prelactealfeeding in the first3 days (n=646)

83.2 88.9 80.4 59.8

78.9 85.7 94.6

020406080

100

Continuedbreastfeeding at 1

year (n=95)

Minimum mealfrequency(n=460)

Minimum dietarydiversity (n=460)

Minimumacceptable diet

(n=460)

Consumption ofiron-rich or iron-fortified foods

(n=460)

Vitamin Asupplementation(last 6 months)

(n=460)

No bottle feeding(n=460)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

69

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Ha Giang

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

56.1

92.9

13.0

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1520)

94.4 92.1 90.9 80.2 79.7

94.8 93.3 86.1

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1489)

1.4

18.7

63.0

98.1

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1489)

98.3 95.8

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1489)

51.6 56.9

6.0

41.8

6.8

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1489)

70

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 13 No. of hospitals 16 No. of wards, town districts, and communes 199 No. of polyclinics 20 No. of villages 2,464 No. of commune health centers 199 Population No. of maternity homes - No. of children <5 years of age No. of doctors 485 No. of children <2 years of age No. of assistant doctors 681

(estimated to be 41.1% of the under 5) 41% No. of nurses 556 Percent ethnic minorities 94.2% No. of midwives/birth attendants 363 Poverty rate 35.5% No. of village health workers 2,465

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 34%, underweight was 21% and

wasting was 6.7%; while the prevalence of overweight and obesity was 2.1%.

18,206 44,297

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Cao Bang

Nutrition profile 2013

514,487

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 90.1%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 98.9%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 70.6% and the rate of using Vitamin A after delivery was 68.6%.

The rate of early initiation of breastfeeding was 83.1%, continued breastfeeding at 2 years rate was

25.3% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 49%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 88.3%.

71

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2. Cao Bang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

92.4

44.3

68.6 68.6

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1384) 2013 (n=1421)

20.8

16.5 17.9 18.6 19.3 15.1

10.1

15.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1444) 2013 (n=487)

21.7

35.0

8.3

2.3

21.0

34.0

6.7

2.1

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1469) 2013 (n=1514)

12.3

17.2

22.2

27.7 24.3

27.3 29.3

22.8

27.9 26.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1475) 2013 (n=1514)

16.0

24.0

36.1

45.6

37.0

43.5 45.6

33.9

49.5

36.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1409) 2013 (n=1491)

7.5

10.0 8.3 8.8

6.8

1.8

9.5

4.2

7.2 8.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1591) 2013 (n=1610)

72

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3. Cao Bang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

2.1

33.3 29.6 2.3

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=235)

99.3

2.1 0

20406080

100

Iodized salt use (n=1421)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=824)

25.3

84.9 96.4 100.0

020406080

100

Continued breastfeeding at 2years (n=87)

Child deworming (last 6months) (n=816)

Vitamin A supplementation(last 6 months) (n=816)

Child 24-35 months get vitaminA (n=727)

83.3 98.4

83.1 97.2

020406080

100

Child born in ahealth facility

(n=400)

Ever breastfed(n=694)

Early initiation ofbreastfeeding

(n=694)

No squeezing outcolostrum(n=674)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

4.4

86.7

13.4

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=45)

No bottle feeding(n=165)

No prelactealfeeding in the first3 days (n=694)

88.5 78.6 65.4

49.0 68.2

83.1 91.7

020406080

100

Continuedbreastfeeding at 1

year (n=96)

Minimum mealfrequency(n=529)

Minimum dietarydiversity (n=529)

Minimumacceptable diet

(n=529)

Consumption ofiron-rich or iron-fortified foods

(n=529)

Vitamin Asupplementation(last 6 months)

(n=540)

No bottle feeding(n=529)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

73

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Cao Bang

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

69.0

97.7

0.9 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1421)

89.9 86.8

17.7

86.1

52.8

86.6 71.0

55.3

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1421)

1.3 8.7

43.1

88.2

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1421)

90.1

98.9

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1421)

45.5

0.4 0.2 0.0 2.2 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1421)

74

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 13 No. of wards, town districts, and communes 164 No. of polyclinics 36 No. of villages 1,823 No. of commune health centers 164 Population No. of maternity homes - No. of children <5 years of age No. of doctors 427 No. of children <2 years of age No. of assistant doctors 654

(estimated to be 41.1% of the under 5) 41% No. of nurses 945 Percent ethnic minorities 65.4% No. of midwives/birth attendants 379 Poverty rate 36.6% No. of village health workers 1,739

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 37.3%, underweight was 22.1% and

wasting was 4.9%; while the prevalence of overweight and obesity was 2.8%.

30,389 73,939

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Lao Cai

Nutrition profile 2013

634,050

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 65.3%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 67.9%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 13.7%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 48.8% and the rate of using Vitamin A after delivery was 48.7%.

The rate of early initiation of breastfeeding was 52.7%, continued breastfeeding at 2 years rate was

12.9% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 42.5%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 83%.

75

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2. Lao Cai

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

82.4

63.8

40.8 48.7

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1304) 2013 (n=1376)

24.6 21.6

11.7

19.7

13.2 14.8 11.1

13.7

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1460) 2013 (n=683)

26.0

40.7

7.1 3.1

22.1

37.3

4.9 2.8

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1495) 2013 (n=1516)

4.3

10.7

18.5 19.2

23.9

13.2

25.9

21.2 22.9

14.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1459) 2013 (n=1516)

17.1 20.5

33.1

40.4 44.2

40.8 42.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1430) 2013 (n=1507)

5.8 4.0

6.4 5.3 5.2

1.9 3.7 3.8

7.4 6.7

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1590) 2013 (n=1619)

76

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3. Lao Cai

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

4.5

35.7 10.0 5.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=365)

98.4

2.3 0

20406080

100

Iodized salt use (n=1376)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=773)

12.9

73.1 90.7 92.7

020406080

100

Continued breastfeeding at 2years (n=93)

Child deworming (last 6months) (n=803)

Vitamin A supplementation(last 6 months) (n=803)

Child 24-35 months get vitaminA (n=661)

73.9

98.0

52.7

79.7

020406080

100

Child born in ahealth facility

(n=394)

Ever breastfed(n=715)

Early initiation ofbreastfeeding

(n=715)

No squeezing outcolostrum(n=690)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

12.2

83.0

42.5

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=90)

No bottle feeding(n=141)

No prelactealfeeding in the first3 days (n=715)

73.8 71.3 65.3 42.5 46.3

79.2 86.8

020406080

100

Continuedbreastfeeding at 1

year (n=122)

Minimum mealfrequency(n=574)

Minimum dietarydiversity (n=574)

Minimumacceptable diet

(n=574)

Consumption ofiron-rich or iron-fortified foods

(n=574)

Vitamin Asupplementation(last 6 months)

(n=578)

No bottle feeding(n=574)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

77

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Lao Cai

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

28.1

48.1

12.6

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1376)

49.2 55.6

31.3 30.8 42.1

50.7 53.5

33.7

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1154)

15.9 11.6

44.1

59.7

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1154)

65.3 67.9

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1154)

43.5

16.3

4.8 6.2 4.5

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1154)

78

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 9 No. of wards, town districts, and communes 122 No. of polyclinics 2 No. of villages 1,392 No. of commune health centers 122 Population No. of maternity homes - No. of children <5 years of age No. of doctors 453 No. of children <2 years of age No. of assistant doctors 350

(estimated to be 41.1% of the under 5) 41% No. of nurses 431 Percent ethnic minorities 86.6% No. of midwives/birth attendants 104 Poverty rate 28.6% No. of village health workers 1,392

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 30.8%, underweight was 20.6% and

wasting was 10.4%; while the prevalence of overweight and obesity was 2.4%.

10,601 25,792

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Bac Kan

Nutrition profile 2013

297,865

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 63.2%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 53.3%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 17%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 62.2% and the rate of using Vitamin A after delivery was 84.2%.

The rate of early initiation of breastfeeding was 67.2%, continued breastfeeding at 2 years rate was

19.5% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 71.5%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 90%.

79

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2. Bac Kan

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

64.1

54.2

75.5 84.2

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1413) 2013 (n=1427)

19.6 19.2

12.2

19.6 21.2

16.9

8.5

17.0

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1483) 2013 (n=272)

25.4

34.5

7.0

2.0

20.6

30.8

10.4

2.4

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1508) 2013 (n=1527)

5.3

10.6 14.0

17.5

12.5

24.0 26.9

30.4

20.5 20.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1490) 2013 (n=1527)

8.5 10.3

23.2

29.4 25.7

31.7

37.7 37.9 33.9

23.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1479) 2013 (n=1523)

9.2 10.7

9.2

14.8

7.6 8.2

13.8

9.9 11.8

10.9

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1636) 2013 (n=1649)

80

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3. Bac Kan

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

11.0

49.2

10.6 16.2

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=126)

98.7

3.4 0

20406080

100

Iodized salt use (n=1427)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=877)

19.5

88.0 97.7 90.1

020406080

100

Continued breastfeeding at 2years (n=87)

Child deworming (last 6months) (n=885)

Vitamin A supplementation(last 6 months) (n=885)

Child 24-35 months get vitaminA (n=790)

97.5 99.1

67.2 85.4

020406080

100

Child born in ahealth facility

(n=357)

Ever breastfed(n=637)

Early initiation ofbreastfeeding

(n=637)

No squeezing outcolostrum(n=629)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

15.0

80.2

44.0

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=60)

No bottle feeding(n=131)

No prelactealfeeding in the first3 days (n=637)

96.2 92.5 83.6 71.5 77.1 85.0

72.3

020406080

100

Continuedbreastfeeding at 1

year (n=105)

Minimum mealfrequency(n=506)

Minimum dietarydiversity (n=506)

Minimumacceptable diet

(n=506)

Consumption ofiron-rich or iron-fortified foods

(n=506)

Vitamin Asupplementation(last 6 months)

(n=512)

No bottle feeding(n=506)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

81

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Bac Kan

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

40.9 40.5

6.0

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1427)

55.8 53.7 48.9 50.4 56.7 57.1 58.2 55.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1281)

2.0 10.9

34.9

61.6

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1281)

63.2

53.3

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1281)

43.6

9.1 4.8 2.3 4.7

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1281)

82

Page 84: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 10 No. of hospitals 14 No. of wards, town districts, and communes 226 No. of polyclinics 21 No. of villages 2,340 No. of commune health centers 226 Population No. of maternity homes - No. of children <5 years of age No. of doctors 592 No. of children <2 years of age No. of assistant doctors 709

(estimated to be 41.1% of the under 5) 41% No. of nurses 765 Percent ethnic minorities 83.0% No. of midwives/birth attendants 363 Poverty rate 25.0% No. of village health workers 2,246

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 27.6%, underweight was 19.7% and

wasting was 10.6%; while the prevalence of overweight and obesity was 1.7%.

22,820 55,524

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Lang Son

Nutrition profile 2013

737,226

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 92.4%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 71.2%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 16.2%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 79.7% and the rate of using Vitamin A after delivery was 51.5%.

The rate of early initiation of breastfeeding was 47.8%, continued breastfeeding at 2 years rate was 6.3%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 69%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 83.2%.

83

Page 85: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

2. Lang Son

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

93.4

75.1

47.9 51.5

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1490) 2013 (n=1460)

34.8

23.1

17.1

25.0 22.8

16.0

8.5

16.2

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1522) 2013 (n=604)

21.6

31.0

7.2

0.9

19.7

27.6

10.6

1.7

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1544) 2013 (n=1499)

10.4 8.5

15.6

27.6

16.3

25.6

31.0 33.8

24.4 20.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1492) 2013 (n=1499)

12.2 11.9

25.3

37.2

26.5 30.0

32.4

38.6

24.4

32.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1526) 2013 (n=1497)

12.6 10.8

9.7

15.5

9.0 9.4 9.9 9.7 8.4 7.7

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1616) 2013 (n=1616)

84

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3. Lang Son

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

2.7

50.6 24.4

12.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=279)

98.6

2.6 0

20406080

100

Iodized salt use (n=1460)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=913)

6.3 20.1

63.7 84.8

020406080

100

Continued breastfeeding at 2years (n=112)

Child deworming (last 6months) (n=827)

Vitamin A supplementation(last 6 months) (n=827)

Child 24-35 months get vitaminA (n=795)

97.7 98.5

47.8 57.4

020406080

100

Child born in ahealth facility

(n=351)

Ever breastfed(n=665)

Early initiation ofbreastfeeding

(n=665)

No squeezing outcolostrum(n=631)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

5.6

74.4 56.7

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=108)

No bottle feeding(n=172)

No prelactealfeeding in the first3 days (n=665)

84.2 90.9 82.6 69.0 71.4 80.8 75.9

020406080

100

Continuedbreastfeeding at 1

year (n=120)

Minimum mealfrequency(n=493)

Minimum dietarydiversity (n=493)

Minimumacceptable diet

(n=493)

Consumption ofiron-rich or iron-fortified foods

(n=493)

Vitamin Asupplementation(last 6 months)

(n=499)

No bottle feeding(n=493)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

85

Page 87: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Lang Son

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

45.8

55.8

6.6

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1460)

59.7 58.9

32.9

54.7 66.5

82.3 74.5

87.0

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1359)

8.5 10.4

70.7

88.9

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1359)

92.4

71.2

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1359)

72.7

7.0 3.0 1.8 7.7

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1359)

86

Page 88: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 5 No. of hospitals 12 No. of wards, town districts, and communes 141 No. of polyclinics 13 No. of villages 2,062 No. of commune health centers 141 Population No. of maternity homes - No. of children <5 years of age No. of doctors 444 No. of children <2 years of age No. of assistant doctors 629

(estimated to be 41.1% of the under 5) 41% No. of nurses 362 Percent ethnic minorities 53.8% No. of midwives/birth attendants 209 Poverty rate 26.8% No. of village health workers 2,062

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 27.2%, underweight was 18.8% and

wasting was 8.5%; while the prevalence of overweight and obesity was 3.4%.

26,586 64,685

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Tuyen Quang

Nutrition profile 2013

731,581

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 89.6%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 86.3%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 25.9%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 73.8% and the rate of using Vitamin A after delivery was 72.6%.

The rate of early initiation of breastfeeding was 93.1%, continued breastfeeding at 2 years rate was

48.1% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 66.6%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 89.7%.

87

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2. Tuyen Quang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

99.4 99.5

72.2 72.6

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1473) 2013 (n=1509)

1.8 1.3 0.0 0.7

21.8

29.2 27.8 25.9

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1495) 2013 (n=932)

21.6

31.7

7.1 8.0

18.8

27.2

8.5

3.4

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1520) 2013 (n=1525)

11.5 8.8

15.6

10.8 13.7 13.7

20.8 18.7

15.5

10.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1495) 2013 (n=1525)

25.7 21.5

25.8 24.0

26.0

31.5 29.1 30.7 29.5

24.4

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1511) 2013 (n=1504)

7.7 8.4 9.1 10.0

6.1

9.6 9.7

7.3 9.3 8.7

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1653) 2013 (n=1645)

88

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3. Tuyen Quang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

28.2 48.3

22.5 19.0

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=390)

96.7

13.4

020406080

100

Iodized salt use (n=1509)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=880)

48.1 30.9

54.7

17.3

020406080

100

Continued breastfeeding at 2years (n=52)

Child deworming (last 6months) (n=891)

Vitamin A supplementation(last 6 months) (n=891)

Child 24-35 months get vitaminA (n=873)

100.0 98.9 93.1 91.0

020406080

100

Child born in ahealth facility

(n=411)

Ever breastfed(n=636)

Early initiation ofbreastfeeding

(n=636)

No squeezing outcolostrum(n=623)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

15.2 18.5

65.9

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=105)

No bottle feeding(n=184)

No prelactealfeeding in the first3 days (n=636)

94.1 91.8 73.0 66.6 73.9

96.9

1.8 0

20406080

100

Continuedbreastfeeding at 1

year (n=85)

Minimum mealfrequency(n=452)

Minimum dietarydiversity (n=452)

Minimumacceptable diet

(n=452)

Consumption ofiron-rich or iron-fortified foods

(n=452)

Vitamin Asupplementation(last 6 months)

(n=453)

No bottle feeding(n=452)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

89

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Tuyen Quang

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

61.6

82.4

30.4

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1509)

79.5 67.2

28.7

74.2 79.5

60.8 64.0

34.1

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1501)

7.1 16.5

32.5

76.1

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1501)

89.6 86.3

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1501)

16.9

35.8

2.0

17.1 7.6

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1501)

90

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 14 No. of wards, town districts, and communes 180 No. of polyclinics 19 No. of villages 2,282 No. of commune health centers 180 Population No. of maternity homes - No. of children <5 years of age No. of doctors 548 No. of children <2 years of age No. of assistant doctors 746

(estimated to be 41.1% of the under 5) 41% No. of nurses 707 Percent ethnic minorities 53.7% No. of midwives/birth attendants 390 Poverty rate 25.2% No. of village health workers 1,885

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 30.4%, underweight was 19.2% and

wasting was 10.2%; while the prevalence of overweight and obesity was 4%.

31,151 75,794

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Yen Bai

Nutrition profile 2013

749,886

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 89.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 80.5%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 8.7%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 69.5% and the rate of using Vitamin A after delivery was 74.8%.

The rate of early initiation of breastfeeding was 82.5%, continued breastfeeding at 2 years rate was

37.5% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 80.1%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 95.4%.

91

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2. Yen Bai

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

95.4 88.1

73.6 74.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1433) 2013 (n=1483)

24.2

16.2 14.8 18.3

11.5 7.3 8.8 8.7

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1386) 2013 (n=965)

22.8

33.2

7.2

2.5

19.2

30.4

10.2

4.0

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1530) 2013 (n=1527)

16.3 12.0

21.6

13.3 15.7

13.5

19.4 20.8 22.0 20.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1453) 2013 (n=1527)

25.3

32.4

37.2 34.2

28.7 31.1

38.2 35.2

29.0

23.4

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1571) 2013 (n=1511)

11.7

8.7 9.7

7.1

15.2

7.3

14.6

9.5

5.1

7.8

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1632) 2013 (n=1616)

92

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3. Yen Bai

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

27.6

61.9

5.8 27.4

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=426)

97.3

17.7

020406080

100

Iodized salt use (n=1483)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=827)

37.5

91.0 98.0 75.2

020406080

100

Continued breastfeeding at 2years (n=72)

Child deworming (last 6months) (n=899)

Vitamin A supplementation(last 6 months) (n=899)

Child 24-35 months get vitaminA (n=856)

87.0 97.9

82.5 86.9

020406080

100

Child born in ahealth facility

(n=392)

Ever breastfed(n=627)

Early initiation ofbreastfeeding

(n=627)

No squeezing outcolostrum(n=616)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

29.3

77.2

26.8

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=58)

No bottle feeding(n=184)

No prelactealfeeding in the first3 days (n=627)

98.9 94.6 88.5 80.1 86.7 92.6

60.9

020406080

100

Continuedbreastfeeding at 1

year (n=87)

Minimum mealfrequency(n=443)

Minimum dietarydiversity (n=443)

Minimumacceptable diet

(n=443)

Consumption ofiron-rich or iron-fortified foods

(n=443)

Vitamin Asupplementation(last 6 months)

(n=446)

No bottle feeding(n=443)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

93

Page 95: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Yen Bai

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

51.7

61.3

13.8

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1483)

89.0 90.9

70.0 82.4 78.6 84.8 83.5 81.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1439)

2.1 7.2

54.9

90.6

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1439)

89.9

80.5

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1439)

53.0

23.1

10.1 5.9 6.5

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1439)

94

Page 96: Nutrition Surveillance Profiles · 2017-08-01 · Ha Giang 67 Dong Nai 223 Cao Bang 71 Binh Thuan 227 Lao Cai 75 Ba Ria - Vung Tau 231 Bac Kan 79 Long An 235 Lang Son 83 Dong Thap

MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 15 No. of wards, town districts, and communes 180 No. of polyclinics 13 No. of villages 2,967 No. of commune health centers 180 Population No. of maternity homes - No. of children <5 years of age No. of doctors 771 No. of children <2 years of age No. of assistant doctors 564

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,392 Percent ethnic minorities 26.9% No. of midwives/birth attendants 207 Poverty rate 16.9% No. of village health workers 2,961

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25%, underweight was 15.9% and

wasting was 3.9%; while the prevalence of overweight and obesity was 2.9%.

40,227 97,875

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Thai Nguyen

Nutrition profile 2013

1,135,606

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 90.6%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 77.6%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 18.2%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 94.6% and the rate of using Vitamin A after delivery was 41.6%.

The rate of early initiation of breastfeeding was 46.4%, continued breastfeeding at 2 years rate was

17.4% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 62.9%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 85.4%.

95

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2. Thai Nguyen

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

92.7

60.4

41.3 41.6

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1430) 2013 (n=1526)

29.4

22.8

15.6

25.2 23.8

17.2 13.0

18.2

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1438) 2013 (n=1354)

18.5

27.9

7.0

1.7

15.9

25.0

3.9 2.9

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1513) 2013 (n=1519)

6.9 7.2 7.7 8.1 11.7 12.1 13.7

15.7

22.0

12.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1474) 2013 (n=1519)

7.6 8.3

16.9

27.6 25.1 24.9

26.7 26.1

32.1

13.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1525) 2013 (n=1506)

4.5 4.5 4.2 2.4

4.4 2.3 2.6

5.1

2.8

5.9

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1576) 2013 (n=1624)

96

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3. Thai Nguyen

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

6.3

76.1

16.1 31.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=598)

99.1

5.7 0

20406080

100

Iodized salt use (n=1526)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=919)

17.4 41.3

65.6

97.4

020406080

100

Continued breastfeeding at 2years (n=69)

Child deworming (last 6months) (n=864)

Vitamin A supplementation(last 6 months) (n=864)

Child 24-35 months get vitaminA (n=858)

100.0 98.2

46.4

85.1

020406080

100

Child born in ahealth facility

(n=398)

Ever breastfed(n=668)

Early initiation ofbreastfeeding

(n=668)

No squeezing outcolostrum(n=636)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

26.7

79.4 61.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=90)

No bottle feeding(n=180)

No prelactealfeeding in the first3 days (n=668)

89.0 80.7 79.3 62.9 69.7

80.5 83.4

020406080

100

Continuedbreastfeeding at 1

year (n=100)

Minimum mealfrequency(n=488)

Minimum dietarydiversity (n=488)

Minimumacceptable diet

(n=488)

Consumption ofiron-rich or iron-fortified foods

(n=488)

Vitamin Asupplementation(last 6 months)

(n=488)

No bottle feeding(n=488)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

97

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Thai Nguyen

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

41.7

67.8

13.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1526)

88.4 86.4 85.5 85.4 87.8 85.7 87.4 86.3

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1515)

1.7

22.0

71.5

89.8

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1515)

90.6

77.6

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1515)

68.0

9.8 8.3 4.4 12.9

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1515)

98

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 12 No. of hospitals 17 No. of wards, town districts, and communes 277 No. of polyclinics - No. of villages 2,874 No. of commune health centers 275 Population No. of maternity homes - No. of children <5 years of age No. of doctors 814 No. of children <2 years of age No. of assistant doctors 1,072

(estimated to be 41.1% of the under 5) 41% No. of nurses 886 Percent ethnic minorities 15.8% No. of midwives/birth attendants 210 Poverty rate 17.0% No. of village health workers 2,874

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 26.9%, underweight was 16% and

wasting was 8%; while the prevalence of overweight and obesity was 3.1%.

42,446 103,274

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Phu Tho

Nutrition profile 2013

1,326,197

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 93.3%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 49.2%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 18.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 91% and the rate of using Vitamin A after delivery was 26.1%.

The rate of early initiation of breastfeeding was 43.3%, continued breastfeeding at 2 years rate was 25%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 78.9%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 92%.

99

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2. Phu Tho

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

87.7

26.5 25.1 26.1

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1514) 2013 (n=1517)

17.6 17.5 15.5 16.8

25.4

18.1

12.9

18.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1563) 2013 (n=1486)

19.4

30.8

7.8 4.3

16.0

26.9

8.0

3.1

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1619) 2013 (n=1515)

3.8 4.2 3.4

10.4 10.3 12.2

18.0 15.6 17.1

22.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1590) 2013 (n=1515)

8.8 10.8

17.5 20.3

16.4

21.2

28.9

17.6

25.9 24.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1615) 2013 (n=1503)

13.7

5.8 4.3

6.3

8.7 9.0 7.4

11.7

5.4

9.4

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1705) 2013 (n=1619)

100

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3. Phu Tho

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

6.5

72.2

18.3 26.7

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=627)

97.8

2.7 0

20406080

100

Iodized salt use (n=1517)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=922)

25.0 38.3

69.8 66.1

020406080

100

Continued breastfeeding at 2years (n=100)

Child deworming (last 6months) (n=882)

Vitamin A supplementation(last 6 months) (n=882)

Child 24-35 months get vitaminA (n=882)

99.5 98.9

43.3

93.5

020406080

100

Child born in ahealth facility

(n=375)

Ever breastfed(n=635)

Early initiation ofbreastfeeding

(n=635)

No squeezing outcolostrum(n=599)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

42.9

80.0

43.9

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=56)

No bottle feeding(n=185)

No prelactealfeeding in the first3 days (n=635)

92.0 92.4 91.8 78.9 86.4 86.9

47.1

020406080

100

Continuedbreastfeeding at 1

year (n=75)

Minimum mealfrequency(n=450)

Minimum dietarydiversity (n=450)

Minimumacceptable diet

(n=450)

Consumption ofiron-rich or iron-fortified foods

(n=450)

Vitamin Asupplementation(last 6 months)

(n=450)

No bottle feeding(n=450)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

101

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Phu Tho

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

42.3

29.7

10.3

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1517)

69.5 77.5

34.7

59.6 72.2 78.2

90.3 79.1

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1457)

9.8 3.6

75.9

93.8

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1457)

93.3

49.2

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1457)

78.4

16.5 25.7 23.6 19.6

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1457)

102

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 14 No. of wards, town districts, and communes 137 No. of polyclinics 8 No. of villages 1,434 No. of commune health centers 138 Population No. of maternity homes - No. of children <5 years of age No. of doctors 578 No. of children <2 years of age No. of assistant doctors 708

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,006 Percent ethnic minorities 4.3% No. of midwives/birth attendants 230 Poverty rate 8.8% No. of village health workers 1,410

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 24.8%, underweight was 15.5% and

wasting was 4.2%; while the prevalence of overweight and obesity was 2.1%.

39,841 96,937

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Vinh Phuc

Nutrition profile 2013

1,014,254

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 83.5%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 92.4%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 17.8%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 6.8% and the rate of using Vitamin A after delivery was 45.3%.

The rate of early initiation of breastfeeding was 49.2%, continued breastfeeding at 2 years rate was

27.6% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 42.6%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 83%.

103

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2. Vinh Phuc

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

90.0

63.4

34.2

45.3

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1242) 2013 (n=1362)

40.0

34.7

24.1

31.4

23.3

16.8

10.3

17.8

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1030) 2013 (n=828)

19.3

27.9

6.8

2.0

15.5

24.8

4.2 2.1

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1523) 2013 (n=1507)

4.2 7.2

10.6 9.5 10.9 13.6 12.4 13.6

21.6

12.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1487) 2013 (n=1507)

5.9

13.6

19.7 18.4 20.8 22.4 23.4

17.4

30.7

20.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1505) 2013 (n=1498)

5.8 4.5

3.1 3.8 3.8

6.3

3.4 1.5

4.5 4.2

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1597) 2013 (n=1587)

104

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3. Vinh Phuc

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

1.6 2.2 4.6 6.2 0

20406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=457)

69.8

0.8 0

20406080

100

Iodized salt use (n=1362)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=784)

27.6 15.0

58.7

92.6

020406080

100

Continued breastfeeding at 2years (n=98)

Child deworming (last 6months) (n=804)

Vitamin A supplementation(last 6 months) (n=804)

Child 24-35 months get vitaminA (n=677)

95.9 90.8

49.2

91.7

020406080

100

Child born in ahealth facility

(n=414)

Ever breastfed(n=685)

Early initiation ofbreastfeeding

(n=685)

No squeezing outcolostrum(n=565)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

50.8

78.9

39.4

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=124)

No bottle feeding(n=190)

No prelactealfeeding in the first3 days (n=685)

80.2 78.6 65.1

42.6 65.9

81.3 80.2

020406080

100

Continuedbreastfeeding at 1

year (n=96)

Minimum mealfrequency(n=495)

Minimum dietarydiversity (n=495)

Minimumacceptable diet

(n=495)

Consumption ofiron-rich or iron-fortified foods

(n=495)

Vitamin Asupplementation(last 6 months)

(n=513)

No bottle feeding(n=495)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

105

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Vinh Phuc

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

28.8

76.6

18.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1362)

70.4 77.0 61.5

70.6 57.8 56.8

72.3

54.1

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1022)

4.6

19.6

80.1 76.7

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1022)

83.5

92.4

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1022)

74.7

37.9

5.6 5.8 1.4 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1022)

106

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 9 No. of hospitals 16 No. of wards, town districts, and communes 230 No. of polyclinics 4 No. of villages 2,440 No. of commune health centers 230 Population No. of maternity homes 1 No. of children <5 years of age No. of doctors 1,031 No. of children <2 years of age No. of assistant doctors 1,138

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,310 Percent ethnic minorities 12.7% No. of midwives/birth attendants 337 Poverty rate 16.7% No. of village health workers 2,446

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 27.9%, underweight was 16.6% and

wasting was 7.3%; while the prevalence of overweight and obesity was 4.3%.

52,297 127,243

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Bac Giang

Nutrition profile 2013

1,562,697

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 94.1%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 55.4%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 14.2%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 83.8% and the rate of using Vitamin A after delivery was 47.7%.

The rate of early initiation of breastfeeding was 73.5%, continued breastfeeding at 2 years rate was

18.9% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 69.6%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 95%.

107

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2. Bac Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

86.6

41.6 46.4 47.7

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1399) 2013 (n=1415)

23.7 23.2

30.9

25.5

16.1 14.8

8.7

14.2

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1399) 2013 (n=1632)

19.6

31.9

7.8 3.9

16.6

27.9

7.3 4.3

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1493) 2013 (n=1530)

4.4

11.0 14.9 15.2

20.0 17.1 18.9 19.4 21.1

24.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1454) 2013 (n=1530)

10.4 8.5

21.6

29.7 26.4

36.5 37.1 38.7

33.7 31.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1468) 2013 (n=1520)

9.3

14.7

9.2

5.1

8.6

4.1 5.7

4.5 4.2 5.9

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1570) 2013 (n=1623)

108

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3. Bac Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

22.5

71.1

11.5 21.3

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=723)

96.4

9.3 0

20406080

100

Iodized salt use (n=1415)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=861)

18.9

78.3 97.1 95.4

020406080

100

Continued breastfeeding at 2years (n=90)

Child deworming (last 6months) (n=897)

Vitamin A supplementation(last 6 months) (n=897)

Child 24-35 months get vitaminA (n=788)

99.7 96.5

73.5 85.3

020406080

100

Child born in ahealth facility

(n=355)

Ever breastfed(n=627)

Early initiation ofbreastfeeding

(n=627)

No squeezing outcolostrum(n=621)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

28.9

86.3

49.1

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=76)

No bottle feeding(n=183)

No prelactealfeeding in the first3 days (n=627)

90.5 89.4 84.5 69.6 76.4 92.9 82.7

020406080

100

Continuedbreastfeeding at 1

year (n=95)

Minimum mealfrequency(n=444)

Minimum dietarydiversity (n=444)

Minimumacceptable diet

(n=444)

Consumption ofiron-rich or iron-fortified foods

(n=444)

Vitamin Asupplementation(last 6 months)

(n=451)

No bottle feeding(n=444)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

109

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Bac Giang

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

35.7 43.0

9.3

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1415)

78.2 74.9

46.7 58.8

77.4 77.1 75.8 68.0

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1377)

4.2

15.8

79.4

91.9

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1377)

94.1

55.4

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1377)

81.3

34.5

9.4 3.4

12.2

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1377)

110

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 7 No. of hospitals 11 No. of wards, town districts, and communes 126 No. of polyclinics - No. of villages 780 No. of commune health centers 126 Population No. of maternity homes - No. of children <5 years of age No. of doctors 706 No. of children <2 years of age No. of assistant doctors 800

(estimated to be 41.1% of the under 5) 41% No. of nurses 610 Percent ethnic minorities 0.3% No. of midwives/birth attendants 322 Poverty rate 5.9% No. of village health workers 923

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 26.9%, underweight was 11.6% and

wasting was 4.3%; while the prevalence of overweight and obesity was 2.6%.

42,658 103,791

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Bac Ninh

Nutrition profile 2013

1,039,828

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 98.4%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 71.2%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 18.1%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 95% and the rate of using Vitamin A after delivery was 34.5%.

The rate of early initiation of breastfeeding was 68.7%, continued breastfeeding at 2 years rate was

17.9% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 71.2%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 91.1%.

111

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2. Bac Ninh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

93.1

57.4

26.6 34.5

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1369) 2013 (n=1411)

32.7

22.9

18.6

24.6 28.2

18.5

10.5

18.1

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1449) 2013 (n=948)

15.4

31.5

6.7

2.2

11.6

26.9

4.3 2.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1517) 2013 (n=1524)

1.7 6.3

14.1 13.2 12.5 10.4 9.4

12.3 15.5 17.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1457) 2013 (n=1524)

4.0

8.6

27.2 26.9

20.8 21.1 20.9

28.0

18.6

24.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1557) 2013 (n=1514)

4.0 4.3 6.0

4.2 5.8

3.9 2.9 3.1

6.2 5.2

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1666) 2013 (n=1650)

112

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3. Bac Ninh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

6.9

83.9

9.6 17.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=459)

93.7

4.9 0

20406080

100

Iodized salt use (n=1411)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=851)

17.9

66.9 66.7

96.0

020406080

100

Continued breastfeeding at 2years (n=84)

Child deworming (last 6months) (n=889)

Vitamin A supplementation(last 6 months) (n=889)

Child 24-35 months get vitaminA (n=784)

99.4 98.7

68.7 73.8

020406080

100

Child born in ahealth facility

(n=319)

Ever breastfed(n=627)

Early initiation ofbreastfeeding

(n=627)

No squeezing outcolostrum(n=588)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

32.2

57.4

27.1

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=146)

No bottle feeding(n=176)

No prelactealfeeding in the first3 days (n=627)

93.9 84.0 86.9 71.2 81.2 89.1

61.0

020406080

100

Continuedbreastfeeding at 1

year (n=99)

Minimum mealfrequency(n=451)

Minimum dietarydiversity (n=451)

Minimumacceptable diet

(n=451)

Consumption ofiron-rich or iron-fortified foods

(n=451)

Vitamin Asupplementation(last 6 months)

(n=459)

No bottle feeding(n=451)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

113

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Bac Ninh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

47.6 53.9

26.1

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1411)

95.5 88.6 84.7 91.7 78.7

91.8 92.3

67.7

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1090)

0.7 5.4

96.4 97.3

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1090)

98.4

71.2

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1090)

85.0 75.2

67.6

30.6

58.2

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1090)

114

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 12 No. of hospitals 19 No. of wards, town districts, and communes 186 No. of polyclinics 10 No. of villages 1,550 No. of commune health centers 186 Population No. of maternity homes - No. of children <5 years of age No. of doctors 770 No. of children <2 years of age No. of assistant doctors 612

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,152 Percent ethnic minorities 11.6% No. of midwives/birth attendants 279 Poverty rate 6.5% No. of village health workers 1,509

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 26.5%, underweight was 15.1% and

wasting was 7.8%; while the prevalence of overweight and obesity was 7.2%.

38,625 93,978

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Quang Ninh

Nutrition profile 2013

1,169,573

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 98.3%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 77.4%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 18.7%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 47.4% and the rate of using Vitamin A after delivery was 43.2%.

The rate of early initiation of breastfeeding was 66.2%, continued breastfeeding at 2 years rate was

15.3% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 31.8%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 85.9%.

115

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2. Quang Ninh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

95.4

24.3

40.0 43.2

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1269) 2013 (n=1394)

21.8

16.8 13.7

17.8

26.2

18.0

9.0

18.7

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1344) 2013 (n=1172)

17.8

28.0

7.2

2.2

15.1

26.5

7.8 7.2

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1410) 2013 (n=1558)

8.8 7.1

12.3

7.1

14.2 16.9 15.2

10.4 14.3 14.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1381) 2013 (n=1558)

17.7

25.9

30.4 29.6

34.6 33.6 31.2

25.4 27.4 27.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1408) 2013 (n=1555)

14.4

8.7 7.2 6.5

2.4

7.2

4.0

9.0 7.1

9.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1540) 2013 (n=1638)

116

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3. Quang Ninh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

25.1 39.2

7.1 12.9

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=693)

94.7

10.1

020406080

100

Iodized salt use (n=1394)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=726)

15.3 23.4

63.8

96.9

020406080

100

Continued breastfeeding at 2years (n=118)

Child deworming (last 6months) (n=723)

Vitamin A supplementation(last 6 months) (n=723)

Child 24-35 months get vitaminA (n=574)

97.5 98.9

66.2

98.4

020406080

100

Child born in ahealth facility

(n=471)

Ever breastfed(n=820)

Early initiation ofbreastfeeding

(n=820)

No squeezing outcolostrum(n=809)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

9.3

89.0

26.3

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=43)

No bottle feeding(n=146)

No prelactealfeeding in the first3 days (n=820)

81.4 83.5

54.5 31.8

76.9 85.5 88.6

020406080

100

Continuedbreastfeeding at 1

year (n=129)

Minimum mealfrequency(n=674)

Minimum dietarydiversity (n=674)

Minimumacceptable diet

(n=674)

Consumption ofiron-rich or iron-fortified foods

(n=674)

Vitamin Asupplementation(last 6 months)

(n=689)

No bottle feeding(n=674)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

117

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Quang Ninh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

74.5

32.2

3.5

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1394)

91.8 89.1

5.1

71.0 79.8

26.5

79.4 83.1

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1288)

2.6

58.0

85.4 93.2

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1288)

98.3

77.4

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1288)

72.9 79.1

56.2

0.0 0.9 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1288)

118

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 7 No. of hospitals 10 No. of wards, town districts, and communes 98 No. of polyclinics 14 No. of villages 1,147 No. of commune health centers 98 Population No. of maternity homes - No. of children <5 years of age No. of doctors 163 No. of children <2 years of age No. of assistant doctors 772

(estimated to be 41.1% of the under 5) 41% No. of nurses 592 Percent ethnic minorities 84.7% No. of midwives/birth attendants 201 Poverty rate 46.8% No. of village health workers 1,017

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 36.8%, underweight was 23.9% and

wasting was 4.9%; while the prevalence of overweight and obesity was 3.1%.

19,724 47,991

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Lai Chau

Nutrition profile 2013

390,890

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 89.5%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 86.2%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 11.9%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 74.1% and the rate of using Vitamin A after delivery was 78.1%.

The rate of early initiation of breastfeeding was 40.6%, continued breastfeeding at 2 years rate was

25.5% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 47.8%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 89.9%.

119

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2. Lai Chau

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

94.6

76.5 76.5 78.1

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1320) 2013 (n=1325)

15.3 18.1

13.2 16.1

12.0 12.6 10.7 11.9

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1456) 2013 (n=458)

26.5

37.2

7.3

1.5

23.9

36.8

4.9 3.1

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1529) 2013 (n=1521)

6.1

17.5

24.3 28.1

30.3

24.4

31.0

23.9

31.0

24.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1539) 2013 (n=1521)

18.8 20.7

48.5 47.1

42.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1517) 2013 (n=1516)

5.0 6.6

4.4 6.2

5.1 3.4

6.4

2.5

6.0 4.9

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1630) 2013 (n=1633)

120

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3. Lai Chau

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

3.1

52.7

20.4 35.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=206)

97.4

3.2 0

20406080

100

Iodized salt use (n=1325)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=779)

25.5

88.7 95.5 97.7

020406080

100

Continued breastfeeding at 2years (n=98)

Child deworming (last 6months) (n=893)

Vitamin A supplementation(last 6 months) (n=893)

Child 24-35 months get vitaminA (n=711)

52.3

94.8

40.6

90.4

020406080

100

Child born in ahealth facility

(n=348)

Ever breastfed(n=614)

Early initiation ofbreastfeeding

(n=614)

No squeezing outcolostrum(n=596)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

63.1

90.1

61.1

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=122)

No bottle feeding(n=181)

No prelactealfeeding in the first3 days (n=614)

92.9 88.9

60.3 47.8

67.7 85.9 91.5

020406080

100

Continuedbreastfeeding at 1

year (n=98)

Minimum mealfrequency(n=433)

Minimum dietarydiversity (n=433)

Minimumacceptable diet

(n=433)

Consumption ofiron-rich or iron-fortified foods

(n=433)

Vitamin Asupplementation(last 6 months)

(n=448)

No bottle feeding(n=433)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

121

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Lai Chau

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

55.1 63.5

2.3 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1325)

70.9 71.2

28.9

71.1 76.2 81.9 80.2 79.8

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1299)

5.5 4.0

22.4

85.9

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1299)

89.5 86.2

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1299)

24.6

0.8 1.4 0.2 3.0 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1299)

122

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 10 No. of hospitals 15 No. of wards, town districts, and communes 206 No. of polyclinics 18 No. of villages 3,259 No. of commune health centers 206 Population No. of maternity homes - No. of children <5 years of age No. of doctors 571 No. of children <2 years of age No. of assistant doctors 938

(estimated to be 41.1% of the under 5) 41% No. of nurses 923 Percent ethnic minorities 82.4% No. of midwives/birth attendants 383 Poverty rate 34.8% No. of village health workers 3,073

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 34.7%, underweight was 22.1% and

wasting was 12.4%; while the prevalence of overweight and obesity was 2.5%.

86,471 210,392

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Son La

Nutrition profile 2013

1,102,817

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 97.5%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 69.3%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 12.3%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 48.6% and the rate of using Vitamin A after delivery was 38.4%.

The rate of early initiation of breastfeeding was 74.4%, continued breastfeeding at 2 years rate was

34.9% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 48.6%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 83.8%.

123

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2. Son La

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

96.1

62.6

34.4 38.4

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1526) 2013 (n=1485)

11.5 15.5

12.9 12.8 16.2

10.1

4.9

12.3

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1473) 2013 (n=1059)

22.8

36.7

7.3

2.8

22.1

34.7

12.4

2.5

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1560) 2013 (n=1480)

13.9

20.8 19.3

28.6 29.2 24.7

34.1 35.0 37.0 37.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1555) 2013 (n=1480)

19.9 22.9

34.6

42.6

37.8 37.5

47.5

39.0

44.9 46.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1543) 2013 (n=1435)

13.1

15.4

9.5 10.6

17.6

13.5

9.2 11.1

9.2 9.6

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1676) 2013 (n=1563)

124

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3. Son La

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

3.0 20.2 20.5

7.7 0

20406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=675)

70.6

1.5 0

20406080

100

Iodized salt use (n=1485)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=841)

34.9 48.6

83.6 86.1

020406080

100

Continued breastfeeding at 2years (n=106)

Child deworming (last 6months) (n=762)

Vitamin A supplementation(last 6 months) (n=762)

Child 24-35 months get vitaminA (n=761)

86.2 98.3

74.4 75.9

020406080

100

Child born in ahealth facility

(n=442)

Ever breastfed(n=724)

Early initiation ofbreastfeeding

(n=724)

No squeezing outcolostrum(n=638)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

44.1

70.5

29.8

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=93)

No bottle feeding(n=166)

No prelactealfeeding in the first3 days (n=724)

61.9 71.7 75.8

48.6 60.6

81.4 61.6

020406080

100

Continuedbreastfeeding at 1

year (n=97)

Minimum mealfrequency(n=558)

Minimum dietarydiversity (n=558)

Minimumacceptable diet

(n=558)

Consumption ofiron-rich or iron-fortified foods

(n=558)

Vitamin Asupplementation(last 6 months)

(n=559)

No bottle feeding(n=558)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

125

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Son La

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

49.1

38.0

29.4

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1485)

77.3 80.2

55.7 69.6 74.5 70.6

85.0 81.5

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1331)

4.4 10.3

81.5

93.6

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1331)

97.5

69.3

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1331)

78.7

46.2

18.2 17.2 6.2

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1331)

126

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 10 No. of hospitals 14 No. of wards, town districts, and communes 210 No. of polyclinics 22 No. of villages 2,024 No. of commune health centers 208 Population No. of maternity homes - No. of children <5 years of age No. of doctors 679 No. of children <2 years of age No. of assistant doctors 1,030

(estimated to be 41.1% of the under 5) 41% No. of nurses 486 Percent ethnic minorities 73.6% No. of midwives/birth attendants 318 Poverty rate 27.7% No. of village health workers 2,061

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 26.7%, underweight was 19.5% and

wasting was 5.7%; while the prevalence of overweight and obesity was 1.6%.

26,603 64,727

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Hoa Binh

Nutrition profile 2013

798,734

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 99.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 88.7%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 17.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 92.6% and the rate of using Vitamin A after delivery was 72.4%.

The rate of early initiation of breastfeeding was 84.4%, continued breastfeeding at 2 years rate was

33.1% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 70.3%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 88.2%.

127

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2. Hoa Binh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

98.9 89.6

54.9

72.4

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1385) 2013 (n=1445)

26.3

14.3 14.8 17.2

23.2

17.0

6.5

17.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1461) 2013 (n=667)

22.7

30.6

7.1

1.6

19.5

26.7

5.7 1.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1490) 2013 (n=1525)

7.1 9.4

15.3 17.0

22.3 26.4

22.1 21.7 21.0 22.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1461) 2013 (n=1525)

18.0 15.6

25.2

34.1

23.6

38.7

33.9 30.1

23.8

19.4

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1488) 2013 (n=1521)

4.4 3.1

8.0

4.4

6.8 5.0 5.0 5.6 5.7

8.2

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1615) 2013 (n=1624)

128

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3. Hoa Binh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

7.4

72.6

16.9 28.1

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=364)

99.6

1.0 0

20406080

100

Iodized salt use (n=1445)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=795)

33.1 31.3

68.3 99.0

020406080

100

Continued breastfeeding at 2years (n=133)

Child deworming (last 6months) (n=804)

Vitamin A supplementation(last 6 months) (n=804)

Child 24-35 months get vitaminA (n=733)

99.7 98.5 84.4

97.7

020406080

100

Child born in ahealth facility

(n=376)

Ever breastfed(n=712)

Early initiation ofbreastfeeding

(n=712)

No squeezing outcolostrum(n=686)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

23.6

80.9

16.9

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=55)

No bottle feeding(n=183)

No prelactealfeeding in the first3 days (n=712)

92.9 90.4 87.0 70.3 74.1

87.0 84.1

020406080

100

Continuedbreastfeeding at 1

year (n=113)

Minimum mealfrequency(n=529)

Minimum dietarydiversity (n=529)

Minimumacceptable diet

(n=529)

Consumption ofiron-rich or iron-fortified foods

(n=529)

Vitamin Asupplementation(last 6 months)

(n=537)

No bottle feeding(n=529)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

129

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Hoa Binh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

79.0

53.3

41.5

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1445)

99.5 96.3

38.4 51.0

98.7 93.3 98.9 88.9

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1097)

0.4

19.6

87.6

99.8

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1097)

99.9

88.7

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1097)

80.8

31.5

3.4 3.9 10.4

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1097)

130

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 12 No. of wards, town districts, and communes 112 No. of polyclinics 18 No. of villages 1,602 No. of commune health centers 112 Population No. of maternity homes - No. of children <5 years of age No. of doctors 273 No. of children <2 years of age No. of assistant doctors 886

(estimated to be 41.1% of the under 5) 41% No. of nurses 579 Percent ethnic minorities 81.6% No. of midwives/birth attendants 240 Poverty rate 46.4% No. of village health workers 1,383

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 32.2%, underweight was 19.7% and

wasting was 5%; while the prevalence of overweight and obesity was 2.6%.

27,285 66,386

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Dien Bien

Nutrition profile 2013

515,001

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 54.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 45.1%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 7.4%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 26.7% and the rate of using Vitamin A after delivery was 41.8%.

The rate of early initiation of breastfeeding was 91.9%, continued breastfeeding at 2 years rate was

18.1% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 38.3%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 85.5%.

131

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2. Dien Bien

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

84.0

61.8

33.7 41.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1335) 2013 (n=1330)

12.6 15.6

9.0 12.3

10.0

5.7 6.4 7.4

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1468) 2013 (n=554)

22.5

34.5

7.1 3.2

19.7

32.2

5.0 2.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1522) 2013 (n=1520)

9.9 11.9

16.5 19.4 21.2 22.8 22.7 22.0

26.0

20.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1525) 2013 (n=1520)

21.0 22.7

32.6

38.8

49.4

40.9 44.0

40.5

46.3

25.4

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1491) 2013 (n=1518)

8.2

4.5 5.1 3.7

5.8 5.8 4.3

5.7

3.3 3.2

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1619) 2013 (n=1642)

132

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3. Dien Bien

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

2.2 21.0

5.5 5.2 0

20406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=270)

99.2

6.1 0

20406080

100

Iodized salt use (n=1330)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=760)

18.1

77.0 90.9 86.6

020406080

100

Continued breastfeeding at 2years (n=83)

Child deworming (last 6months) (n=891)

Vitamin A supplementation(last 6 months) (n=891)

Child 24-35 months get vitaminA (n=714)

61.3

93.2 91.9 91.3

020406080

100

Child born in ahealth facility

(n=359)

Ever breastfed(n=616)

Early initiation ofbreastfeeding

(n=616)

No squeezing outcolostrum(n=566)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

57.9 68.9

19.5

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=57)

No bottle feeding(n=183)

No prelactealfeeding in the first3 days (n=616)

62.6 56.1

82.0

38.3 50.3

80.4 73.0

020406080

100

Continuedbreastfeeding at 1

year (n=99)

Minimum mealfrequency(n=433)

Minimum dietarydiversity (n=433)

Minimumacceptable diet

(n=433)

Consumption ofiron-rich or iron-fortified foods

(n=433)

Vitamin Asupplementation(last 6 months)

(n=450)

No bottle feeding(n=433)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

133

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Dien Bien

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

34.4

20.6

3.1 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1330)

49.3 47.7

27.9 42.0

28.4 41.1 39.3

24.6

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1072)

6.3 7.5

36.9

49.2

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1072)

54.9

45.1

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1072)

35.4

17.3

5.0 5.6 9.0

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1072)

134

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 26 No. of hospitals 36 No. of wards, town districts, and communes 637 No. of polyclinics 13 No. of villages 6,041 No. of commune health centers 637 Population No. of maternity homes - No. of children <5 years of age No. of doctors 1,747 No. of children <2 years of age No. of assistant doctors 2,867

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,570 Percent ethnic minorities 17.6% No. of midwives/birth attendants 550 Poverty rate 22.6% No. of village health workers 5,897

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 30.2%, underweight was 19.7% and

wasting was 7%; while the prevalence of overweight and obesity was 2.6%.

100,275 243,977

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Thanh Hoa

Nutrition profile 2013

3,408,347

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 97.6%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 66.5%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 20.9%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 88.1% and the rate of using Vitamin A after delivery was 37.8%.

The rate of early initiation of breastfeeding was 54.2%, continued breastfeeding at 2 years rate was

30.8% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 83.1%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 91.5%.

135

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2. Thanh Hoa

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

85.9

51.7

35.8 37.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1437) 2013 (n=1402)

35.0 32.4

18.7

29.6 32.4

20.4

14.8

20.9

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1482) 2013 (n=3140)

23.2

33.7

8.0

1.9

19.7

30.2

7.0

2.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1536) 2013 (n=1572)

6.6 5.2 8.0 8.7

17.8 14.5 13.8 13.7

20.8 22.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1472) 2013 (n=1572)

6.8 4.6

14.6 17.5

23.6 21.4

19.4

25.4 27.1 24.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1498) 2013 (n=1562)

3.0 4.5 4.0

5.7 7.0

3.1 2.8 0.7

7.3 9.0

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1652) 2013 (n=1659)

136

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3. Thanh Hoa

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

11.1

67.4

18.1 30.3

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=1833)

98.1

11.3

020406080

100

Iodized salt use (n=1402)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=680)

30.8

70.7 94.8

71.1

020406080

100

Continued breastfeeding at 2years (n=133)

Child deworming (last 6months) (n=754)

Vitamin A supplementation(last 6 months) (n=754)

Child 24-35 months get vitaminA (n=596)

97.2 99.0

54.2

79.9

020406080

100

Child born in ahealth facility

(n=426)

Ever breastfed(n=806)

Early initiation ofbreastfeeding

(n=806)

No squeezing outcolostrum(n=800)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

22.7

61.6 43.3

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=75)

No bottle feeding(n=138)

No prelactealfeeding in the first3 days (n=806)

86.4 94.8 88.9 83.1 90.1 89.1

46.0

020406080

100

Continuedbreastfeeding at 1

year (n=132)

Minimum mealfrequency(n=668)

Minimum dietarydiversity (n=668)

Minimumacceptable diet

(n=668)

Consumption ofiron-rich or iron-fortified foods

(n=668)

Vitamin Asupplementation(last 6 months)

(n=682)

No bottle feeding(n=668)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

137

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Thanh Hoa

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

47.1 52.1

28.9

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1402)

90.4 90.7

50.9

85.8 89.9 87.6 93.7 78.8

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1327)

1.7 7.2

86.1 96.3

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1327)

97.6

66.5

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1327)

83.3

36.8

23.9

4.3 13.2

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1327)

138

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 19 No. of hospitals 25 No. of wards, town districts, and communes 479 No. of polyclinics 22 No. of villages 5,609 No. of commune health centers 479 Population No. of maternity homes 27 No. of children <5 years of age No. of doctors 1,361 No. of children <2 years of age No. of assistant doctors 1,327

(estimated to be 41.1% of the under 5) 41% No. of nurses 2,629 Percent ethnic minorities 14.5% No. of midwives/birth attendants 799 Poverty rate 22.5% No. of village health workers 5,595

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 29.4%, underweight was 18.8% and

wasting was 6%; while the prevalence of overweight and obesity was 2.4%.

98,843 240,493

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Nghe An

Nutrition profile 2013

2,919,210

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 0%; main sources of information were mass media channels, especially TV. The proportion

of mothers who met a health worker in the last 3 months was 0%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 21.1%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 95.6% and the rate of using Vitamin A after delivery was 52.9%.

The rate of early initiation of breastfeeding was 91.5%, continued breastfeeding at 2 years rate was

18.5% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 76.7%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 95.4%.

139

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2. Nghe An

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

95.8 84.6

47.9 52.9

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1524) 2013 (n=1493)

19.0 22.1

25.4 21.5

28.4

21.5 17.4

21.1

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1615) 2013 (n=2683)

21.7

32.9

8.2

2.8

18.8

29.4

6.0 2.4

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1711) 2013 (n=1721)

12.3 10.4 10.9

15.0

20.1 19.7

28.6

18.1

22.9 20.4

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1708) 2013 (n=1721)

12.7

22.7 26.0

33.6 29.8

35.3 37.9

27.5

32.9

27.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1643) 2013 (n=1700)

11.0 10.7

3.5 4.3 4.7 3.9 5.3 5.2

6.4 5.2

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1806) 2013 (n=1860)

140

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3. Nghe An

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

5.7

72.6

18.9 14.9

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=1589)

0.0 21.4

020406080

100

Iodized salt use (n=1493)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=805)

18.5 42.9

96.7 95.7

020406080

100

Continued breastfeeding at 2years (n=168)

Child deworming (last 6months) (n=861)

Vitamin A supplementation(last 6 months) (n=861)

Child 24-35 months get vitaminA (n=634)

97.9 99.1 91.5 77.5

020406080

100

Child born in ahealth facility

(n=382)

Ever breastfed(n=859)

Early initiation ofbreastfeeding

(n=859)

No squeezing outcolostrum(n=837)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

17.6

42.5 43.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=17)

No bottle feeding(n=73)

No prelactealfeeding in the first3 days (n=859)

77.9 91.9 94.8 76.7 91.3 94.4 80.3

020406080

100

Continuedbreastfeeding at 1

year (n=154)

Minimum mealfrequency(n=786)

Minimum dietarydiversity (n=786)

Minimumacceptable diet

(n=786)

Consumption ofiron-rich or iron-fortified foods

(n=786)

Vitamin Asupplementation(last 6 months)

(n=792)

No bottle feeding(n=786)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

141

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Nghe An

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

0.0 0.0 0.0 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1493)

0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1352)

0.0 0.0 0.0 0.0 0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1352)

0.0 0.0 0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1352)

0.0 0.0 0.0 0.0 0.0 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1352)

142

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 11 No. of hospitals 17 No. of wards, town districts, and communes 262 No. of polyclinics 13 No. of villages 2,812 No. of commune health centers 262 Population No. of maternity homes 1 No. of children <5 years of age No. of doctors 689 No. of children <2 years of age No. of assistant doctors 1,155

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,125 Percent ethnic minorities 0.2% No. of midwives/birth attendants 466 Poverty rate 23.8% No. of village health workers 2,757

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 30.7%, underweight was 18% and

wasting was 6%; while the prevalence of overweight and obesity was 2.5%.

32,902 80,054

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ha Tinh

Nutrition profile 2013

1,228,392

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 80.8%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 75.9%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 18.3%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 73.3% and the rate of using Vitamin A after delivery was 39.7%.

The rate of early initiation of breastfeeding was 72.6%, continued breastfeeding at 2 years rate was

28.2% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 65%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 94.3%.

143

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2. Ha Tinh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

98.1

28.8 33.1

39.7

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1309) 2013 (n=1379)

41.8

25.2 23.4

26.6

36.0

18.1

11.1

18.3

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1391) 2013 (n=861)

21.8

34.7

10.2

2.6

18.0

30.7

6.0 2.5

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1449) 2013 (n=1513)

5.5 6.0

11.2 10.8 12.4 14.3

21.5

15.1

23.8 27.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1416) 2013 (n=1513)

7.0

13.0

21.6

30.1

21.9

30.8 29.5

22.9

29.7 29.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1424) 2013 (n=1497)

5.5 7.4 6.8

3.4

1.2

6.2 8.1

4.2

10.0 8.9

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1548) 2013 (n=1605)

144

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3. Ha Tinh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

14.6

49.0 22.0 20.7

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=459)

77.2

8.3 0

20406080

100

Iodized salt use (n=1379)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=758)

28.2

68.1 96.7

54.3

020406080

100

Continued breastfeeding at 2years (n=110)

Child deworming (last 6months) (n=813)

Vitamin A supplementation(last 6 months) (n=813)

Child 24-35 months get vitaminA (n=689)

99.7 97.5

72.6 87.9

020406080

100

Child born in ahealth facility

(n=348)

Ever breastfed(n=690)

Early initiation ofbreastfeeding

(n=690)

No squeezing outcolostrum(n=634)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

18.0

54.3

29.6

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=50)

No bottle feeding(n=127)

No prelactealfeeding in the first3 days (n=690)

81.8 78.9 83.5 65.0 72.3

92.5

45.8

020406080

100

Continuedbreastfeeding at 1

year (n=110)

Minimum mealfrequency(n=563)

Minimum dietarydiversity (n=563)

Minimumacceptable diet

(n=563)

Consumption ofiron-rich or iron-fortified foods

(n=563)

Vitamin Asupplementation(last 6 months)

(n=574)

No bottle feeding(n=563)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

145

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Ha Tinh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

54.3

41.0

23.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1379)

63.9 67.0 51.5 53.0

64.3 71.8 70.6 64.3

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1147)

5.8 10.5

55.2

80.3

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1147)

80.8 75.9

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1147)

57.3

10.7 5.5

0.8 5.1

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1147)

146

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 6 No. of hospitals 8 No. of wards, town districts, and communes 159 No. of polyclinics 5 No. of villages 1,243 No. of commune health centers 159 Population No. of maternity homes - No. of children <5 years of age No. of doctors 413 No. of children <2 years of age No. of assistant doctors 441

(estimated to be 41.1% of the under 5) 41% No. of nurses 503 Percent ethnic minorities 2.4% No. of midwives/birth attendants 355 Poverty rate 23.0% No. of village health workers 1,233

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 30.8%, underweight was 19.8% and

wasting was 6.5%; while the prevalence of overweight and obesity was 2.1%.

25,799 62,771

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Quang Binh

Nutrition profile 2013

852,376

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 85.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 68.4%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 16.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 89.6% and the rate of using Vitamin A after delivery was 32.6%.

The rate of early initiation of breastfeeding was 88.3%, continued breastfeeding at 2 years rate was

17.3% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 72.5%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 93.2%.

147

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2. Quang Binh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

99.4 86.8

30.3 32.6

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1251) 2013 (n=1209)

26.9 23.7

17.8

23.3 23.5

17.5

12.2

16.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1469) 2013 (n=654)

23.6

35.2

7.2

1.3

19.8

30.8

6.5

2.1

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1521) 2013 (n=1523)

0.5 3.8

7.2 11.3 12.4

18.5 19.9

12.9 16.3

14.4

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1499) 2013 (n=1523)

3.8

10.9 11.4

30.6

24.3 22.6

27.9

20.5 17.9 17.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1526) 2013 (n=1523)

1.6 1.6

4.8

1.9 3.0

5.6 3.7 3.8

4.9 5.6

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1643) 2013 (n=1646)

148

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3. Quang Binh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

7.8

55.9 29.7

9.3 0

20406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=378)

92.8

5.5 0

20406080

100

Iodized salt use (n=1209)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=616)

17.3

73.6 94.7 98.3

020406080

100

Continued breastfeeding at 2years (n=110)

Child deworming (last 6months) (n=830)

Vitamin A supplementation(last 6 months) (n=830)

Child 24-35 months get vitaminA (n=535)

99.5 97.5 88.3 94.0

020406080

100

Child born in ahealth facility

(n=366)

Ever breastfed(n=674)

Early initiation ofbreastfeeding

(n=674)

No squeezing outcolostrum(n=637)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

22.4

91.1

27.0

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=67)

No bottle feeding(n=180)

No prelactealfeeding in the first3 days (n=674)

90.0 87.0 83.4 72.5

83.4 92.6 91.1

020406080

100

Continuedbreastfeeding at 1

year (n=110)

Minimum mealfrequency(n=494)

Minimum dietarydiversity (n=494)

Minimumacceptable diet

(n=494)

Consumption ofiron-rich or iron-fortified foods

(n=494)

Vitamin Asupplementation(last 6 months)

(n=511)

No bottle feeding(n=494)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

149

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Quang Binh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

59.6

38.8

22.0

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1209)

82.3 81.1 74.2 80.4 82.4 79.1 82.2

52.1

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1124)

1.0 6.0

73.6 84.1

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1124)

85.9

68.4

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1124)

71.1

18.4 14.0 7.1 8.2

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1124)

150

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 9 No. of hospitals 11 No. of wards, town districts, and communes 141 No. of polyclinics 6 No. of villages 1,099 No. of commune health centers 141 Population No. of maternity homes - No. of children <5 years of age No. of doctors 386 No. of children <2 years of age No. of assistant doctors 428

(estimated to be 41.1% of the under 5) 41% No. of nurses 573 Percent ethnic minorities 11.6% No. of midwives/birth attendants 440 Poverty rate 21.7% No. of village health workers 1,120

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 29.8%, underweight was 16% and

wasting was 6.6%; while the prevalence of overweight and obesity was 2.3%.

21,732 52,877

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Quang Tri

Nutrition profile 2013

601,821

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 93.1%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 50.9%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 18.4%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 94.2% and the rate of using Vitamin A after delivery was 53.9%.

The rate of early initiation of breastfeeding was 75.3%, continued breastfeeding at 2 years rate was

30.9% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 94.4%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 89.9%.

151

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2. Quang Tri

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

89.8

78.0

51.4 53.9

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1346) 2013 (n=1407)

34.4

27.2 28.0 26.6 28.7

19.8

11.3

18.4

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1469) 2013 (n=559)

19.5

32.9

7.1

1.5

16.0

29.8

6.6 2.3

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1510) 2013 (n=1515)

2.2

7.1 6.1 7.8 8.0 10.5

16.8

25.3

17.9

24.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1512) 2013 (n=1515)

3.4

9.7 11.9

23.6 20.3

25.5 24.8 25.8 25.4 27.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1510) 2013 (n=1504)

7.3

5.1 4.3 3.1 3.8 3.3

7.1 7.1 6.5 7.5

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1590) 2013 (n=1629)

152

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3. Quang Tri

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

10.5

76.6

16.5

46.7

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=265)

98.6

9.0 0

20406080

100

Iodized salt use (n=1407)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=781)

30.9

80.4 96.0 99.1

020406080

100

Continued breastfeeding at 2years (n=81)

Child deworming (last 6months) (n=849)

Vitamin A supplementation(last 6 months) (n=849)

Child 24-35 months get vitaminA (n=743)

98.4 98.9

75.3 85.0

020406080

100

Child born in ahealth facility

(n=380)

Ever breastfed(n=664)

Early initiation ofbreastfeeding

(n=664)

No squeezing outcolostrum(n=648)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

0.0

79.0

27.7

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=64)

No bottle feeding(n=181)

No prelactealfeeding in the first3 days (n=664)

88.7 95.4 100.0 94.4 94.2 85.6 74.5

020406080

100

Continuedbreastfeeding at 1

year (n=106)

Minimum mealfrequency(n=483)

Minimum dietarydiversity (n=483)

Minimumacceptable diet

(n=483)

Consumption ofiron-rich or iron-fortified foods

(n=483)

Vitamin Asupplementation(last 6 months)

(n=492)

No bottle feeding(n=483)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

153

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Quang Tri

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

37.3 36.5

15.1

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1407)

86.5 84.5 70.8

80.9 83.4 85.3 82.4 83.7

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1341)

2.5 11.5

82.0 90.4

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1341)

93.1

50.9

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1341)

82.2

28.3

16.3

32.7

12.8

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1341)

154

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 13 No. of wards, town districts, and communes 152 No. of polyclinics 14 No. of villages 1,319 No. of commune health centers 152 Population No. of maternity homes 1 No. of children <5 years of age No. of doctors 668 No. of children <2 years of age No. of assistant doctors 482

(estimated to be 41.1% of the under 5) 41% No. of nurses 486 Percent ethnic minorities 4.4% No. of midwives/birth attendants 434 Poverty rate 10.5% No. of village health workers 1,256

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 26.4%, underweight was 13.4% and

wasting was 6%; while the prevalence of overweight and obesity was 4.4%.

32,254 78,478

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Thua Thien Hue

Nutrition profile 2013

1,093,243

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 99.3%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 88.1%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 14.3%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 83.8% and the rate of using Vitamin A after delivery was 44.2%.

The rate of early initiation of breastfeeding was 69.9%, continued breastfeeding at 2 years rate was

29.9% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 79.2%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 80.2%.

155

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2. Thua Thien Hue

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

91.7

53.8

35.3 44.2

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1285) 2013 (n=1231)

29.7

21.2

15.3

19.7 20.5

14.5 12.1

14.3

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1430) 2013 (n=716)

19.3

28.9

7.6

2.7

13.4

26.4

6.0 4.4

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1500) 2013 (n=1533)

3.4 3.7

9.3

15.4

8.1

12.9

20.9

15.3 13.2

17.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1503) 2013 (n=1533)

8.0

15.0

26.7

32.3

20.3 22.7

33.6 30.6

23.6 26.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1486) 2013 (n=1531)

1.7 1.6

5.6

3.1 3.5

6.1

8.6

6.3 7.7 7.7

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1631) 2013 (n=1672)

156

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3. Thua Thien Hue

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

11.5

57.9

22.2 11.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=419)

99.6

4.7 0

20406080

100

Iodized salt use (n=1231)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=665)

29.9 17.6

52.4

88.4

020406080

100

Continued breastfeeding at 2years (n=87)

Child deworming (last 6months) (n=881)

Vitamin A supplementation(last 6 months) (n=881)

Child 24-35 months get vitaminA (n=594)

98.1 97.6

69.9

95.0

020406080

100

Child born in ahealth facility

(n=363)

Ever breastfed(n=637)

Early initiation ofbreastfeeding

(n=637)

No squeezing outcolostrum(n=621)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

32.5

53.7 51.6

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=126)

No bottle feeding(n=175)

No prelactealfeeding in the first3 days (n=637)

75.0 92.0 86.4 79.2 85.5 80.5

55.0

020406080

100

Continuedbreastfeeding at 1

year (n=100)

Minimum mealfrequency(n=462)

Minimum dietarydiversity (n=462)

Minimumacceptable diet

(n=462)

Consumption ofiron-rich or iron-fortified foods

(n=462)

Vitamin Asupplementation(last 6 months)

(n=481)

No bottle feeding(n=462)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

157

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Thua Thien Hue

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

19.4

84.2

7.8

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1231)

88.0

61.1

22.5

63.8

84.6

62.8

93.4

51.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=985)

6.5 14.2

84.8

98.1

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=985)

99.3

88.1

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=985)

86.6

12.4 12.5 9.2 12.9

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=985)

158

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 12 No. of wards, town districts, and communes 56 No. of polyclinics - No. of villages 2,221 No. of commune health centers 56 Population No. of maternity homes - No. of children <5 years of age No. of doctors 723 No. of children <2 years of age No. of assistant doctors 339

(estimated to be 41.1% of the under 5) 41% No. of nurses 713 Percent ethnic minorities 0.5% No. of midwives/birth attendants 252 Poverty rate 3.7% No. of village health workers 454

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 15.7%, underweight was 5.2% and

wasting was 5.5%; while the prevalence of overweight and obesity was 8.3%.

31,898 77,611

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Da Nang

Nutrition profile 2013

950,272

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 84.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 44.8%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 8.8%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 94% and the rate of using Vitamin A after delivery was 49.7%.

The rate of early initiation of breastfeeding was 25.2%, continued breastfeeding at 2 years rate was

20.9% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 43.5%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 81.6%.

159

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2. Da Nang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

87.6

70.0

49.3 49.7

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1342) 2013 (n=1299)

21.4

15.0

9.0

13.6

18.1

8.0 5.8

8.8

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1482) 2013 (n=878)

7.8

19.9

4.9 7.0

5.2

15.7

5.5 8.3

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1531) 2013 (n=1460)

1.6 3.6 4.6

6.9 5.9 7.1 8.9 6.5 4.8 4.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1522) 2013 (n=1460)

1.6 2.5

7.9

14.4 11.8 12.2

17.7

8.9 4.8 4.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1539) 2013 (n=1452)

8.1 6.1

5.1 4.3 5.9 6.2

5.1 4.9 3.9 4.6

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1658) 2013 (n=1556)

160

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3. Da Nang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

3.3

63.9

27.9 17.5

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=537)

99.6

4.3 0

20406080

100

Iodized salt use (n=1299)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=727)

20.9 22.4

88.5 90.2

020406080

100

Continued breastfeeding at 2years (n=129)

Child deworming (last 6months) (n=651)

Vitamin A supplementation(last 6 months) (n=651)

Child 24-35 months get vitaminA (n=509)

99.8 98.5

25.2

94.6

020406080

100

Child born in ahealth facility

(n=404)

Ever breastfed(n=790)

Early initiation ofbreastfeeding

(n=790)

No squeezing outcolostrum(n=784)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

30.9 41.9

89.7

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=81)

No bottle feeding(n=124)

No prelactealfeeding in the first3 days (n=790)

66.7 53.9

92.3

43.5 50.5

78.6

43.4

020406080

100

Continuedbreastfeeding at 1

year (n=135)

Minimum mealfrequency(n=666)

Minimum dietarydiversity (n=666)

Minimumacceptable diet

(n=666)

Consumption ofiron-rich or iron-fortified foods

(n=666)

Vitamin Asupplementation(last 6 months)

(n=686)

No bottle feeding(n=666)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

161

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Da Nang

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

33.8 26.3

9.9

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1299)

79.6 73.4 66.8 69.4 64.4 48.0

83.5

45.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1288)

6.9 5.2

60.2

85.2

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1288)

84.9

44.8

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1288)

57.6

2.4 8.5 4.2

11.3

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1288)

162

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 16 No. of hospitals 24 No. of wards, town districts, and communes 241 No. of polyclinics 9 No. of villages 1,723 No. of commune health centers 241 Population No. of maternity homes - No. of children <5 years of age No. of doctors 670 No. of children <2 years of age No. of assistant doctors 1,034

(estimated to be 41.1% of the under 5) 41% No. of nurses 834 Percent ethnic minorities 8.1% No. of midwives/birth attendants 496 Poverty rate 21.7% No. of village health workers 1,800

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 28.6%, underweight was 14.8% and

wasting was 5.8%; while the prevalence of overweight and obesity was 3.2%.

46,014 111,955

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Quang Nam

Nutrition profile 2013

1,426,551

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 83.5%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 56.6%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 17.7%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 87.5% and the rate of using Vitamin A after delivery was 5.5%.

The rate of early initiation of breastfeeding was 57.9%, continued breastfeeding at 2 years rate was

24.5% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 70%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 73.4%.

163

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2. Quang Nam

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

89.0

41.4

4.8 5.5

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1215) 2013 (n=1361)

28.8 31.0

20.7 23.1

28.2

16.0 15.0 17.7

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1319) 2013 (n=1392)

18.2

32.8

6.8

1.8

14.8

28.6

5.8 3.2

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1500) 2013 (n=1526)

0.7

8.7 9.4 13.5 13.5

20.9 23.4

20.5

13.9

23.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1525) 2013 (n=1526)

3.3

11.9

18.8

31.2

20.1

29.6 28.7 25.3

21.2 23.4

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1464) 2013 (n=1519)

0.0

5.6 5.3 6.0 8.1

4.3 4.0 5.3

6.6 6.4

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1606) 2013 (n=1669)

164

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3. Quang Nam

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

1.5

52.3 34.2 23.7

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=724)

86.1

1.6 0

20406080

100

Iodized salt use (n=1361)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=824)

24.5

59.4 75.4

96.8

020406080

100

Continued breastfeeding at 2years (n=106)

Child deworming (last 6months) (n=838)

Vitamin A supplementation(last 6 months) (n=838)

Child 24-35 months get vitaminA (n=687)

90.0 90.2

57.9

93.6

020406080

100

Child born in ahealth facility

(n=350)

Ever breastfed(n=674)

Early initiation ofbreastfeeding

(n=674)

No squeezing outcolostrum(n=609)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

40.7

65.6

40.9

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=108)

No bottle feeding(n=154)

No prelactealfeeding in the first3 days (n=674)

77.8 83.8 85.4 70.0

80.2 70.8 70.4

020406080

100

Continuedbreastfeeding at 1

year (n=117)

Minimum mealfrequency(n=520)

Minimum dietarydiversity (n=520)

Minimumacceptable diet

(n=520)

Consumption ofiron-rich or iron-fortified foods

(n=520)

Vitamin Asupplementation(last 6 months)

(n=538)

No bottle feeding(n=520)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

165

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Quang Nam

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

39.0

26.7

15.4

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1361)

81.1 77.4 75.9 76.1 77.6 82.1 82.0

63.1

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1175)

0.7 1.4

46.9

83.0

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1175)

83.5

56.6

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1175)

42.4

11.1 4.6 1.8

8.0

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1175)

166

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 13 No. of hospitals 18 No. of wards, town districts, and communes 184 No. of polyclinics 8 No. of villages 1,127 No. of commune health centers 181 Population No. of maternity homes - No. of children <5 years of age No. of doctors 545 No. of children <2 years of age No. of assistant doctors 739

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,011 Percent ethnic minorities 13.3% No. of midwives/birth attendants 568 Poverty rate 20.8% No. of village health workers 1,127

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25.5%, underweight was 15.9% and

wasting was 5.7%; while the prevalence of overweight and obesity was 3.6%.

40,732 99,104

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Quang Ngai

Nutrition profile 2013

1,219,562

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 91.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 77%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 93.5% and the rate of using Vitamin A after delivery was 67.7%.

The rate of early initiation of breastfeeding was 39.3%, continued breastfeeding at 2 years rate was

30.3% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 75%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 93.1%.

167

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2. Quang Ngai

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

99.1 97.3

67.6 67.7

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1334) 2013 (n=1342)

36.4

22.7 19.1

22.7 22.4

14.8 11.6

15.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1487) 2013 (n=1110)

19.2

29.8

6.9

1.5

15.9

25.5

5.7 3.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1529) 2013 (n=1530)

4.8 6.3

14.6 14.3

19.8 23.5

28.7

19.4 17.6 13.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1545) 2013 (n=1530)

11.0

15.5

23.8 25.0 27.5

23.0

38.0

21.9

26.4 22.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1486) 2013 (n=1527)

3.4 3.2

5.9

2.4

8.8

5.9 7.0

5.4

3.2 3.7

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1612) 2013 (n=1653)

168

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3. Quang Ngai

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

2.4

51.7 39.6 45.2

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=601)

76.0

3.2 0

20406080

100

Iodized salt use (n=1342)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=722)

30.3 40.8

52.0

92.5

020406080

100

Continued breastfeeding at 2years (n=109)

Child deworming (last 6months) (n=790)

Vitamin A supplementation(last 6 months) (n=790)

Child 24-35 months get vitaminA (n=611)

87.4 99.6

39.3

82.5

020406080

100

Child born in ahealth facility

(n=366)

Ever breastfed(n=731)

Early initiation ofbreastfeeding

(n=731)

No squeezing outcolostrum(n=726)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

21.2

77.8

36.1

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=80)

No bottle feeding(n=144)

No prelactealfeeding in the first3 days (n=731)

82.1 91.5 82.1 75.0 87.2 91.6

64.9

020406080

100

Continuedbreastfeeding at 1

year (n=151)

Minimum mealfrequency(n=587)

Minimum dietarydiversity (n=587)

Minimumacceptable diet

(n=587)

Consumption ofiron-rich or iron-fortified foods

(n=587)

Vitamin Asupplementation(last 6 months)

(n=595)

No bottle feeding(n=587)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

169

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Quang Ngai

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

23.9

59.3

1.3 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1342)

78.6 74.2

14.9

69.6 52.5

76.3 68.0 67.2

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1340)

4.3 6.6

63.1

82.4

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1340)

91.9

77.0

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1340)

65.2

10.1 1.7 1.5 5.7

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1340)

170

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 10 No. of hospitals 17 No. of wards, town districts, and communes 159 No. of polyclinics 6 No. of villages 1,124 No. of commune health centers 159 Population No. of maternity homes - No. of children <5 years of age No. of doctors 753 No. of children <2 years of age No. of assistant doctors 535

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,553 Percent ethnic minorities 2.3% No. of midwives/birth attendants 399 Poverty rate 15.2% No. of village health workers 1,542

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25.6%, underweight was 15.8% and

wasting was 5.7%; while the prevalence of overweight and obesity was 3.8%.

48,548 118,122

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Binh Dinh

Nutrition profile 2013

1,491,355

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 99.5%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 95.2%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 7.8%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 98.3% and the rate of using Vitamin A after delivery was 94.5%.

The rate of early initiation of breastfeeding was 73.3%, continued breastfeeding at 2 years rate was

20.3% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 91.6%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 95.7%.

171

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2. Binh Dinh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

99.5 99.0 94.3 94.5

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1434) 2013 (n=1337)

34.3

18.4

11.7

17.4

12.3

7.4 6.0 7.8

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1491) 2013 (n=1321)

19.3

29.7

7.0 3.9

15.8

25.6

5.7 3.8

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1529) 2013 (n=1523)

3.5 4.0 6.5 5.3 4.9 5.3

9.3 10.1 10.3 6.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1527) 2013 (n=1523)

6.0 4.7

10.6

15.8 11.6

21.5

15.6 15.8

10.7 14.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1480) 2013 (n=1502)

5.9 4.6

2.9 3.8 3.0

4.6 4.7 2.9

3.8 4.0

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1632) 2013 (n=1612)

172

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3. Binh Dinh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

2.4

72.6

25.0 16.2

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=628)

94.3

0.5 0

20406080

100

Iodized salt use (n=1337)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=791)

20.3 16.8

92.0 93.3

020406080

100

Continued breastfeeding at 2years (n=79)

Child deworming (last 6months) (n=877)

Vitamin A supplementation(last 6 months) (n=877)

Child 24-35 months get vitaminA (n=704)

98.8 99.8

73.3 94.0

020406080

100

Child born in ahealth facility

(n=345)

Ever breastfed(n=633)

Early initiation ofbreastfeeding

(n=633)

No squeezing outcolostrum(n=629)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

17.8

60.0 52.0

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=152)

No bottle feeding(n=170)

No prelactealfeeding in the first3 days (n=633)

87.9 96.1 94.6 91.6 95.0 93.1

56.8

020406080

100

Continuedbreastfeeding at 1

year (n=116)

Minimum mealfrequency(n=463)

Minimum dietarydiversity (n=463)

Minimumacceptable diet

(n=463)

Consumption ofiron-rich or iron-fortified foods

(n=463)

Vitamin Asupplementation(last 6 months)

(n=477)

No bottle feeding(n=463)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

173

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Binh Dinh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

60.8

94.9

9.1

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1337)

74.9 76.6 59.8

88.8 87.3 90.3 94.3 92.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1335)

8.2

31.2

84.7

96.9

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1335)

99.5 95.2

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1335)

90.6

46.0

20.4

59.9

14.7

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1335)

174

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 11 No. of wards, town districts, and communes 112 No. of polyclinics 13 No. of villages 601 No. of commune health centers 109 Population No. of maternity homes 9 No. of children <5 years of age No. of doctors 427 No. of children <2 years of age No. of assistant doctors 421

(estimated to be 41.1% of the under 5) 41% No. of nurses 623 Percent ethnic minorities 5.9% No. of midwives/birth attendants 346 Poverty rate 17.8% No. of village health workers 601

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 29.3%, underweight was 16.6% and

wasting was 6.3%; while the prevalence of overweight and obesity was 4.7%.

27,521 66,962

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Phu Yen

Nutrition profile 2013

873,053

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 98.8%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 92.3%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 10.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 80.8% and the rate of using Vitamin A after delivery was 43.8%.

The rate of early initiation of breastfeeding was 35.5%, continued breastfeeding at 2 years rate was

10.1% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 54.2%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 68%.

175

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2. Phu Yen

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

74.3

35.1 27.9

43.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=766) 2013 (n=1514)

22.5 18.9

14.9 16.1 14.4 10.8

3.5

10.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1034) 2013 (n=662)

19.1

31.8

6.8

2.4

16.6

29.3

6.3 4.7

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1516) 2013 (n=1526)

4.5

13.4 17.9 19.2 20.3

24.5 21.7

13.3 17.6 15.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1548) 2013 (n=1526)

13.5

21.2

30.6 32.3 31.6

36.1 34.2

25.3 24.2 20.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1503) 2013 (n=1524)

7.3 6.1

4.8 6.2

8.6

4.8 5.8

4.2 5.9

7.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1702) 2013 (n=1678)

176

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3. Phu Yen

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

5.9

55.2

22.8 6.0

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=327)

57.5

1.6 0

20406080

100

Iodized salt use (n=1514)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=1068)

10.1

47.5 54.3

87.0

020406080

100

Continued breastfeeding at 2years (n=89)

Child deworming (last 6months) (n=893)

Vitamin A supplementation(last 6 months) (n=893)

Child 24-35 months get vitaminA (n=883)

77.1 73.9

35.5

86.3

020406080

100

Child born in ahealth facility

(n=358)

Ever breastfed(n=631)

Early initiation ofbreastfeeding

(n=631)

No squeezing outcolostrum(n=475)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

20.0

67.0 64.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=85)

No bottle feeding(n=179)

No prelactealfeeding in the first3 days (n=631)

68.3 71.5 82.1

54.2 69.5 71.4

60.0

020406080

100

Continuedbreastfeeding at 1

year (n=101)

Minimum mealfrequency(n=452)

Minimum dietarydiversity (n=452)

Minimumacceptable diet

(n=452)

Consumption ofiron-rich or iron-fortified foods

(n=452)

Vitamin Asupplementation(last 6 months)

(n=454)

No bottle feeding(n=452)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

177

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Phu Yen

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

46.8

33.2

20.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1514)

97.6 97.0 85.9 91.9 89.0 95.8 94.3

74.9

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=965)

0.2

16.1

92.4 98.0

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=965)

98.8 92.3

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=965)

91.9

54.5

11.4 3.0

13.0

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=965)

178

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 7 No. of hospitals 12 No. of wards, town districts, and communes 140 No. of polyclinics 15 No. of villages 955 No. of commune health centers 140 Population No. of maternity homes 1 No. of children <5 years of age No. of doctors 586 No. of children <2 years of age No. of assistant doctors 536

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,004 Percent ethnic minorities 5.3% No. of midwives/birth attendants 411 Poverty rate 8.8% No. of village health workers 1,011

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 24%, underweight was 12.7% and

wasting was 5.7%; while the prevalence of overweight and obesity was 7.6%.

36,396 88,555

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Khanh Hoa

Nutrition profile 2013

1,174,848

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 92.5%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 26.6%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 10.2%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 84.9% and the rate of using Vitamin A after delivery was 31.7%.

The rate of early initiation of breastfeeding was 54.5%, continued breastfeeding at 2 years rate was

16.3% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 46.7%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 80%.

179

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2. Khanh Hoa

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

94.9

57.4

25.8 31.7

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1449) 2013 (n=1454)

30.0

15.2

8.7

16.6 16.1

10.5

5.3

10.2

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1464) 2013 (n=1001)

15.7

27.2

8.2 5.1

12.7

24.0

5.7 7.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1474) 2013 (n=1498)

6.0 7.9 7.9

14.9 12.2

15.2 12.4

17.1 17.1 13.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1488) 2013 (n=1497)

9.2 12.1

19.8

34.0

25.0 24.0

19.0

23.8 23.3

18.4

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1457) 2013 (n=1497)

3.8

6.6 6.1 5.7 5.9 5.6 4.8 4.9 5.4 4.6

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1604) 2013 (n=1620)

180

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3. Khanh Hoa

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

14.0

66.7

14.9 19.8

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=468)

97.6

3.5 0

20406080

100

Iodized salt use (n=1454)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=978)

16.3 27.0

62.9 75.1

020406080

100

Continued breastfeeding at 2years (n=104)

Child deworming (last 6months) (n=873)

Vitamin A supplementation(last 6 months) (n=873)

Child 24-35 months get vitaminA (n=828)

95.4 97.1

54.5

80.6

020406080

100

Child born in ahealth facility

(n=325)

Ever breastfed(n=626)

Early initiation ofbreastfeeding

(n=626)

No squeezing outcolostrum(n=618)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

26.2

57.8 56.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=122)

No bottle feeding(n=185)

No prelactealfeeding in the first3 days (n=626)

63.5 83.4 81.0

46.7

80.3 80.0

46.7

020406080

100

Continuedbreastfeeding at 1

year (n=115)

Minimum mealfrequency(n=441)

Minimum dietarydiversity (n=441)

Minimumacceptable diet

(n=441)

Consumption ofiron-rich or iron-fortified foods

(n=441)

Vitamin Asupplementation(last 6 months)

(n=445)

No bottle feeding(n=441)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

181

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Khanh Hoa

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

24.3

6.2 6.5

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1454)

79.9 83.4

59.5 75.9 82.4 84.8 85.0

71.2

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1184)

4.1 14.6

83.9 90.2

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1184)

92.5

26.6

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1184)

82.9

31.9 23.0

4.6 13.4

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1184)

182

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 9 No. of wards, town districts, and communes 97 No. of polyclinics 12 No. of villages 863 No. of commune health centers 97 Population No. of maternity homes - No. of children <5 years of age No. of doctors 156 No. of children <2 years of age No. of assistant doctors 347

(estimated to be 41.1% of the under 5) 41% No. of nurses 620 Percent ethnic minorities 53.2% No. of midwives/birth attendants 231 Poverty rate 28.9% No. of village health workers 870

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 40.8%, underweight was 26.1% and

wasting was 6.8%; while the prevalence of overweight and obesity was 2.4%.

22,527 54,810

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Kon Tum

Nutrition profile 2013

452,187

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 99.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 99.8%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 9.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 74% and the rate of using Vitamin A after delivery was 61.9%.

The rate of early initiation of breastfeeding was 76.6%, continued breastfeeding at 2 years rate was

62.5% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 66.1%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 95.7%.

183

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2. Kon Tum

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

98.0 90.4

61.8 61.9

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1165) 2013 (n=1249)

10.5 12.0 10.0

12.6 9.9 8.7

13.3 9.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1447) 2013 (n=616)

28.3

41.6

9.2

4.1

26.1

40.8

6.8

2.4

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1522) 2013 (n=1530)

12.7 16.5

25.7

32.1 35.6

29.8

35.9

27.9 31.5

34.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1539) 2013 (n=1530)

19.7 23.4

48.7 48.6 44.7 45.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1498) 2013 (n=1526)

5.9 4.4

7.2

10.7 9.2 8.6

7.6

3.6

6.3 5.7

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1594) 2013 (n=1653)

184

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3. Kon Tum

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

1.9

63.1

8.5 1.4 0

20406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=306)

99.8

2.3 0

20406080

100

Iodized salt use (n=1249)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=611)

62.5

93.2 98.7 96.6

020406080

100

Continued breastfeeding at 2years (n=96)

Child deworming (last 6months) (n=891)

Vitamin A supplementation(last 6 months) (n=891)

Child 24-35 months get vitaminA (n=622)

57.9

98.6 76.6

93.5

020406080

100

Child born in ahealth facility

(n=347)

Ever breastfed(n=627)

Early initiation ofbreastfeeding

(n=627)

No squeezing outcolostrum(n=615)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

39.1

95.7

59.5

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=87)

No bottle feeding(n=188)

No prelactealfeeding in the first3 days (n=627)

94.8 82.7 77.7 66.1 71.1

93.3 93.4

020406080

100

Continuedbreastfeeding at 1

year (n=97)

Minimum mealfrequency(n=439)

Minimum dietarydiversity (n=439)

Minimumacceptable diet

(n=439)

Consumption ofiron-rich or iron-fortified foods

(n=439)

Vitamin Asupplementation(last 6 months)

(n=450)

No bottle feeding(n=439)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

185

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Kon Tum

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

70.3

95.0

15.3

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1249)

99.7 98.7 95.7 93.4 93.0 94.0 95.0

69.5

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1248)

0.0

17.2

90.0 99.8

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1248)

99.9 99.8

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1248)

91.2

49.6

15.6 5.2 8.3

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1248)

186

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 16 No. of hospitals 20 No. of wards, town districts, and communes 222 No. of polyclinics 10 No. of villages 2,047 No. of commune health centers 222 Population No. of maternity homes - No. of children <5 years of age No. of doctors 743 No. of children <2 years of age No. of assistant doctors 616

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,047 Percent ethnic minorities 44.0% No. of midwives/birth attendants 478 Poverty rate 24.5% No. of village health workers 1,848

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 35.5%, underweight was 24.8% and

wasting was 7.1%; while the prevalence of overweight and obesity was 3.3%.

54,441 132,460

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Gia Lai

Nutrition profile 2013

1,315,940

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 63.4%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 62.1%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 13.4%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 62.1% and the rate of using Vitamin A after delivery was 66.2%.

The rate of early initiation of breastfeeding was 72.7%, continued breastfeeding at 2 years rate was 74%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 33.4%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 78.1%.

187

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2. Gia Lai

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

94.7

62.3 63.3 66.2

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1512) 2013 (n=1544)

20.0 18.9 15.1

19.8 16.8

12.3 9.4

13.4

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1603) 2013 (n=1986)

26.3

36.2

9.3

2.8

24.8

35.5

7.1 3.3

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1675) 2013 (n=1692)

9.3

14.9

23.0

33.3 33.9 35.3

30.4 25.8

32.3 29.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1721) 2013 (n=1692)

13.9

26.7

43.2 43.5 46.1 47.7

42.0 42.9 45.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1622) 2013 (n=1677)

8.9

6.3 5.6

10.8 10.6

8.2

2.5 2.0

6.8 8.1

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1784) 2013 (n=1822)

188

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3. Gia Lai

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

16.6

48.2

10.5 18.2

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=969)

97.5

12.5

020406080

100

Iodized salt use (n=1544)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=712)

74.0 91.5 95.9 91.1

020406080

100

Continued breastfeeding at 2years (n=104)

Child deworming (last 6months) (n=934)

Vitamin A supplementation(last 6 months) (n=934)

Child 24-35 months get vitaminA (n=790)

70.7

95.5

72.7 88.6

020406080

100

Child born in ahealth facility

(n=426)

Ever breastfed(n=754)

Early initiation ofbreastfeeding

(n=754)

No squeezing outcolostrum(n=687)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

27.3

88.2

28.6

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=77)

No bottle feeding(n=203)

No prelactealfeeding in the first3 days (n=754)

95.0 69.1

46.6 33.4

48.5 68.3

79.1

020406080

100

Continuedbreastfeeding at 1

year (n=120)

Minimum mealfrequency(n=551)

Minimum dietarydiversity (n=551)

Minimumacceptable diet

(n=551)

Consumption ofiron-rich or iron-fortified foods

(n=551)

Vitamin Asupplementation(last 6 months)

(n=558)

No bottle feeding(n=551)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

189

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Gia Lai

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

59.8

19.0

1.7 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1544)

46.2 43.8 26.0

44.0 48.4 50.6 54.4 47.0

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1476)

6.5 6.3

24.6

60.3

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1476)

63.4 62.1

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1476)

23.2

6.1 1.7 0.5 2.6 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1476)

190

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 14 No. of hospitals 21 No. of wards, town districts, and communes 184 No. of polyclinics 1 No. of villages 2,413 No. of commune health centers 184 Population No. of maternity homes - No. of children <5 years of age No. of doctors 954 No. of children <2 years of age No. of assistant doctors 639

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,408 Percent ethnic minorities 33.0% No. of midwives/birth attendants 442 Poverty rate 19.6% No. of village health workers 2,394

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 33.8%, underweight was 23.4% and

wasting was 6%; while the prevalence of overweight and obesity was 2.1%.

62,896 153,032

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Dac Lac

Nutrition profile 2013

1,768,333

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 54.1%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 79.4%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.3%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 74.4% and the rate of using Vitamin A after delivery was 35.8%.

The rate of early initiation of breastfeeding was 57.9%, continued breastfeeding at 2 years rate was

33.9% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 44%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 85.7%.

191

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2. Dac Lac

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

88.0

35.0 35.0 35.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1316) 2013 (n=1347)

25.0

14.4 15.3 17.6

21.4

14.9

9.5

15.3

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1406) 2013 (n=1964)

27.0

36.9

8.2

2.8

23.4

33.8

6.0 2.1

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1523) 2013 (n=1512)

6.5

12.6 14.5

25.1

17.6 14.0

19.5 23.1

14.4

25.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1562) 2013 (n=1512)

6.6

15.2 17.6

34.9

23.7 22.9

29.5 25.9

21.6 25.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1488) 2013 (n=1507)

1.9 4.0 4.0

7.5 6.5

7.6 6.5

9.1

4.8 6.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1597) 2013 (n=1633)

192

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3. Dac Lac

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

4.5

55.7

13.9 7.9 0

20406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=997)

99.9

6.2 0

20406080

100

Iodized salt use (n=1347)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=694)

33.9

79.1 91.9 92.0

020406080

100

Continued breastfeeding at 2years (n=109)

Child deworming (last 6months) (n=832)

Vitamin A supplementation(last 6 months) (n=832)

Child 24-35 months get vitaminA (n=675)

88.9 97.9

57.9

88.8

020406080

100

Child born in ahealth facility

(n=305)

Ever breastfed(n=672)

Early initiation ofbreastfeeding

(n=672)

No squeezing outcolostrum(n=669)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

23.3

90.6

57.1

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=43)

No bottle feeding(n=106)

No prelactealfeeding in the first3 days (n=672)

81.5 77.6 57.6

44.0

69.4 82.5 85.0

020406080

100

Continuedbreastfeeding at 1

year (n=130)

Minimum mealfrequency(n=566)

Minimum dietarydiversity (n=566)

Minimumacceptable diet

(n=566)

Consumption ofiron-rich or iron-fortified foods

(n=566)

Vitamin Asupplementation(last 6 months)

(n=573)

No bottle feeding(n=566)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

193

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Dac Lac

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

41.9

66.4

42.5

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1347)

62.0 61.8 47.9

59.5 44.8

58.3 58.3 54.8

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1315)

1.1 3.0

32.3

61.7

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1315)

54.1

79.4

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1315)

32.5

5.5 2.7 0.0 5.2

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1315)

194

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 8 No. of wards, town districts, and communes 71 No. of polyclinics - No. of villages 772 No. of commune health centers 70 Population No. of maternity homes 1 No. of children <5 years of age No. of doctors 227 No. of children <2 years of age No. of assistant doctors 331

(estimated to be 41.1% of the under 5) 41% No. of nurses 322 Percent ethnic minorities 32.1% No. of midwives/birth attendants 146 Poverty rate 26.5% No. of village health workers 775

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 34.2%, underweight was 23.6% and

wasting was 7.9%; while the prevalence of overweight and obesity was 1.4%.

22,520 54,792

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Dac Nong

Nutrition profile 2013

525,693

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 95.7%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 83.4%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 13.4%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 82.1% and the rate of using Vitamin A after delivery was 37%.

The rate of early initiation of breastfeeding was 61.2%, continued breastfeeding at 2 years rate was

30.1% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 60%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 95%.

195

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2. Dac Nong

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

97.8

61.8

36.9 37.0

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1251) 2013 (n=1301)

23.3 23.0

12.2

21.5 18.4

13.3

6.8

13.4

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1471) 2013 (n=656)

26.9

38.0

7.0

1.5

23.6

34.2

7.9

1.4 0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1524) 2013 (n=1528)

6.5 6.8

13.4

20.7 23.4

26.9 26.5

21.2

26.9 26.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1507) 2013 (n=1528)

6.5 7.4

14.8

34.0 30.3

27.6

32.7

28.2 30.8

26.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1522) 2013 (n=1526)

6.5 6.8

10.1

5.3

10.7 9.6

10.6

4.5 5.4

7.8

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1613) 2013 (n=1657)

196

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3. Dac Nong

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

3.6

53.9

25.8 8.3

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=337)

99.3

0.6 0

20406080

100

Iodized salt use (n=1301)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=713)

30.1

88.9 97.6 98.8

020406080

100

Continued breastfeeding at 2years (n=93)

Child deworming (last 6months) (n=884)

Vitamin A supplementation(last 6 months) (n=884)

Child 24-35 months get vitaminA (n=664)

83.9 99.4

61.2

88.8

020406080

100

Child born in ahealth facility

(n=348)

Ever breastfed(n=637)

Early initiation ofbreastfeeding

(n=637)

No squeezing outcolostrum(n=617)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

24.0

85.4

41.4

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=75)

No bottle feeding(n=185)

No prelactealfeeding in the first3 days (n=637)

86.3 85.0 73.9

60.0 76.1 93.5

75.9

020406080

100

Continuedbreastfeeding at 1

year (n=95)

Minimum mealfrequency(n=452)

Minimum dietarydiversity (n=452)

Minimumacceptable diet

(n=452)

Consumption ofiron-rich or iron-fortified foods

(n=452)

Vitamin Asupplementation(last 6 months)

(n=461)

No bottle feeding(n=452)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

197

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Dac Nong

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

38.8

77.6

4.3

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1301)

91.1 89.9

65.9

85.1 82.0 90.9 90.1

62.2

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1298)

1.1 2.2

72.4

94.3

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1298)

95.7

83.4

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1298)

78.2

1.8 8.6 11.5 11.0

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1298)

198

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 24 No. of hospitals 56 No. of wards, town districts, and communes 322 No. of polyclinics 3 No. of villages 19,313 No. of commune health centers 322 Population No. of maternity homes - No. of children <5 years of age No. of doctors 6,073 No. of children <2 years of age No. of assistant doctors 1,875

(estimated to be 41.1% of the under 5) 41% No. of nurses 10,474 Percent ethnic minorities 6.5% No. of midwives/birth attendants 2,345 Poverty rate 0.1% No. of village health workers 8,635

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 6.7%, underweight was 4.1% and

wasting was 2.7%; while the prevalence of overweight and obesity was 11.5%.

202,325 492,275

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ho Chi Minh city

Nutrition profile 2013

7,549,341

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 95.2%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 20.2%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 9.8%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 94.1% and the rate of using Vitamin A after delivery was 48%.

The rate of early initiation of breastfeeding was 21.9%, continued breastfeeding at 2 years rate was

21.6% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 81.1%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 74.3%.

199

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2. Ho Chi Minh city

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

62.5 71.5

39.4 48.0

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1396) 2013 (n=3012)

29.8

13.4

6.4

13.6

18.5

10.4

3.9

9.8

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1349) 2013 (n=5144)

6.8 7.8

3.3

10.9

4.1 6.7

2.7

11.5

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1570) 2013 (n=3159)

2.5 2.5 1.6 2.9 3.1 3.4 5.8 5.3 4.6 3.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1568) 2013 (n=3157)

5.9 3.5 3.9

5.7 6.2 6.8 7.9 9.1 6.2 5.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1557) 2013 (n=3158)

1.2 2.0 1.8 0.8 1.1 1.2 1.3

2.8 1.2 1.6

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1651) 2013 (n=3353)

200

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3. Ho Chi Minh city

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

7.3

72.9

19.3 31.5

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=3101)

90.8

9.6 0

20406080

100

Iodized salt use (n=3012)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=2102)

21.6

47.3 63.7

49.8

020406080

100

Continued breastfeeding at 2years (n=265)

Child deworming (last 6months) (n=1465)

Vitamin A supplementation(last 6 months) (n=1465)

Child 24-35 months get vitaminA (n=1329)

99.3 95.5

21.9

52.0

020406080

100

Child born in ahealth facility

(n=807)

Ever breastfed(n=1683)

Early initiation ofbreastfeeding

(n=1683)

No squeezing outcolostrum(n=1619)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

28.5 27.7

88.1

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=195)

No bottle feeding(n=291)

No prelactealfeeding in the first3 days (n=1683)

39.9

97.5 91.1 81.1 90.5 72.7

23.6

020406080

100

Continuedbreastfeeding at 1

year (n=339)

Minimum mealfrequency(n=1392)

Minimum dietarydiversity (n=1392)

Minimumacceptable diet

(n=1392)

Consumption ofiron-rich or iron-fortified foods

(n=1392)

Vitamin Asupplementation(last 6 months)

(n=1404)

No bottle feeding(n=1392)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

201

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Ho Chi Minh city

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

15.6

6.9 8.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=3012)

81.3 83.2

41.5 55.3

86.0 73.4

85.6 70.5

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=2500)

7.1 15.7

77.0

91.5

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=2500)

95.2

20.2

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=2500)

70.0

24.9

42.3

13.8 20.7

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=2500)

202

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 10 No. of hospitals 14 No. of wards, town districts, and communes 148 No. of polyclinics 22 No. of villages 1,276 No. of commune health centers 148 Population No. of maternity homes 1 No. of children <5 years of age No. of doctors 546 No. of children <2 years of age No. of assistant doctors 581

(estimated to be 41.1% of the under 5) 41% No. of nurses 891 Percent ethnic minorities 24.1% No. of midwives/birth attendants 465 Poverty rate 11.8% No. of village health workers 1,128

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 24%, underweight was 13.1% and

wasting was 5.4%; while the prevalence of overweight and obesity was 4.6%.

43,845 106,678

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Lam Dong

Nutrition profile 2013

1,216,526

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 97.6%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 55.3%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 10.9%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 79.8% and the rate of using Vitamin A after delivery was 48.1%.

The rate of early initiation of breastfeeding was 59.5%, continued breastfeeding at 2 years rate was

36.3% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 66.1%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 87.7%.

203

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2. Lam Dong

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

99.9 97.2

42.4 48.1

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1420) 2013 (n=1515)

26.6

17.4

9.0

16.9 15.2

11.6

4.3

10.9

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1409) 2013 (n=1360)

16.5

27.0

6.5 2.5

13.1

24.0

5.4 4.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1475) 2013 (n=1512)

2.2 5.5

11.4 14.1 15.7

17.8 13.6

19.6 17.3 16.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1418) 2013 (n=1512)

7.3

12.0

20.0

25.7 23.8

32.4

25.6

31.3 30.2 26.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1440) 2013 (n=1481)

8.2

4.3 6.0 5.2 5.9

2.3 3.1

6.3 8.2

5.7

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1543) 2013 (n=1593)

204

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3. Lam Dong

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

30.2

64.4

13.3 28.2

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=721)

99.8

15.6

020406080

100

Iodized salt use (n=1515)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=827)

36.3 43.1

97.5 70.6

020406080

100

Continued breastfeeding at 2years (n=102)

Child deworming (last 6months) (n=752)

Vitamin A supplementation(last 6 months) (n=752)

Child 24-35 months get vitaminA (n=752)

93.1 99.2

59.5

84.6

020406080

100

Child born in ahealth facility

(n=422)

Ever breastfed(n=763)

Early initiation ofbreastfeeding

(n=763)

No squeezing outcolostrum(n=745)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

33.3

77.8

49.8

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=87)

No bottle feeding(n=185)

No prelactealfeeding in the first3 days (n=763)

78.9 82.9 82.0 66.1

76.6 82.0

51.4

020406080

100

Continuedbreastfeeding at 1

year (n=123)

Minimum mealfrequency(n=578)

Minimum dietarydiversity (n=578)

Minimumacceptable diet

(n=578)

Consumption ofiron-rich or iron-fortified foods

(n=578)

Vitamin Asupplementation(last 6 months)

(n=578)

No bottle feeding(n=578)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

205

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Lam Dong

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

33.7 41.2

11.7

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1515)

92.9 91.4 74.6

85.3 89.2 90.4 93.0 81.6

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1318)

3.0 13.0

82.4

96.0

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1318)

97.6

55.3

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1318)

82.7

20.1 14.3 11.4

6.5

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1318)

206

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 6 No. of hospitals 7 No. of wards, town districts, and communes 65 No. of polyclinics 7 No. of villages 383 No. of commune health centers 65 Population No. of maternity homes - No. of children <5 years of age No. of doctors 306 No. of children <2 years of age No. of assistant doctors 413

(estimated to be 41.1% of the under 5) 41% No. of nurses 374 Percent ethnic minorities 23.5% No. of midwives/birth attendants 164 Poverty rate 17.7% No. of village health workers 385

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 27.5%, underweight was 20% and

wasting was 6.1%; while the prevalence of overweight and obesity was 2.9%.

19,872 48,351

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ninh Thuan

Nutrition profile 2013

573,251

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 76.7%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 33.8%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.5%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 79.2% and the rate of using Vitamin A after delivery was 35.1%.

The rate of early initiation of breastfeeding was 59.3%, continued breastfeeding at 2 years rate was

33.3% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 81.1%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 90%.

207

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2. Ninh Thuan

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

95.4

42.6

32.6 35.1

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1283) 2013 (n=1373)

29.9 26.8

12.4

24.1 22.6

13.8 10.7

15.5

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1458) 2013 (n=589)

23.5

31.6

8.4

1.8

20.0

27.5

6.1 2.9

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1513) 2013 (n=1523)

6.3

12.0 15.3

26.9

21.2 19.8 24.2 25.8

19.1

23.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1530) 2013 (n=1523)

6.3

11.5

27.7 27.7 30.9 29.3

35.6 32.9

27.5 23.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1499) 2013 (n=1522)

6.3 4.9

8.1 8.5

3.9

7.2 7.6 6.5

4.6 4.2

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1611) 2013 (n=1650)

208

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3. Ninh Thuan

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

4.6

56.3

19.4 7.1

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=284)

84.6

1.9 0

20406080

100

Iodized salt use (n=1373)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=795)

33.3 38.0

95.5 95.1

020406080

100

Continued breastfeeding at 2years (n=81)

Child deworming (last 6months) (n=898)

Vitamin A supplementation(last 6 months) (n=898)

Child 24-35 months get vitaminA (n=761)

91.1 98.7

59.3

90.5

020406080

100

Child born in ahealth facility

(n=359)

Ever breastfed(n=612)

Early initiation ofbreastfeeding

(n=612)

No squeezing outcolostrum(n=601)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

43.8

77.6

43.5

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=144)

No bottle feeding(n=174)

No prelactealfeeding in the first3 days (n=612)

82.3 96.1 86.5 81.1 89.7 85.6 72.4

020406080

100

Continuedbreastfeeding at 1

year (n=96)

Minimum mealfrequency(n=438)

Minimum dietarydiversity (n=438)

Minimumacceptable diet

(n=438)

Consumption ofiron-rich or iron-fortified foods

(n=438)

Vitamin Asupplementation(last 6 months)

(n=450)

No bottle feeding(n=438)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

209

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Ninh Thuan

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

24.8

12.7

0.9 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1373)

72.9 74.0 72.3 71.5 70.0 70.5 74.2 60.7

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1275)

0.4 3.1

50.5

74.7

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1275)

76.7

33.8

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1275)

38.7

19.5

4.9 2.6 3.1 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1275)

210

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 10 No. of hospitals 9 No. of wards, town districts, and communes 111 No. of polyclinics 8 No. of villages 1,028 No. of commune health centers 110 Population No. of maternity homes - No. of children <5 years of age No. of doctors 413 No. of children <2 years of age No. of assistant doctors 480

(estimated to be 41.1% of the under 5) 41% No. of nurses 509 Percent ethnic minorities 19.7% No. of midwives/birth attendants 336 Poverty rate 9.1% No. of village health workers 1,036

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 29.1%, underweight was 16.7% and

wasting was 7.9%; while the prevalence of overweight and obesity was 6%.

32,837 79,896

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Binh Phuoc

Nutrition profile 2013

907,308

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 83%; main sources of information were mass media channels, especially TV. The proportion

of mothers who met a health worker in the last 3 months was 74%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 12.8%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 82.2% and the rate of using Vitamin A after delivery was 50.9%.

The rate of early initiation of breastfeeding was 58.1%, continued breastfeeding at 2 years rate was

17.6% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 62.3%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 88.5%.

211

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2. Binh Phuoc

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

72.9

28.7

44.6 50.9

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1343) 2013 (n=1349)

29.0

20.9 22.1 22.6

15.6

10.1 9.5 12.8

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1471) 2013 (n=818)

19.9

33.0

8.6 5.0

16.7

29.1

7.9 6.0

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1490) 2013 (n=1518)

6.7 10.4

7.5 10.8 10.3

13.7 11.5

16.4 12.4

17.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1494) 2013 (n=1518)

14.3 13.6

18.1

27.6

19.8 23.8

20.1 22.0

17.8 15.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1446) 2013 (n=1506)

13.3

5.5 5.2

2.6

9.4

3.3

13.7 11.6

5.5 6.8

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1596) 2013 (n=1640)

212

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3. Binh Phuoc

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

4.2

61.9

19.9 8.3

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=397)

92.3

1.2 0

20406080

100

Iodized salt use (n=1349)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=841)

17.6

77.5 95.8 96.0

020406080

100

Continued breastfeeding at 2years (n=68)

Child deworming (last 6months) (n=886)

Vitamin A supplementation(last 6 months) (n=886)

Child 24-35 months get vitaminA (n=723)

97.7 97.1

58.1

81.5

020406080

100

Child born in ahealth facility

(n=347)

Ever breastfed(n=626)

Early initiation ofbreastfeeding

(n=626)

No squeezing outcolostrum(n=600)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

46.8 63.5

29.6

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=156)

No bottle feeding(n=178)

No prelactealfeeding in the first3 days (n=626)

68.8 83.5 76.3

62.3 77.0 83.7

63.4

020406080

100

Continuedbreastfeeding at 1

year (n=128)

Minimum mealfrequency(n=448)

Minimum dietarydiversity (n=448)

Minimumacceptable diet

(n=448)

Consumption ofiron-rich or iron-fortified foods

(n=448)

Vitamin Asupplementation(last 6 months)

(n=460)

No bottle feeding(n=448)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

213

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Binh Phuoc

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

17.9

66.9

2.4 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1349)

61.4 62.3

28.1 37.9 43.6 39.6

64.0

26.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1179)

10.3 6.9

66.4 69.9

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1179)

83.0

74.0

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1179)

67.8

21.9

9.2 4.7 5.0

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1179)

214

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 9 No. of hospitals 12 No. of wards, town districts, and communes 95 No. of polyclinics 4 No. of villages 504 No. of commune health centers 92 Population No. of maternity homes - No. of children <5 years of age No. of doctors 438 No. of children <2 years of age No. of assistant doctors 620

(estimated to be 41.1% of the under 5) 41% No. of nurses 635 Percent ethnic minorities 1.5% No. of midwives/birth attendants 271 Poverty rate 5.5% No. of village health workers 520

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 24.6%, underweight was 14.3% and

wasting was 5.6%; while the prevalence of overweight and obesity was 6.3%.

33,534 81,592

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Tay Ninh

Nutrition profile 2013

1,081,403

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 91.7%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 41.7%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 16.3%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 80.6% and the rate of using Vitamin A after delivery was 47.4%.

The rate of early initiation of breastfeeding was 62.6%, continued breastfeeding at 2 years rate was

14.4% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 35%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 82.6%.

215

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2. Tay Ninh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

91.4

28.0 37.1

47.4

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1263) 2013 (n=1373)

30.1

20.0

14.0

20.9 24.1

13.0 10.8

16.3

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1370) 2013 (n=820)

17.2

28.5

6.6 3.1

14.3

24.6

5.6 6.3

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1392) 2013 (n=1539)

6.7 7.9 5.5 6.1

9.2 11.0 10.0 12.9

4.3

14.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1361) 2013 (n=1539)

7.3 6.8

12.0 14.7

18.5 15.7 16.7 18.3

15.2 16.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1377) 2013 (n=1529)

9.7

5.9

3.0 1.2 1.2 1.3

7.5

5.2 5.4 5.9

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1498) 2013 (n=1628)

216

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3. Tay Ninh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

6.8

64.8

14.2 27.4

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=505)

95.5

4.0 0

20406080

100

Iodized salt use (n=1373)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=857)

14.4 34.4

74.6 74.8

020406080

100

Continued breastfeeding at 2years (n=104)

Child deworming (last 6months) (n=744)

Vitamin A supplementation(last 6 months) (n=744)

Child 24-35 months get vitaminA (n=592)

100.0 94.4

62.6 71.8

020406080

100

Child born in ahealth facility

(n=435)

Ever breastfed(n=781)

Early initiation ofbreastfeeding

(n=781)

No squeezing outcolostrum(n=737)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

31.8 49.2

68.0

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=110)

No bottle feeding(n=193)

No prelactealfeeding in the first3 days (n=781)

50.0

76.0 63.1

35.0

75.5 81.1

46.4

020406080

100

Continuedbreastfeeding at 1

year (n=138)

Minimum mealfrequency(n=588)

Minimum dietarydiversity (n=588)

Minimumacceptable diet

(n=588)

Consumption ofiron-rich or iron-fortified foods

(n=588)

Vitamin Asupplementation(last 6 months)

(n=603)

No bottle feeding(n=588)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

217

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Tay Ninh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

28.8

17.2 16.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1373)

70.9 62.2

51.9 60.8

53.5 63.3

78.0

45.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1073)

4.8

26.0

67.8

91.1

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1073)

91.7

41.7

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1073)

65.2

38.6

20.3

35.2

6.7

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1073)

218

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 7 No. of hospitals 10 No. of wards, town districts, and communes 91 No. of polyclinics 9 No. of villages 566 No. of commune health centers 91 Population No. of maternity homes - No. of children <5 years of age No. of doctors 533 No. of children <2 years of age No. of assistant doctors 582

(estimated to be 41.1% of the under 5) 41% No. of nurses 557 Percent ethnic minorities 4.1% No. of midwives/birth attendants 380 Poverty rate 0.2% No. of village health workers 567

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 22.5%, underweight was 9.7% and

wasting was 5.7%; while the prevalence of overweight and obesity was 8.6%.

56,875 138,382

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Binh Duong

Nutrition profile 2013

1,705,283

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 72.8%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 43.7%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 13%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 90.6% and the rate of using Vitamin A after delivery was 28.8%.

The rate of early initiation of breastfeeding was 34.4%, continued breastfeeding at 2 years rate was

16.2% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 63.5%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 78.6%.

219

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2. Binh Duong

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

79.7

30.6

20.6 28.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1388) 2013 (n=1390)

24.8

15.6 12.2

17.2

23.0

11.6 7.5

13.0

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1501) 2013 (n=817)

12.9

26.5

6.2 5.2

9.7

22.5

5.7 8.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1509) 2013 (n=1530)

1.3 2.2 3.6 4.0 6.7 5.2

7.8

2.8

7.9 5.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1536) 2013 (n=1530)

3.9 8.0 9.4 10.4 10.6

13.3 17.6

5.7

11.9

5.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1505) 2013 (n=1526)

1.3 2.5 2.7

0.6

3.3

0.7 0.0 0.9 1.0 1.1

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1585) 2013 (n=1628)

220

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3. Binh Duong

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

7.2

68.2

21.2 30.8

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=518)

90.6

2.0 0

20406080

100

Iodized salt use (n=1390)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=862)

16.2

57.8 55.6 69.9

020406080

100

Continued breastfeeding at 2years (n=111)

Child deworming (last 6months) (n=701)

Vitamin A supplementation(last 6 months) (n=701)

Child 24-35 months get vitaminA (n=578)

99.3 95.4

34.4

75.7

020406080

100

Child born in ahealth facility

(n=432)

Ever breastfed(n=812)

Early initiation ofbreastfeeding

(n=812)

No squeezing outcolostrum(n=766)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

21.2

43.4

78.3

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=104)

No bottle feeding(n=152)

No prelactealfeeding in the first3 days (n=812)

57.9

91.5 79.1 63.5

82.3 75.4

33.5

020406080

100

Continuedbreastfeeding at 1

year (n=145)

Minimum mealfrequency(n=660)

Minimum dietarydiversity (n=660)

Minimumacceptable diet

(n=660)

Consumption ofiron-rich or iron-fortified foods

(n=660)

Vitamin Asupplementation(last 6 months)

(n=676)

No bottle feeding(n=660)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

221

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Binh Duong

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

26.9

15.5

6.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1390)

66.5 64.3 54.7 52.3

59.5 55.9 62.6 48.9

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=995)

1.7 9.4

41.4

68.0

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=995)

72.8

43.7

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=995)

40.5

8.0 18.2

5.1 4.2

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=995)

222

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 10 No. of hospitals 17 No. of wards, town districts, and communes 171 No. of polyclinics 13 No. of villages 245 No. of commune health centers 171 Population No. of maternity homes 1 No. of children <5 years of age No. of doctors 979 No. of children <2 years of age No. of assistant doctors 855

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,738 Percent ethnic minorities 7.0% No. of midwives/birth attendants 588 Poverty rate 3.0% No. of village health workers 911

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 26.7%, underweight was 10.4% and

wasting was 5.4%; while the prevalence of overweight and obesity was 7.2%.

84,955 206,704

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Dong Nai

Nutrition profile 2013

2,622,770

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 95.8%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 60.2%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 17%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 84.4% and the rate of using Vitamin A after delivery was 56.5%.

The rate of early initiation of breastfeeding was 36.9%, continued breastfeeding at 2 years rate was

23.1% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 62.1%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 85.7%.

223

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2. Dong Nai

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

89.8

59.0 52.1

56.5

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1446) 2013 (n=1435)

33.3

27.6

18.4

26.0 27.1

17.1

11.8

17.0

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1695) 2013 (n=2470)

12.4

30.8

6.8 5.4

10.4

26.7

5.4 7.2

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1736) 2013 (n=1550)

4.5 4.7 5.4 9.9 8.6

14.5 13.7

8.9

14.5 13.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1734) 2013 (n=1550)

7.3 9.3

12.6

21.1

16.1 19.3 20.0 19.7

15.7 15.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1703) 2013 (n=1523)

6.3 6.4

3.0 2.9 1.8

7.5

4.8 3.7

5.6 7.1

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1827) 2013 (n=1653)

224

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3. Dong Nai

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

22.3

69.3

14.1 34.8

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=1308)

96.8

16.3

020406080

100

Iodized salt use (n=1435)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=863)

23.1 46.7

82.4 64.2

020406080

100

Continued breastfeeding at 2years (n=108)

Child deworming (last 6months) (n=790)

Vitamin A supplementation(last 6 months) (n=790)

Child 24-35 months get vitaminA (n=678)

98.7 89.7

36.9

68.5

020406080

100

Child born in ahealth facility

(n=396)

Ever breastfed(n=757)

Early initiation ofbreastfeeding

(n=757)

No squeezing outcolostrum(n=712)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

16.3 30.7

71.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=104)

No bottle feeding(n=153)

No prelactealfeeding in the first3 days (n=757)

54.5

81.6 79.1 62.1

73.3 83.4

30.8

020406080

100

Continuedbreastfeeding at 1

year (n=132)

Minimum mealfrequency(n=604)

Minimum dietarydiversity (n=604)

Minimumacceptable diet

(n=604)

Consumption ofiron-rich or iron-fortified foods

(n=604)

Vitamin Asupplementation(last 6 months)

(n=615)

No bottle feeding(n=604)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

225

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Dong Nai

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

44.5

33.7

11.7

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1435)

86.8 83.8

60.1 72.2

83.3 82.3 90.0

81.7

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1325)

3.2 11.8

79.9

93.7

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1325)

95.8

60.2

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1325)

75.3

33.4 25.2

11.8 10.3

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1325)

226

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 9 No. of hospitals 13 No. of wards, town districts, and communes 127 No. of polyclinics 10 No. of villages 667 No. of commune health centers 127 Population No. of maternity homes - No. of children <5 years of age No. of doctors 562 No. of children <2 years of age No. of assistant doctors 855

(estimated to be 41.1% of the under 5) 41% No. of nurses 840 Percent ethnic minorities 7.4% No. of midwives/birth attendants 403 Poverty rate 9.3% No. of village health workers 877

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 29.4%, underweight was 16.3% and

wasting was 8.8%; while the prevalence of overweight and obesity was 3.7%.

36,989 89,997

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Binh Thuan

Nutrition profile 2013

1,182,428

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 99.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 99.3%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.5%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 97.6% and the rate of using Vitamin A after delivery was 85.3%.

The rate of early initiation of breastfeeding was 68%, continued breastfeeding at 2 years rate was 20.9%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 84.5%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 92.3%.

227

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2. Binh Thuan

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

99.9 98.3 85.3 85.3

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1352) 2013 (n=1355)

34.5

19.7

9.7

20.1

27.7

13.5

6.1

15.5

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1542) 2013 (n=1191)

19.7

32.1

6.8

12.0 16.3

29.4

8.8

3.7

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1573) 2013 (n=1526)

2.8 4.5 2.1

6.4 10.8

8.6 11.1 11.0 9.4

14.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1600) 2013 (n=1526)

2.3 6.1

2.1

8.4

19.1 15.1 16.2 16.5

11.6 14.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1559) 2013 (n=1505)

21.2

15.9

19.3

12.1

8.6 8.6

11.1

8.6

10.9 11.4

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1654) 2013 (n=1658)

228

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3. Binh Thuan

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

9.8

77.7

19.4 30.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=550)

99.1

2.1 0

20406080

100

Iodized salt use (n=1355)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=862)

20.9

87.8 99.5 96.8

020406080

100

Continued breastfeeding at 2years (n=86)

Child deworming (last 6months) (n=883)

Vitamin A supplementation(last 6 months) (n=883)

Child 24-35 months get vitaminA (n=723)

99.7 98.1

68.0

97.1

020406080

100

Child born in ahealth facility

(n=358)

Ever breastfed(n=632)

Early initiation ofbreastfeeding

(n=632)

No squeezing outcolostrum(n=622)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

26.8

60.6 45.6

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=153)

No bottle feeding(n=180)

No prelactealfeeding in the first3 days (n=632)

81.7 95.6 94.5 84.5 91.2 87.6

50.0

020406080

100

Continuedbreastfeeding at 1

year (n=104)

Minimum mealfrequency(n=452)

Minimum dietarydiversity (n=452)

Minimumacceptable diet

(n=452)

Consumption ofiron-rich or iron-fortified foods

(n=452)

Vitamin Asupplementation(last 6 months)

(n=466)

No bottle feeding(n=452)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

229

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Binh Thuan

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

92.2 95.3

11.4

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1355)

99.9 99.7 99.3 99.3 99.0 99.6 99.8 99.9

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1355)

0.0

17.9

93.8 99.9

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1355)

99.9 99.3

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1355)

95.8

43.8

4.4 0.6 5.0

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1355)

230

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 7 No. of hospitals 10 No. of wards, town districts, and communes 82 No. of polyclinics 6 No. of villages 560 No. of commune health centers 82 Population No. of maternity homes 21 No. of children <5 years of age No. of doctors 478 No. of children <2 years of age No. of assistant doctors 363

(estimated to be 41.1% of the under 5) 41% No. of nurses 644 Percent ethnic minorities 2.5% No. of midwives/birth attendants 261 Poverty rate 4.8% No. of village health workers 958

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 21.6%, underweight was 8.5% and

wasting was 5.9%; while the prevalence of overweight and obesity was 6.9%.

30,880 75,134

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ba Ria Vung Tau

Nutrition profile 2013

1,022,044

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 63.4%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 15%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 16.4%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 91.9% and the rate of using Vitamin A after delivery was 27.4%.

The rate of early initiation of breastfeeding was 39.6%, continued breastfeeding at 2 years rate was

19.4% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 62.5%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 87.6%.

231

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2. Ba Ria Vung Tau

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

83.0

35.6

22.5 27.4

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1439) 2013 (n=1358)

30.3

22.6

10.1

23.2 26.2

17.0

4.7

16.4

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1494) 2013 (n=924)

12.0

25.7

7.0 3.5

8.5

21.6

5.9 6.9

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1522) 2013 (n=1490)

2.3 3.0 6.5

8.7 8.7 4.6

11.7 12.1 8.8

14.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1520) 2013 (n=1490)

0.8 4.2

12.3

22.8

12.8 9.1

14.8 12.9

5.0

16.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1513) 2013 (n=1476)

12.5

6.1 5.8

3.3 3.7 5.3 4.7 5.0

9.0 8.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1636) 2013 (n=1580)

232

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3. Ba Ria Vung Tau

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

6.4

78.9

10.8 24.3

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=452)

94.1

4.7 0

20406080

100

Iodized salt use (n=1358)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=909)

19.4 37.7

76.8 74.9

020406080

100

Continued breastfeeding at 2years (n=124)

Child deworming (last 6months) (n=826)

Vitamin A supplementation(last 6 months) (n=826)

Child 24-35 months get vitaminA (n=714)

99.1 94.4

39.6

79.7

020406080

100

Child born in ahealth facility

(n=329)

Ever breastfed(n=644)

Early initiation ofbreastfeeding

(n=644)

No squeezing outcolostrum(n=600)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

34.5

55.6 74.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=84)

No bottle feeding(n=126)

No prelactealfeeding in the first3 days (n=644)

56.3

87.1 86.7 62.5

80.3 84.2

43.8

020406080

100

Continuedbreastfeeding at 1

year (n=112)

Minimum mealfrequency(n=518)

Minimum dietarydiversity (n=518)

Minimumacceptable diet

(n=518)

Consumption ofiron-rich or iron-fortified foods

(n=518)

Vitamin Asupplementation(last 6 months)

(n=539)

No bottle feeding(n=518)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

233

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Ba Ria Vung Tau

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

10.7 4.4 3.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1358)

56.8 48.3

36.3 34.9

56.3 46.4

57.6

38.8

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1117)

7.3 3.0

56.6 59.4

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1117)

63.4

15.0

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1117)

52.0

8.9 9.3 1.3

13.4

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1117)

234

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 13 No. of hospitals 16 No. of wards, town districts, and communes 190 No. of polyclinics 5 No. of villages 1,485 No. of commune health centers 190 Population No. of maternity homes - No. of children <5 years of age No. of doctors 667 No. of children <2 years of age No. of assistant doctors 896

(estimated to be 41.1% of the under 5) 41% No. of nurses 776 Percent ethnic minorities 0.3% No. of midwives/birth attendants 457 Poverty rate 6.6% No. of village health workers 983

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 20.8%, underweight was 10.1% and

wasting was 5.9%; while the prevalence of overweight and obesity was 6.7%.

44,487 108,240

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Long An

Nutrition profile 2013

1,453,600

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 98.2%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 93.4%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 12.7%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 97% and the rate of using Vitamin A after delivery was 79.8%.

The rate of early initiation of breastfeeding was 62.8%, continued breastfeeding at 2 years rate was

14.8% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 80.7%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 90.9%.

235

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2. Long An

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

95.6

79.6 73.3

79.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1218) 2013 (n=1378)

35.3

20.3

14.8

19.9 19.3

12.1

6.7

12.7

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1279) 2013 (n=1347)

14.4

24.5

6.6 4.4

10.1

20.8

5.9 6.7

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1517) 2013 (n=1540)

3.8 4.2 8.4

2.7 6.8

3.3 6.2

12.6

6.6

13.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1518) 2013 (n=1539)

8.7 9.4 12.4

14.3 11.3

4.1

16.0

11.4 9.4

12.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1506) 2013 (n=1539)

1.1 1.9 1.9 0.5 0.0 0.8

2.3 3.6 3.6 2.9

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1633) 2013 (n=1674)

236

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3. Long An

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

2.7

91.4

5.1

60.0

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=719)

90.2

2.5 0

20406080

100

Iodized salt use (n=1378)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=873)

14.8

53.6

88.0

58.1

020406080

100

Continued breastfeeding at 2years (n=122)

Child deworming (last 6months) (n=809)

Vitamin A supplementation(last 6 months) (n=809)

Child 24-35 months get vitaminA (n=655)

98.2 97.5

62.8 82.4

020406080

100

Child born in ahealth facility

(n=399)

Ever breastfed(n=723)

Early initiation ofbreastfeeding

(n=723)

No squeezing outcolostrum(n=660)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

40.3 58.3

41.9

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=124)

No bottle feeding(n=180)

No prelactealfeeding in the first3 days (n=723)

57.0

93.6 91.2 80.7 90.6 88.2

43.1

020406080

100

Continuedbreastfeeding at 1

year (n=114)

Minimum mealfrequency(n=543)

Minimum dietarydiversity (n=543)

Minimumacceptable diet

(n=543)

Consumption ofiron-rich or iron-fortified foods

(n=543)

Vitamin Asupplementation(last 6 months)

(n=550)

No bottle feeding(n=543)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

237

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Long An

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

72.2 76.7

11.3

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1378)

81.1 84.7 75.1 74.6

83.0 84.3 87.9 87.6

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1265)

4.0 5.2

76.3

94.2

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1265)

98.2 93.4

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1265)

65.9

35.0

15.3 6.1 4.6

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1265)

238

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 11 No. of hospitals 15 No. of wards, town districts, and communes 144 No. of polyclinics - No. of villages 683 No. of commune health centers 146 Population No. of maternity homes - No. of children <5 years of age No. of doctors 799 No. of children <2 years of age No. of assistant doctors 1,068

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,389 Percent ethnic minorities 0.2% No. of midwives/birth attendants 495 Poverty rate 12.9% No. of village health workers 1,415

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 26.6%, underweight was 15% and

wasting was 7.5%; while the prevalence of overweight and obesity was 3.8%.

50,859 123,745

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Dong Thap

Nutrition profile 2013

1,673,205

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 64.4%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 49.3%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 14.4%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 96.1% and the rate of using Vitamin A after delivery was 37.7%.

The rate of early initiation of breastfeeding was 55.2%, continued breastfeeding at 2 years rate was 6.6%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 51.5%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 85.1%.

239

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2. Dong Thap

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

84.1

57.6

36.1 37.7

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=900) 2013 (n=1236)

26.0

21.0

8.3

18.6 20.8

14.1

6.0

14.4

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=986) 2013 (n=1497)

17.3

29.8

7.5

2.9

15.0

26.6

7.5 3.8

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1503) 2013 (n=1327)

10.6 8.7

14.2

6.1

17.5 15.6

22.0 20.0

12.6

26.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1502) 2013 (n=1327)

12.8 15.8

24.8

15.3

27.1

32.1 29.1

24.1 21.8

23.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1451) 2013 (n=1325)

5.6

9.4 7.8

6.1 5.6 5.5 7.1 7.6

11.9 11.9

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1607) 2013 (n=1438)

240

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3. Dong Thap

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

1.8

72.3

23.0 14.8

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=720)

53.6

1.7 0

20406080

100

Iodized salt use (n=1236)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=783)

6.6

67.6 61.9 86.7

020406080

100

Continued breastfeeding at 2years (n=61)

Child deworming (last 6months) (n=737)

Vitamin A supplementation(last 6 months) (n=737)

Child 24-35 months get vitaminA (n=654)

98.6 97.8

55.2 59.0

020406080

100

Child born in ahealth facility

(n=351)

Ever breastfed(n=582)

Early initiation ofbreastfeeding

(n=582)

No squeezing outcolostrum(n=575)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

57.3 68.0

45.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=110)

No bottle feeding(n=178)

No prelactealfeeding in the first3 days (n=582)

64.4 89.9

69.3 51.5

87.4 88.1

58.7

020406080

100

Continuedbreastfeeding at 1

year (n=101)

Minimum mealfrequency(n=404)

Minimum dietarydiversity (n=404)

Minimumacceptable diet

(n=404)

Consumption ofiron-rich or iron-fortified foods

(n=404)

Vitamin Asupplementation(last 6 months)

(n=411)

No bottle feeding(n=404)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

241

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Dong Thap

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

36.6

25.9

1.9 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1236)

47.5 44.8 43.5 42.9 30.7

47.5 65.1

32.9

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1182)

6.9 4.8

39.7

69.6

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1182)

64.4

49.3

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1182)

36.0

16.2

0.8 1.9 0.8 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1182)

242

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 10 No. of hospitals 15 No. of wards, town districts, and communes 156 No. of polyclinics 11 No. of villages 852 No. of commune health centers 156 Population No. of maternity homes - No. of children <5 years of age No. of doctors 930 No. of children <2 years of age No. of assistant doctors 1,246

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,474 Percent ethnic minorities 5.3% No. of midwives/birth attendants 632 Poverty rate 8.5% No. of village health workers 852

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 24.9%, underweight was 14.3% and

wasting was 6.6%; while the prevalence of overweight and obesity was 3.5%.

74,425 181,083

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

An Giang

Nutrition profile 2013

2,150,594

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 74.2%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 46.3%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 11.5%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 84.9% and the rate of using Vitamin A after delivery was 45.4%.

The rate of early initiation of breastfeeding was 54%, continued breastfeeding at 2 years rate was 17%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 50.8%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 88.4%.

243

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2. An Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

75.8

46.4 43.9 45.4

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1422) 2013 (n=1461)

25.5

16.3

10.2

19.9

15.5 11.3

6.8

11.5

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1474) 2013 (n=2357)

17.0

28.7

7.1 2.8

14.3

24.9

6.6 3.5

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1526) 2013 (n=1534)

8.1 5.9

15.0 11.7

14.7

21.7

11.6

19.0

13.7

22.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1546) 2013 (n=1534)

6.5 8.0

23.5 19.8 20.9

27.4

19.4

14.9 12.8

22.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1487) 2013 (n=1526)

8.1

4.5

7.8

4.9 6.3 6.9 6.3 5.8

7.8 8.2

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1608) 2013 (n=1643)

244

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3. An Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

5.5

56.0

26.0 24.5

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=1196)

84.5

2.0 0

20406080

100

Iodized salt use (n=1461)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=902)

17.0

48.9 70.9

52.8

020406080

100

Continued breastfeeding at 2years (n=112)

Child deworming (last 6months) (n=801)

Vitamin A supplementation(last 6 months) (n=801)

Child 24-35 months get vitaminA (n=729)

94.9 96.4

54.0 48.7

020406080

100

Child born in ahealth facility

(n=392)

Ever breastfed(n=732)

Early initiation ofbreastfeeding

(n=732)

No squeezing outcolostrum(n=706)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

64.8 62.6 63.3

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=122)

No bottle feeding(n=187)

No prelactealfeeding in the first3 days (n=732)

61.7 84.4

71.6 50.8

78.7 85.6

44.2

020406080

100

Continuedbreastfeeding at 1

year (n=128)

Minimum mealfrequency(n=545)

Minimum dietarydiversity (n=545)

Minimumacceptable diet

(n=545)

Consumption ofiron-rich or iron-fortified foods

(n=545)

Vitamin Asupplementation(last 6 months)

(n=548)

No bottle feeding(n=545)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

245

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. An Giang

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

33.9 30.3

11.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1461)

83.6 76.5 65.8 67.8

77.2 70.7 82.7

65.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1415)

4.0 10.8

53.8

85.8

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1415)

74.2

46.3

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1415)

42.3

25.2

6.9 6.1 1.8 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1415)

246

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 9 No. of hospitals 11 No. of wards, town districts, and communes 169 No. of polyclinics 11 No. of villages 1,009 No. of commune health centers 169 Population No. of maternity homes - No. of children <5 years of age No. of doctors 809 No. of children <2 years of age No. of assistant doctors 832

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,093 Percent ethnic minorities 0.3% No. of midwives/birth attendants 463 Poverty rate 10.0% No. of village health workers 1,181

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25.4%, underweight was 12.5% and

wasting was 7.9%; while the prevalence of overweight and obesity was 4.9%.

48,784 118,696

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Tien Giang

Nutrition profile 2013

1,679,902

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 95.3%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 62.1%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 14.9%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 96.4% and the rate of using Vitamin A after delivery was 36.5%.

The rate of early initiation of breastfeeding was 35.8%, continued breastfeeding at 2 years rate was

10.4% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 69.3%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 83.3%.

247

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2. Tien Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

80.4

41.9

29.0 36.5

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1396) 2013 (n=1347)

33.2

27.2

12.9

24.5 20.6

15.8

7.0

14.9

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1498) 2013 (n=1276)

16.6

29.5

7.2 3.4

12.5

25.4

7.9 4.9

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1516) 2013 (n=1553)

5.6 8.2

10.9 13.3

6.3

11.0 9.8 11.1 8.9 9.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1502) 2013 (n=1553)

4.1 4.0 7.6

11.0 9.4 13.4

16.5

11.0 11.3

5.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1487) 2013 (n=1534)

16.9 14.9

10.9 11.9

5.5 7.0

4.5 5.2

1.6

4.9

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1610) 2013 (n=1667)

248

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3. Tien Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

6.7

83.1

12.4 38.0

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=639)

74.1

3.7 0

20406080

100

Iodized salt use (n=1347)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=895)

10.4

47.9

83.9

53.7

020406080

100

Continued breastfeeding at 2years (n=77)

Child deworming (last 6months) (n=925)

Vitamin A supplementation(last 6 months) (n=925)

Child 24-35 months get vitaminA (n=724)

98.1 97.6

35.8

81.2

020406080

100

Child born in ahealth facility

(n=365)

Ever breastfed(n=623)

Early initiation ofbreastfeeding

(n=623)

No squeezing outcolostrum(n=605)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

55.2 48.3 62.8

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=154)

No bottle feeding(n=180)

No prelactealfeeding in the first3 days (n=623)

51.5

91.4 88.3 69.3

87.6 81.0

32.7

020406080

100

Continuedbreastfeeding at 1

year (n=99)

Minimum mealfrequency(n=443)

Minimum dietarydiversity (n=443)

Minimumacceptable diet

(n=443)

Consumption ofiron-rich or iron-fortified foods

(n=443)

Vitamin Asupplementation(last 6 months)

(n=453)

No bottle feeding(n=443)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

249

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Tien Giang

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

61.0

8.5 2.7

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1347)

84.6 90.4 80.4 73.6

88.3

66.7 83.3

59.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1070)

3.7 4.2

52.4

86.9

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1070)

95.3

62.1

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1070)

47.4

26.7

11.3 8.2 2.1

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1070)

250

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 7 No. of hospitals 9 No. of wards, town districts, and communes 107 No. of polyclinics 6 No. of villages 842 No. of commune health centers 102 Population No. of maternity homes - No. of children <5 years of age No. of doctors 498 No. of children <2 years of age No. of assistant doctors 652

(estimated to be 41.1% of the under 5) 41% No. of nurses 576 Percent ethnic minorities 2.6% No. of midwives/birth attendants 317 Poverty rate 9.2% No. of village health workers 802

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 24.4%, underweight was 15.3% and

wasting was 5.6%; while the prevalence of overweight and obesity was 5.2%.

28,728 69,899

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Vinh Long

Nutrition profile 2013

1,027,468

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 77%; main sources of information were mass media channels, especially TV. The proportion

of mothers who met a health worker in the last 3 months was 76.7%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 11.8%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 97.9% and the rate of using Vitamin A after delivery was 46.3%.

The rate of early initiation of breastfeeding was 60.4%, continued breastfeeding at 2 years rate was 9.5%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 77.2%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 86.8%.

251

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2. Vinh Long

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

77.5

48.1 44.4 46.3

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1407) 2013 (n=1383)

40.0

23.8

9.5

22.4 23.3

10.9

5.3

11.8

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1500) 2013 (n=824)

18.8

28.9

7.2

2.5

15.3

24.4

5.6 5.2

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1521) 2013 (n=1526)

2.7 5.9 6.7 7.4 6.4 7.1

13.4

6.9

14.6 10.7

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1496) 2013 (n=1526)

4.3 7.0

9.1

22.1

12.3 12.8 13.3

6.3

13.8

8.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1530) 2013 (n=1521)

4.3 3.2 3.0

4.4 5.9

3.6 5.4

1.9

4.6 6.5

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1583) 2013 (n=1649)

252

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3. Vinh Long

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

12.6

82.2

13.9 40.2

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=382)

92.3

2.0 0

20406080

100

Iodized salt use (n=1383)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=937)

9.5

58.0

83.7 58.6

020406080

100

Continued breastfeeding at 2years (n=84)

Child deworming (last 6months) (n=884)

Vitamin A supplementation(last 6 months) (n=884)

Child 24-35 months get vitaminA (n=749)

98.7 93.7

60.4 73.1

020406080

100

Child born in ahealth facility

(n=374)

Ever breastfed(n=634)

Early initiation ofbreastfeeding

(n=634)

No squeezing outcolostrum(n=621)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

31.6

57.0 49.8

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=95)

No bottle feeding(n=186)

No prelactealfeeding in the first3 days (n=634)

62.8 92.0 87.3 77.2 87.9 81.7

33.9

020406080

100

Continuedbreastfeeding at 1

year (n=86)

Minimum mealfrequency(n=448)

Minimum dietarydiversity (n=448)

Minimumacceptable diet

(n=448)

Consumption ofiron-rich or iron-fortified foods

(n=448)

Vitamin Asupplementation(last 6 months)

(n=458)

No bottle feeding(n=448)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

253

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Vinh Long

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

44.8

56.8

3.8

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1383)

71.0 71.0 56.5

69.3 62.1

69.3 71.8 73.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1326)

2.3 11.7

50.4

74.4

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1326)

77.0 76.7

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1326)

44.7

8.1 4.4 5.7 2.3 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1326)

254

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 11 No. of wards, town districts, and communes 164 No. of polyclinics 8 No. of villages 996 No. of commune health centers 164 Population No. of maternity homes - No. of children <5 years of age No. of doctors 980 No. of children <2 years of age No. of assistant doctors 749

(estimated to be 41.1% of the under 5) 41% No. of nurses 795 Percent ethnic minorities 0.4% No. of midwives/birth attendants 293 Poverty rate 14.1% No. of village health workers 842

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 23.1%, underweight was 12.6% and

wasting was 6.2%; while the prevalence of overweight and obesity was 7.2%.

31,945 77,724

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ben Tre

Nutrition profile 2013

1,257,210

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 72.8%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 65.8%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.2%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 98% and the rate of using Vitamin A after delivery was 32.6%.

The rate of early initiation of breastfeeding was 31.8%, continued breastfeeding at 2 years rate was

18.1% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 58.4%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 86.5%.

255

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2. Ben Tre

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

82.3

53.3

30.3 32.6

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1453) 2013 (n=1455)

34.8

24.3

18.1

24.2 22.3

15.5 12.3

15.2

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1497) 2013 (n=975)

16.3

26.9

6.4 3.9

12.6

23.1

6.2 7.2

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1530) 2013 (n=1519)

4.4 5.2

10.3 6.8 6.4 4.8

7.7 7.9 12.2

9.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1528) 2013 (n=1519)

7.3

13.4 10.5 11.2 12.7

10.4 12.7 14.0

11.5 8.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1521) 2013 (n=1503)

2.2 3.7

6.0

3.1 2.3 3.5

5.6 3.7

5.3 5.8

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1684) 2013 (n=1640)

256

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3. Ben Tre

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

1.6

75.3

21.1 32.3

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=450)

68.3

0.3 0

20406080

100

Iodized salt use (n=1455)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=977)

18.1 34.5

72.0 50.9

020406080

100

Continued breastfeeding at 2years (n=105)

Child deworming (last 6months) (n=869)

Vitamin A supplementation(last 6 months) (n=869)

Child 24-35 months get vitaminA (n=814)

99.2 96.4

31.8

62.8

020406080

100

Child born in ahealth facility

(n=373)

Ever breastfed(n=641)

Early initiation ofbreastfeeding

(n=641)

No squeezing outcolostrum(n=618)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

45.8 58.9 58.0

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=83)

No bottle feeding(n=180)

No prelactealfeeding in the first3 days (n=641)

76.5 83.5 74.8 58.4

75.1 83.8

35.6

020406080

100

Continuedbreastfeeding at 1

year (n=81)

Minimum mealfrequency(n=461)

Minimum dietarydiversity (n=461)

Minimumacceptable diet

(n=461)

Consumption ofiron-rich or iron-fortified foods

(n=461)

Vitamin Asupplementation(last 6 months)

(n=470)

No bottle feeding(n=461)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

257

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Ben Tre

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

48.9

21.1

0.6 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1455)

32.2 33.3 20.2

40.0 29.3

58.6 51.2

63.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1347)

10.6 3.0

28.3

63.3

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1347)

72.8 65.8

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1347)

28.9

3.3 1.6 2.2 2.0 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1347)

258

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 14 No. of hospitals 13 No. of wards, town districts, and communes 145 No. of polyclinics 15 No. of villages 2,372 No. of commune health centers 128 Population No. of maternity homes 11 No. of children <5 years of age No. of doctors 826 No. of children <2 years of age No. of assistant doctors 1,323

(estimated to be 41.1% of the under 5) 41% No. of nurses 1,154 Percent ethnic minorities 14.3% No. of midwives/birth attendants 585 Poverty rate 8.1% No. of village health workers 845

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 22.8%, underweight was 14.3% and

wasting was 6.7%; while the prevalence of overweight and obesity was 3.4%.

62,607 152,329

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Kien Giang

Nutrition profile 2013

1,714,624

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 85.9%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 53.2%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 19.2%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 76.5% and the rate of using Vitamin A after delivery was 61%.

The rate of early initiation of breastfeeding was 60.7%, continued breastfeeding at 2 years rate was 6%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 53%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 85.2%.

259

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2. Kien Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

80.3

61.9 58.2 61.0

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1394) 2013 (n=1366)

33.6

19.5

10.9

22.9

28.7

16.5

12.2

19.2

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1486) 2013 (n=1718)

17.3

26.9

6.5 2.6

14.3

22.8

6.7 3.4

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1529) 2013 (n=1524)

5.9 7.9

15.7 12.9

16.4 17.6

22.3

17.1 18.2 14.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1569) 2013 (n=1524)

13.1

17.8

25.6 27.3 26.3 24.3

27.7 25.0

20.5 19.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1501) 2013 (n=1496)

6.5 5.8

8.7

5.3 4.9

7.1

10.7

8.3 6.8

5.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1615) 2013 (n=1599)

260

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3. Kien Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

7.7

39.8 32.5 14.4

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=921)

79.9

2.6 0

20406080

100

Iodized salt use (n=1366)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=844)

6.0

33.2

64.2 88.3

020406080

100

Continued breastfeeding at 2years (n=87)

Child deworming (last 6months) (n=774)

Vitamin A supplementation(last 6 months) (n=774)

Child 24-35 months get vitaminA (n=636)

97.6 94.6

60.7 81.8

020406080

100

Child born in ahealth facility

(n=429)

Ever breastfed(n=730)

Early initiation ofbreastfeeding

(n=730)

No squeezing outcolostrum(n=685)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

40.4

70.9 64.4

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=54)

No bottle feeding(n=188)

No prelactealfeeding in the first3 days (n=730)

57.8 82.3 78.3

53.0 77.0 85.5

62.2

020406080

100

Continuedbreastfeeding at 1

year (n=111)

Minimum mealfrequency(n=542)

Minimum dietarydiversity (n=542)

Minimumacceptable diet

(n=542)

Consumption ofiron-rich or iron-fortified foods

(n=542)

Vitamin Asupplementation(last 6 months)

(n=561)

No bottle feeding(n=542)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

261

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Kien Giang

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

45.0

26.6

16.7

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1366)

60.3 56.2 50.0 55.6

36.8

69.5 62.9 57.8

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1303)

9.1 7.0

43.8

76.6

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1303)

85.9

53.2

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1303)

39.1

3.7 5.0 10.5

2.9 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1303)

262

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 9 No. of hospitals 17 No. of wards, town districts, and communes 85 No. of polyclinics 1 No. of villages 971 No. of commune health centers 81 Population No. of maternity homes - No. of children <5 years of age No. of doctors 653 No. of children <2 years of age No. of assistant doctors 595

(estimated to be 41.1% of the under 5) 41% No. of nurses 742 Percent ethnic minorities 3.0% No. of midwives/birth attendants 275 Poverty rate 6.6% No. of village health workers 589

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 22.7%, underweight was 11.7% and

wasting was 6.5%; while the prevalence of overweight and obesity was 6.4%.

34,559 84,085

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Can Tho

Nutrition profile 2013

1,203,325

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 79.8%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 49.9%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 14.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 88.8% and the rate of using Vitamin A after delivery was 37.4%.

The rate of early initiation of breastfeeding was 30.9%, continued breastfeeding at 2 years rate was

10.4% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 45.9%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 65.2%.

263

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2. Can Tho

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

80.1

23.6

34.1 37.4

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1419) 2013 (n=1382)

27.9

14.1

5.6

17.0

23.2

12.4 9.2

14.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1494) 2013 (n=937)

13.9

26.4

6.2 5.5

11.7

22.7

6.5 6.4

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1524) 2013 (n=1516)

5.5 4.5

12.1

17.5

12.3 14.3 14.5 13.7

11.5 14.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1553) 2013 (n=1516)

11.6

19.4

25.2

33.7

24.3 22.1

26.4 22.6

14.6

19.1

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1467) 2013 (n=1509)

6.6

3.5 4.5 4.0 4.8 4.3 4.9

3.8

7.7

4.5

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1618) 2013 (n=1637)

264

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3. Can Tho

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

7.3

49.1 36.3 27.4

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=441)

74.0

4.8 0

20406080

100

Iodized salt use (n=1382)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=914)

10.4

50.6 53.8 67.0

020406080

100

Continued breastfeeding at 2years (n=67)

Child deworming (last 6months) (n=878)

Vitamin A supplementation(last 6 months) (n=878)

Child 24-35 months get vitaminA (n=755)

99.5 95.2

30.9 52.4

020406080

100

Child born in ahealth facility

(n=379)

Ever breastfed(n=627)

Early initiation ofbreastfeeding

(n=627)

No squeezing outcolostrum(n=586)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

48.0 63.5 70.5

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=100)

No bottle feeding(n=178)

No prelactealfeeding in the first3 days (n=627)

58.0

84.6 65.7

45.9

74.2 63.1

48.8

020406080

100

Continuedbreastfeeding at 1

year (n=100)

Minimum mealfrequency(n=449)

Minimum dietarydiversity (n=449)

Minimumacceptable diet

(n=449)

Consumption ofiron-rich or iron-fortified foods

(n=449)

Vitamin Asupplementation(last 6 months)

(n=461)

No bottle feeding(n=449)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

265

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Can Tho

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

35.2

21.8

8.1

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1382)

64.1 72.0

60.1 52.5

67.1 54.7

72.4

42.3

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1242)

8.0 7.1

60.6

77.2

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1242)

79.8

49.9

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1242)

61.0

18.8 7.9 5.6 4.2

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1242)

266

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 7 No. of hospitals 9 No. of wards, town districts, and communes 104 No. of polyclinics 15 No. of villages 870 No. of commune health centers 89 Population No. of maternity homes - No. of children <5 years of age No. of doctors 499 No. of children <2 years of age No. of assistant doctors 634

(estimated to be 41.1% of the under 5) 41% No. of nurses 592 Percent ethnic minorities 32.4% No. of midwives/birth attendants 236 Poverty rate 21.1% No. of village health workers 797

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 24.9%, underweight was 15.9% and

wasting was 8.2%; while the prevalence of overweight and obesity was 4.1%.

31,218 75,957

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Tra Vinh

Nutrition profile 2013

1,007,770

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 82.5%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 61%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.3%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 89.6% and the rate of using Vitamin A after delivery was 32.6%.

The rate of early initiation of breastfeeding was 50.7%, continued breastfeeding at 2 years rate was 7.5%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 31.5%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 88.5%.

267

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2. Tra Vinh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

83.0

32.9 25.3

32.6

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1302) 2013 (n=1530)

28.0

21.0

13.3

21.1 23.5

13.1 11.3

15.3

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1301) 2013 (n=868)

15.6

28.1

9.5

2.3

15.9

24.9

8.2 4.1

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1545) 2013 (n=1536)

4.4 9.0 9.7 10.2 10.0 8.9

14.6

6.7 6.5 11.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1548) 2013 (n=1536)

8.9 9.8

14.3

8.7

17.9 14.1 14.7 13.4 12.1

9.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1508) 2013 (n=1526)

11.7

15.8

10.4

13.3 12.5

8.9

11.2

8.4 6.7 7.0

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1660) 2013 (n=1630)

268

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3. Tra Vinh

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

7.9

71.1

16.6

54.7

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=405)

63.1

0.6 0

20406080

100

Iodized salt use (n=1530)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=1077)

7.5 31.2

76.0 89.9

020406080

100

Continued breastfeeding at 2years (n=80)

Child deworming (last 6months) (n=897)

Vitamin A supplementation(last 6 months) (n=897)

Child 24-35 months get vitaminA (n=889)

98.9 94.9

50.7

76.2

020406080

100

Child born in ahealth facility

(n=359)

Ever breastfed(n=641)

Early initiation ofbreastfeeding

(n=641)

No squeezing outcolostrum(n=521)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

53.8

89.5

49.5

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=13)

No bottle feeding(n=181)

No prelactealfeeding in the first3 days (n=641)

53.8 73.7

60.9

31.5

75.2 87.6 76.7

020406080

100

Continuedbreastfeeding at 1

year (n=104)

Minimum mealfrequency(n=460)

Minimum dietarydiversity (n=460)

Minimumacceptable diet

(n=460)

Consumption ofiron-rich or iron-fortified foods

(n=460)

Vitamin Asupplementation(last 6 months)

(n=460)

No bottle feeding(n=460)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

269

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Tra Vinh

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

31.3 26.1

1.8 0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1530)

47.4 34.7 30.4

56.2 67.1 60.5

69.8

43.3

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1186)

15.5 15.2

36.1

78.8

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1186)

82.5

61.0

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1186)

42.4

3.3 0.8 3.0 1.3 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1186)

270

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 10 No. of hospitals 11 No. of wards, town districts, and communes 109 No. of polyclinics 3 No. of villages 809 No. of commune health centers 109 Population No. of maternity homes - No. of children <5 years of age No. of doctors 490 No. of children <2 years of age No. of assistant doctors 755

(estimated to be 41.1% of the under 5) 41% No. of nurses 768 Percent ethnic minorities 35.8% No. of midwives/birth attendants 363 Poverty rate 20.5% No. of village health workers 802

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 26.7%, underweight was 15% and

wasting was 6.4%; while the prevalence of overweight and obesity was 3%.

39,504 96,116

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Soc Trang

Nutrition profile 2013

1,306,458

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 85.3%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 47.9%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 15.4%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 88.5% and the rate of using Vitamin A after delivery was 54.5%.

The rate of early initiation of breastfeeding was 51.4%, continued breastfeeding at 2 years rate was 13%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 52.6%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 92.1%.

271

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2. Soc Trang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

96.4 94.0

53.3 54.5

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1382) 2013 (n=1291)

32.3

21.8

14.4

21.1 21.8

14.8 10.6

15.4

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1485) 2013 (n=1547)

18.3

29.9

9.1

1.3

15.0

26.7

6.4 3.0

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1528) 2013 (n=1489)

5.7 5.2

14.2 16.0 13.9 12.3

10.4

21.3 21.4

14.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1550) 2013 (n=1489)

4.7 8.4

20.3

29.4

23.0

17.5 20.9

25.9

21.4 17.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1503) 2013 (n=1486)

6.2

3.9 5.4

2.5 3.2 5.2

0.7

4.8 6.1

4.2

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1593) 2013 (n=1580)

272

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3. Soc Trang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

4.3

44.7 39.2 15.5

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=723)

65.6

1.9 0

20406080

100

Iodized salt use (n=1291)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=789)

13.0

69.8 88.0

35.9

020406080

100

Continued breastfeeding at 2years (n=69)

Child deworming (last 6months) (n=880)

Vitamin A supplementation(last 6 months) (n=880)

Child 24-35 months get vitaminA (n=686)

97.7 98.0

51.4 64.9

020406080

100

Child born in ahealth facility

(n=349)

Ever breastfed(n=605)

Early initiation ofbreastfeeding

(n=605)

No squeezing outcolostrum(n=587)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

29.9

65.3 46.4

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=67)

No bottle feeding(n=196)

No prelactealfeeding in the first3 days (n=605)

60.4 82.2

69.9 52.6

75.3 89.3

32.5

020406080

100

Continuedbreastfeeding at 1

year (n=106)

Minimum mealfrequency(n=409)

Minimum dietarydiversity (n=409)

Minimumacceptable diet

(n=409)

Consumption ofiron-rich or iron-fortified foods

(n=409)

Vitamin Asupplementation(last 6 months)

(n=421)

No bottle feeding(n=409)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

273

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Soc Trang

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

39.7

19.8

3.2

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1291)

66.7 81.3 79.7

67.9 69.1 64.6 65.3 56.8

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1256)

5.0 2.6

66.8 70.8

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1256)

85.3

47.9

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1256)

67.0

6.8 2.3 1.3 0.5

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1256)

274

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 6 No. of hospitals 7 No. of wards, town districts, and communes 64 No. of polyclinics 2 No. of villages 518 No. of commune health centers 64 Population No. of maternity homes - No. of children <5 years of age No. of doctors 433 No. of children <2 years of age No. of assistant doctors 747

(estimated to be 41.1% of the under 5) 41% No. of nurses 401 Percent ethnic minorities 10.6% No. of midwives/birth attendants 255 Poverty rate 12.9% No. of village health workers 1,032

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25.7%, underweight was 14.9% and

wasting was 7%; while the prevalence of overweight and obesity was 4.8%.

22,591 54,967

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Bac Lieu

Nutrition profile 2013

875,984

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 99.7%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 99.7%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 21.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 91.9% and the rate of using Vitamin A after delivery was 99.3%.

The rate of early initiation of breastfeeding was 70.8%, continued breastfeeding at 2 years rate was

15.2% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 72.7%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 91.6%.

275

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2. Bac Lieu

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

98.0 90.2 99.0 99.3

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1519) 2013 (n=1495)

28.5

20.3 17.8

20.9

34.0

17.7 14.1

21.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1527) 2013 (n=928)

17.0

28.8

7.5 6.7

14.9

25.7

7.0 4.8

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1582) 2013 (n=1559)

12.6 12.4 11.0 12.3

20.0 21.5 24.0

16.3 13.6

17.5

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1642) 2013 (n=1559)

29.7

21.1

31.9

26.9 25.0

27.6 24.2

18.3

11.1 15.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1539) 2013 (n=1548)

5.8 6.9

5.5 3.4

9.5 8.9

11.1 9.7

6.2 8.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1687) 2013 (n=1632)

276

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3. Bac Lieu

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

0.2

58.3 31.5 27.6

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=590)

65.2

0.2 0

20406080

100

Iodized salt use (n=1495)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=867)

15.2 19.0

55.9

2.9 0

20406080

100

Continued breastfeeding at 2years (n=151)

Child deworming (last 6months) (n=610)

Vitamin A supplementation(last 6 months) (n=610)

Child 24-35 months get vitaminA (n=547)

99.5 99.8

70.8 87.8

020406080

100

Child born in ahealth facility

(n=444)

Ever breastfed(n=948)

Early initiation ofbreastfeeding

(n=948)

No squeezing outcolostrum(n=929)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

8.4 23.3

31.9

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=83)

No bottle feeding(n=120)

No prelactealfeeding in the first3 days (n=948)

61.7 94.0 88.3

72.7 90.5 89.0

5.6 0

20406080

100

Continuedbreastfeeding at 1

year (n=183)

Minimum mealfrequency(n=828)

Minimum dietarydiversity (n=828)

Minimumacceptable diet

(n=828)

Consumption ofiron-rich or iron-fortified foods

(n=828)

Vitamin Asupplementation(last 6 months)

(n=831)

No bottle feeding(n=828)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

277

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Bac Lieu

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

99.2 99.7

3.7

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1495)

98.2 95.4 87.5 95.3

61.8

99.3 99.3 94.9

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1488)

1.9 0.1 2.7

99.7

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1488)

99.7 99.7

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1488)

0.6 1.9 0.2 0.1 0.0 0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1488)

278

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 8 No. of hospitals 12 No. of wards, town districts, and communes 101 No. of polyclinics 7 No. of villages 868 No. of commune health centers 94 Population No. of maternity homes - No. of children <5 years of age No. of doctors 717 No. of children <2 years of age No. of assistant doctors 1,109

(estimated to be 41.1% of the under 5) 41% No. of nurses 92 Percent ethnic minorities 3.2% No. of midwives/birth attendants 409 Poverty rate 10.9% No. of village health workers 1,062

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 25%, underweight was 13.9% and

wasting was 8.4%; while the prevalence of overweight and obesity was 5%.

34,298 83,449

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ca Mau

Nutrition profile 2013

1,215,694

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 85.5%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 80.6%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 14.4%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 92.2% and the rate of using Vitamin A after delivery was 61.3%.

The rate of early initiation of breastfeeding was 70.9%, continued breastfeeding at 2 years rate was 1.8%

while the proportion of children under 6 months old using bottle and nipple remained quite high. The

proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 80.6%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 84.8%.

279

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2. Ca Mau

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

93.4

38.8

51.7

61.3

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1360) 2013 (n=1355)

43.3

29.3

7.9

30.9

17.1 15.0

8.5

14.4

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1410) 2013 (n=1262)

17.2

28.6

7.8 4.7

13.9

25.0

8.4 5.0

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1518) 2013 (n=1523)

6.2 8.2

14.7 18.9

12.9 12.7 16.8 15.0 13.9

15.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1515) 2013 (n=1523)

10.1 13.0

16.3 17.1

10.2 10.3

18.6 19.7 16.8

10.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1574) 2013 (n=1514)

15.6 15.8 16.8

17.7 19.1

10.3

14.5

8.3 6.6

9.5

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1693) 2013 (n=1651)

280

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3. Ca Mau

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

1.4

72.7

19.1 40.9

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=623)

91.4

0.6 0

20406080

100

Iodized salt use (n=1355)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=944)

1.8

47.3 65.7

97.2

020406080

100

Continued breastfeeding at 2years (n=111)

Child deworming (last 6months) (n=877)

Vitamin A supplementation(last 6 months) (n=877)

Child 24-35 months get vitaminA (n=715)

97.9 98.8

70.9 83.4

020406080

100

Child born in ahealth facility

(n=333)

Ever breastfed(n=640)

Early initiation ofbreastfeeding

(n=640)

No squeezing outcolostrum(n=571)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

6.5

70.8

49.1

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=31)

No bottle feeding(n=161)

No prelactealfeeding in the first3 days (n=640)

53.1

93.3 92.7 80.6 89.8 85.8

54.3

020406080

100

Continuedbreastfeeding at 1

year (n=96)

Minimum mealfrequency(n=479)

Minimum dietarydiversity (n=479)

Minimumacceptable diet

(n=479)

Consumption ofiron-rich or iron-fortified foods

(n=479)

Vitamin Asupplementation(last 6 months)

(n=487)

No bottle feeding(n=479)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

281

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Ca Mau

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

26.9

66.9

5.5

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1355)

74.2 70.3 53.5

63.4 64.7 56.0

75.9

39.1

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1142)

6.1 5.3

48.8

81.3

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1142)

85.5 80.6

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1142)

30.0 32.0

9.5 13.3 5.8

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1142)

282

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns 6 No. of hospitals 8 No. of wards, town districts, and communes 73 No. of polyclinics 8 No. of villages 524 No. of commune health centers 70 Population No. of maternity homes - No. of children <5 years of age No. of doctors 321 No. of children <2 years of age No. of assistant doctors 644

(estimated to be 41.1% of the under 5) 41% No. of nurses 434 Percent ethnic minorities 3.7% No. of midwives/birth attendants 207 Poverty rate 16.5% No. of village health workers 421

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 27%, underweight was 15.3% and

wasting was 6.1%; while the prevalence of overweight and obesity was 4.9%.

24,586 59,821

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Hau Giang

Nutrition profile 2013

759,333

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 88.1%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 67%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 16.3%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 69.1% and the rate of using Vitamin A after delivery was 21.8%.

The rate of early initiation of breastfeeding was 47.3%, continued breastfeeding at 2 years rate was

15.1% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 47.6%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 81.4%.

283

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2. Hau Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2010 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

84.6

27.1

15.5 21.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2010 (n=1329) 2013 (n=1317)

30.0

18.9

10.1

20.5 20.0 16.8

8.5

16.3

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2010 (n=1453) 2013 (n=615)

16.4

31.0

7.4 3.2

15.3

27.0

6.1 4.9

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2010 (n=1504) 2013 (n=1485)

6.2 4.5

11.5 14.4 15.6

19.6

26.0 25.7 23.9 23.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1483) 2013 (n=1485)

11.8

20.5

30.8 28.7

33.9

26.8

32.7

40.7

25.7 23.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1463) 2013 (n=1472)

5.4 6.4

2.7 4.2

6.1 8.0

5.8 5.4

9.3 9.3

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2010 (n=1612) 2013 (n=1589)

284

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3. Hau Giang

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

NUTRITION DURING THE LIFE CYCLE

6.4

38.7 27.9 9.8

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=403)

68.2

0.8 0

20406080

100

Iodized salt use (n=1317)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=774)

15.1 19.4

52.1

81.4

020406080

100

Continued breastfeeding at 2years (n=106)

Child deworming (last 6months) (n=712)

Vitamin A supplementation(last 6 months) (n=712)

Child 24-35 months get vitaminA (n=554)

96.5 97.2

47.3 49.6

020406080

100

Child born in ahealth facility

(n=397)

Ever breastfed(n=763)

Early initiation ofbreastfeeding

(n=763)

No squeezing outcolostrum(n=740)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

30.0

62.1 62.9

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=40)

No bottle feeding(n=124)

No prelactealfeeding in the first3 days (n=763)

67.1 82.5

65.3 47.6

78.6 79.4 61.0

020406080

100

Continuedbreastfeeding at 1

year (n=140)

Minimum mealfrequency(n=639)

Minimum dietarydiversity (n=639)

Minimumacceptable diet

(n=639)

Consumption ofiron-rich or iron-fortified foods

(n=639)

Vitamin Asupplementation(last 6 months)

(n=654)

No bottle feeding(n=639)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

285

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

Source of information: National Nutrition Surveillance 2010 and 2013 - National Institute of Nutrition

4. Hau Giang

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

20.2

54.8

6.1

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1317)

81.8 71.6 66.3 63.0

55.6 67.1 69.2

52.7

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=933)

8.5 15.1

64.4

77.7

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=933)

88.1

67.0

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=933)

64.8

10.7 5.9 4.6 1.6

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=933)

286

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns - No. of hospitals - No. of wards, town districts, and communes - No. of polyclinics - No. of villages - No. of commune health centers - Population No. of maternity homes - No. of children <5 years of age No. of doctors - No. of children <2 years of age No. of assistant doctors -

(estimated to be 41.1% of the under 5) 41% No. of nurses - Percent ethnic minorities 0.0% No. of midwives/birth attendants - Poverty rate 0.0% No. of village health workers -

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 0%, underweight was 0% and

wasting was 0%; while the prevalence of overweight and obesity was 3.4%.

- -

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ha Noi - Urban

Nutrition profile 2013

-

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 93.7%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 31.6%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 17.5%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 83% and the rate of using Vitamin A after delivery was 44.8%.

The rate of early initiation of breastfeeding was 38.9%, continued breastfeeding at 2 years rate was

22.4% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 82.2%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 90%.

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

287

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5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2011 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

2. Ha Noi - Urban

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

92.9

69.5

41.1 44.8

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2011 (n=1309) 2013 (n=1527)

20.7

9.6

5.2

10.2

26.0

17.0

8.9

17.5

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2011 (n=1043) 2013 (n=4390)

3.1 4.9

2.3 5.5

8.1

14.4

2.8 3.4

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2011 (n=1487) 2013 (n=1604)

3.5 4.5 6.4 7.4

10.6 9.0 9.8 7.3

18.3

8.8

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1487) 2013 (n=1604)

6.5 6.4

11.7

18.4 17.8 19.4 16.5 17.7

20.8

11.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1481) 2013 (n=1592)

2.5 1.7

4.0 2.0

3.3 3.4 3.8

1.5

4.0 3.4

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1482) 2013 (n=1724)

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NUTRITION DURING THE LIFE CYCLE

3. Ha Noi - Urban

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

12.5

64.7

16.9 40.3

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=2081)

96.7

16.0

020406080

100

Iodized salt use (n=1527)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=882)

22.4 41.9

65.4 86.4

020406080

100

Continued breastfeeding at 2years (n=98)

Child deworming (last 6months) (n=910)

Vitamin A supplementation(last 6 months) (n=910)

Child 24-35 months get vitaminA (n=831)

100.0 98.3

38.9

85.5

020406080

100

Child born in ahealth facility

(n=379)

Ever breastfed(n=696)

Early initiation ofbreastfeeding

(n=696)

No squeezing outcolostrum(n=685)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

35.2

59.9 73.9

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=176)

No bottle feeding(n=202)

No prelactealfeeding in the first3 days (n=696)

76.8 95.1 90.3 82.2 89.5 88.2

59.9

020406080

100

Continuedbreastfeeding at 1

year (n=112)

Minimum mealfrequency(n=494)

Minimum dietarydiversity (n=494)

Minimumacceptable diet

(n=494)

Consumption ofiron-rich or iron-fortified foods

(n=494)

Vitamin Asupplementation(last 6 months)

(n=500)

No bottle feeding(n=494)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

289

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

4. Ha Noi - Urban

25.2

13.5

4.8

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1527)

81.5 84.0

54.5

77.0 81.9 82.7 85.0 67.7

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1401)

3.0 7.8

85.8 93.1

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1401)

93.7

31.6

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1401)

76.1

35.5 27.6

18.6 22.8

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1401)

290

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns - No. of hospitals - No. of wards, town districts, and communes - No. of polyclinics - No. of villages - No. of commune health centers - Population No. of maternity homes - No. of children <5 years of age No. of doctors - No. of children <2 years of age No. of assistant doctors -

(estimated to be 41.1% of the under 5) 41% No. of nurses - Percent ethnic minorities 0.0% No. of midwives/birth attendants - Poverty rate 0.0% No. of village health workers -

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 0%, underweight was 0% and

wasting was 0%; while the prevalence of overweight and obesity was 7.5%.

- -

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ha Noi - Rural

Nutrition profile 2013

-

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 93.6%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 30.5%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 8.9%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 78.4% and the rate of using Vitamin A after delivery was 50.7%.

The rate of early initiation of breastfeeding was 28.5%, continued breastfeeding at 2 years rate was

24.7% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 80.3%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 88.3%.

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

291

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5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2011 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

2. Ha Noi - Rural

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

94.5

66.2

43.4 50.7

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2011 (n=1408) 2013 (n=1491)

26.9

18.8 16.9

21.7

17.0

8.9

3.6

8.9

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2011 (n=1195) 2013 (n=2379)

9.3

18.0

3.3 1.9 3.9

6.9 2.7

7.5

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2011 (n=1675) 2013 (n=1607)

1.6 4.4

2.3 3.4 4.8 4.5 6.8 5.3

1.9 4.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1675) 2013 (n=1607)

3.6 4.4 6.4

8.8 6.9 8.5 7.6 8.8

6.5 8.6

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1674) 2013 (n=1605)

2.6 3.3 2.9 3.4 3.2 2.0 1.5

2.4 1.9 3.1

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1675) 2013 (n=1713)

292

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NUTRITION DURING THE LIFE CYCLE

3. Ha Noi - Rural

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

15.0

56.5

19.1 41.1

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=1128)

97.0

17.3

020406080

100

Iodized salt use (n=1491)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=937)

24.7 37.8

64.8 72.0

020406080

100

Continued breastfeeding at 2years (n=97)

Child deworming (last 6months) (n=915)

Vitamin A supplementation(last 6 months) (n=915)

Child 24-35 months get vitaminA (n=810)

98.9 95.4

28.5

83.6

020406080

100

Child born in ahealth facility

(n=373)

Ever breastfed(n=681)

Early initiation ofbreastfeeding

(n=681)

No squeezing outcolostrum(n=666)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

34.8 48.4

83.0

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=138)

No bottle feeding(n=188)

No prelactealfeeding in the first3 days (n=681)

75.9 88.6 95.3 80.3 84.0 85.8

49.1

020406080

100

Continuedbreastfeeding at 1

year (n=112)

Minimum mealfrequency(n=493)

Minimum dietarydiversity (n=493)

Minimumacceptable diet

(n=493)

Consumption ofiron-rich or iron-fortified foods

(n=493)

Vitamin Asupplementation(last 6 months)

(n=501)

No bottle feeding(n=493)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

293

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

4. Ha Noi - Rural

25.3

10.6 5.8

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1491)

77.4 81.5

56.8 73.6 77.7 81.0 79.8 74.4

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1277)

2.0 5.2

85.2 91.2

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1277)

93.6

30.5

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1277)

74.1

34.2 41.1

18.2

54.8

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1277)

294

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns - No. of hospitals - No. of wards, town districts, and communes - No. of polyclinics - No. of villages - No. of commune health centers - Population No. of maternity homes - No. of children <5 years of age No. of doctors - No. of children <2 years of age No. of assistant doctors -

(estimated to be 41.1% of the under 5) 41% No. of nurses - Percent ethnic minorities 0.0% No. of midwives/birth attendants - Poverty rate 0.0% No. of village health workers -

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 0%, underweight was 0% and

wasting was 0%; while the prevalence of overweight and obesity was 8.6%.

- -

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ho Chi Minh city - Urban

Nutrition profile 2013

-

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 93.8%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 21.1%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 10.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 95.6% and the rate of using Vitamin A after delivery was 44.1%.

The rate of early initiation of breastfeeding was 24.6%, continued breastfeeding at 2 years rate was

18.5% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 85%. The

proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 75.5%.

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

295

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5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2011 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

2. Ho Chi Minh city - Urban

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

70.4

52.8

37.2 44.1

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2011 (n=1187) 2013 (n=1511)

14.9

9.5

5.0

9.5

20.1

10.3

3.8

10.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2011 (n=1106) 2013 (n=940)

4.7 8.4

2.4

12.2

6.3 8.8

2.4

8.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2011 (n=1508) 2013 (n=1585)

4.9 5.2 5.3 5.0 4.7 8.0 6.7

12.2 10.8

2.9

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1508) 2013 (n=1585)

5.7 4.0

8.6 9.5 10.1 7.0

14.2 14.2 14.4

5.0

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1505) 2013 (n=1584)

0.7

4.4 2.5 2.0 1.2

2.6 2.9 3.4 1.8 1.4

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1499) 2013 (n=1695)

296

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NUTRITION DURING THE LIFE CYCLE

3. Ho Chi Minh city - Urban

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

5.1

69.1

24.3 28.3

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=551)

91.0

7.3 0

20406080

100

Iodized salt use (n=1511)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=1028)

18.5 43.5

65.3 53.2

020406080

100

Continued breastfeeding at 2years (n=130)

Child deworming (last 6months) (n=750)

Vitamin A supplementation(last 6 months) (n=750)

Child 24-35 months get vitaminA (n=678)

98.5 96.2

24.6

49.9

020406080

100

Child born in ahealth facility

(n=395)

Ever breastfed(n=833)

Early initiation ofbreastfeeding

(n=833)

No squeezing outcolostrum(n=809)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

34.4 29.8

90.2

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=96)

No bottle feeding(n=141)

No prelactealfeeding in the first3 days (n=833)

52.0

98.0 93.6 85.0 92.6 73.9

25.1

020406080

100

Continuedbreastfeeding at 1

year (n=175)

Minimum mealfrequency(n=692)

Minimum dietarydiversity (n=692)

Minimumacceptable diet

(n=692)

Consumption ofiron-rich or iron-fortified foods

(n=692)

Vitamin Asupplementation(last 6 months)

(n=696)

No bottle feeding(n=692)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

297

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

4. Ho Chi Minh city - Urban

15.0 8.3

11.9

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1511)

79.1 81.2

39.1 54.3

87.0 73.2

85.8

67.2

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1274)

7.6 14.8

69.8

89.8

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1274)

93.8

21.1

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1274)

67.7

28.1 32.3

10.5 11.9

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1274)

298

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MAIN RESULTS

a.

b.

c.

d.

Note:

Indicator Value Indicator ValueNo. of districts and towns - No. of hospitals - No. of wards, town districts, and communes - No. of polyclinics - No. of villages - No. of commune health centers - Population No. of maternity homes - No. of children <5 years of age No. of doctors - No. of children <2 years of age No. of assistant doctors -

(estimated to be 41.1% of the under 5) 41% No. of nurses - Percent ethnic minorities 0.0% No. of midwives/birth attendants - Poverty rate 0.0% No. of village health workers -

Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be

needed to improve the data collection.

Among children under 5 years of age, the prevalence of stunting was 0%, underweight was 0% and

wasting was 0%; while the prevalence of overweight and obesity was 12.1%.

- -

This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the

months from June to September annually, using cluster sampling and conducted by the Provincial Preventive

Medical Center(s) under technical guidance from the National Institute of Nutrition.

Basic characteristics 1

Ho Chi Minh city - Rural

Nutrition profile 2013

-

The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3

months was 95.5%; main sources of information were mass media channels, especially TV. The

proportion of mothers who met a health worker in the last 3 months was 20%

The prevalence of women aged from 15 to 49 years with chronic energy deficiency (BMI<18,5 kg/m²)

was 9.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with

under 2 years child was 93.7% and the rate of using Vitamin A after delivery was 48.9%.

The rate of early initiation of breastfeeding was 21.3%, continued breastfeeding at 2 years rate was

22.2% while the proportion of children under 6 months old using bottle and nipple remained quite high.

The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 80.3%.

The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 74.1%.

1 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012Last update 3/7/2014

299

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5. Underweight prevalence (WAZ<-2Z) among children

under 5 years by age group (%)

1. Chronic energy deficiency prevalence of mothers by

age group (%)

4. Malnutrition prevalence among children under 5 years

(%)

NUTRITION INFORMATION (2011 & 2013)

2. Vitamin A supplements: Knowledge and use among

mothers (%)

2. Ho Chi Minh city - Rural

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

3. Wasting prevalence (WHZ<-2Z) among children under

5 years by age group (%)

6. Stunting prevalence (HAZ<-2Z) among children under

5 years by age group (%)

65.1

52.3

39.9 48.9

0

20

40

60

80

100

Knew/ heard about vitamin Acapsule

Took vitamin A after delivery

2011 (n=1317) 2013 (n=1501)

29.2

9.7 7.4

13.8 18.0

10.5

3.9

9.6

0

10

20

30

40

50

15-24 years 25-34 years 35-49 years 15-49 years

2011 (n=1248) 2013 (n=4204)

6.0 10.1

3.4

9.0

2.5 5.0

1.3

12.1

0

10

20

30

40

50

Underweight Stunting Wasting Overweight/obese

2011 (n=1589) 2013 (n=1574)

2.0 1.9 0.8 2.5 2.7 2.5 5.7

3.4 3.1 3.2

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1589) 2013 (n=1572)

6.0 3.4 2.9

4.9 5.5 6.7 6.6 7.7 4.2 5.3

0

10

20

30

40

50

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1584) 2013 (n=1574)

1.3 1.5 1.6 0.5 1.1 0.9 1.0

2.6 1.0 1.6

0

5

10

15

20

25

0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59Months

2011 (n=1582) 2013 (n=1658)

300

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NUTRITION DURING THE LIFE CYCLE

3. Ho Chi Minh city - Rural

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

7.8

73.7

18.2 32.2

020406080

100

3 monthsbefore

pregnancy

First trimester Secondsemetre

3 months afterdelivery

Mother use iron/folat supplement (n=2550)

90.8

10.1

020406080

100

Iodized salt use (n=1501)Iron folic acid supplementation during last 6 months, Non-pregnant/ lactating (n=1074)

22.2

48.1 63.4

49.0

020406080

100

Continued breastfeeding at 2years (n=135)

Child deworming (last 6months) (n=715)

Vitamin A supplementation(last 6 months) (n=715)

Child 24-35 months get vitaminA (n=651)

99.5 95.4

21.3

52.5

020406080

100

Child born in ahealth facility

(n=412)

Ever breastfed(n=850)

Early initiation ofbreastfeeding

(n=850)

No squeezing outcolostrum(n=810)

0%

20%

40%

60%

80%

100%

0-1 2-3 4-5 6-7 8-9 10-11

Age group in months

Infant and young child feeding practices by age

Not receiving any breastmilk

Breast milk &complementary foods

Breast milk & othermilk/formula

Breast milk & non-milkliquids

Breast milk & plainwater only

Exclusively breastfed

27.3 27.3

87.6

0

20

40

60

80

100

Predominantbreastfeeding

under 6 months(n=99)

No bottle feeding(n=150)

No prelactealfeeding in the first3 days (n=850)

37.2

97.4 90.6 80.3 90.0 72.5

23.3

020406080

100

Continuedbreastfeeding at 1

year (n=164)

Minimum mealfrequency(n=700)

Minimum dietarydiversity (n=700)

Minimumacceptable diet

(n=700)

Consumption ofiron-rich or iron-fortified foods

(n=700)

Vitamin Asupplementation(last 6 months)

(n=708)

No bottle feeding(n=700)

24

-59

mo

nth

s 6

-23

mo

nth

s 0

-5 m

on

ths

Pre

con

cep

tio

n

& p

regn

ancy

301

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1. Exposure to nutrition information (%) 4. Sources of direct contact (%)

3. Topics of nutritional counseling (%)

ACCESS TO NUTRITION INFORMATION AND SERVICES

5. Type of IYCF information (%)2. Sources of information from mass-media (%)

Source of information: National Nutrition Surveillance 2011 and 2013 - National Institute of Nutrition

4. Ho Chi Minh city - Rural

15.8

6.6 7.4

0

20

40

60

80

100

Communal healthcenter staff

Village health worker/Nutrition volunter

Women union

(n=1501)

81.8 83.6

42.0 55.5

85.8 73.5

85.6 71.2

0

20

40

60

80

100

Baby

sho

uld

be b

reas

tfed

imm

edia

tely

afte

r birt

h

Feed

onl

y br

east

milk

up

to 6

mon

ths

Not

to g

ive

child

any

wat

er, l

iqui

d, h

oney

or

fom

ular

up

to 6

mon

ths

Con

tinue

bre

astfe

d up

to24

mon

ths

Rec

eivi

ng i

ron

tabl

et/M

MN

Feed

ing

eggs

, mea

t, fis

han

d ot

her a

nim

al s

ourc

efo

od a

fter 6

mon

ths

Was

hing

han

ds w

ith s

oap

befo

re p

repa

ring

food

/fe

edin

g ch

ild

Cou

nsel

ing

on c

hild

heig

ht/w

eigh

t

0

(n=1226)

7.0 15.9

78.6

91.9

0

20

40

60

80

100

Aboutbreastfeeding

Aboutcomplementary

food

Aboutbreastfeeding

Aboutcomplementary

food

Health staff Mass media (n=1226)

95.5

20.0

0

20

40

60

80

100

See/ hear IYCF messages onmass-media last 3 months

Contact with health staff duringlast 3 months

(n=1226)

70.5

24.2

44.5

14.5 22.6

0

20

40

60

80

100

TV Radio/loudspeaker

Newspapers/magazines

Poster,flipcharts

Internet

(n=1226)

302

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NATIONAL NUTRITION SURVEILLANCE 2013 (MOTHER AND CHILD UNDER 5)1.1 Interviewer's name: …………………. Province/city: …………………. ___ ___ ___

1.2 District : …………………. Commune: …………………. __ __ __ __ __

1.3 Date of interview: __ __/ __ __/ 2013 Vill./ hamlet: …………………. ___

Code: ___ ___

2.1 Mother's name: ……………………………………… YOB 19 ___ ___

2.3Education level:

No education 00Grade completed __

Vocal./Col. 21Grad./Post 22Don't know 77

Total number of children

___ ___

2.5Main occupation:

Farmer 1Salary 2

Small trader 3

Housewife 4Other 9

Currently pregnant

Yes 1No 2

DK 72.7 Who is the

respondent:Mother 1

Father 2Grandparent 3

Other 9Ethnic Group

code:…………………

___ ___

Mother Child 1(Youngest) Child 2 Child 3(Oldest U5)

3.1 Name (of mother and children) …………………. ………………….…………………. ………………….

3.2Gender

Boy 1Girl 2

Boy 1Girl 2

Boy 1Girl 2

DOB: Gregory calendar G ___/___/___ G ___/___/___ G ___/___/___

Lunar calendar L ___/___/___ L ___/___/___ L ___/___/___

3.4 Weight __ __ __.__ kg __ __.__ kg __ __.__ kg __ __.__ kg3.5 Height/Length

(Standing/Lying down) __ __ __.__ cmđn __ __ __.__cm

đn __ __ __.__cm

đn __ __ __.__cm

3.6Observation and check Edema 1 Edema 1 Edema 1

Name 1: ………………Name 2: ………………Name 3: ………………4.1 CHC 1

Hospital 2Home, other 3

CHC 1Hospital 2

Home, other 3

CHC 1Hospital 2

Home, other 34.2 Vaginal 1

Caesarean 2Vaginal 1

Caesarean 2Vaginal 1

Caesarean 24.3

___ ___ ___ ___ g ___ ___ ___ ___ g ___ ___ ___ ___ g

4.7 Yes 1No 2

Don't know 7

Yes 1No 2

Don't know 7

Yes 1No 2

Don't know 74.8 Yes 1

No 2Don't know 7

Yes 1No 2

Don't know 7

Yes 1No 2

Don't know 7

4.9Don't know, not

informed 0

Health staff 1Invitation letter 2

Relative 3

Neighbor 4TV, radio 5

Other 9

Refer to all under 5 children

Where was (NAME) born?

Was (NAME) delivered vaginally or through C-Section?What is (NAME's) birth weight?(8=No weighted 9=DK, don't remenber)

IV. C

hild

ren

birt

h in

form

atio

n an

d m

icro

nutr

ient

sup

plem

enta

tion

Who told you about Micronutrient Day/Vitamin A day?(Multiple choices)

Did (NAME) get dewormed within the last 6 months?

Do (NAME) have night blindness symptoms within the last 6 months?(Explain night blindness if respondent doesn't know)

1) Get vitamin A from CHC when child was malnurished/diarhoea/measeles/ fever/ cough?2) Consume Vitamin A in Micronutrient day?3) Consume Vitamin A from other source?

I. Id

entif

icat

ion

Interviewer's comment: ……………………………

II. M

othe

r's in

form

atio

nIII

. Ant

hrop

omet

rics

Ask one by one

3.3

4.4 Did (NAME) have any of the following... within the last 6 months:

No 0Yes, sick 1

Yes,Vit. A day 2Yes, other 3Don't know 7

No 0Yes, sick 1

Yes,Vit. A day 2Yes, other 3Don't know 7

No 0Yes, sick 1

Yes,Vit. A day 2Yes, other 3Don't know 7

1.4

1.5

1.6

1.7

2.6

2.8

2.2

2.4

303

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5.1Did you take Vit.A like this after delivery of the youngest child? (Show sample)

5.2

Did you get dewormed during the last 6 months?

5.3When do you usually wash your hands with soap?(Multiple choice possible)

5.4 Do you ever have a night blindness symptom during the last pregnancy?(Explain if mother doesn't know the term night

5.5 Did you consume iron or iron-folate tablets in the last 6 months? IF YES, howmany months did you consume?

___ months

Yes 1

No 2 6.1Don't know 7 6.1

PeriodBefore

After

5.8Did you buy or take them free? (Multiple choices)

Ask for youngest child (Name…………..)

Yes 1No 2 6.4

Don't know 7 6.4Yes 1No 2

Don't know 7Yes 1No 2

Don't know /Don’t remember 7

Today: ____/____/____ > 24 months 1 9.1

Birth date: ____/____/____ < 24 months 2

Before cooking 1 Before feeding the infant 2

After using the toilet 3 Others 9

Yes 1No 2

Don't know 7

Yes 1No 2

Don't know 7

Yes 1No 2

Don't know 7

5.6 Did you consume iron or iron-folate tablets at any time from three months prior to pregnancy to three months after delivery of the youngest child?

If YES , when did you consume the iron or iron folate tablets during your last pregnancy?If YES , how many months of each period did you consume at least 20 days?. Else fill "0"(Ask for each three-month time period)

5.7

V. M

othe

r's M

icro

nutr

ient

sup

plem

enta

tion

CHEC

K

6.5Interviewer identifies youngest child under 24 months of age by checking date of birth with todayIf ≥ 24 months, skip to question 9.1,If < 24 months continue.

Options

VI. C

hild

illn

ess,

BF

6.1

Did (NAME) have any of the following symptoms during the last two weeks? (Multiple choice possible)(Read out each option, one by one)

6.2 Did (NAME) ever breastfed?Include feeding breast milk by spoon, cup or bottle or from another mother

6.3 From yesterday morning to this morning was (NAME) breastfed yesterday?

6.4From yesterday morning to this morning, did (NAME) drink anything from a bottle with a nipple?

No 0

Diarrhoea 1

Cough 3

Runny, stuffy nose 4

Shortness of breath 5

3 mo. after delivery 5 __

Yes 1 No 2 DK 7

Buying 1 Free 2

Gift/other 3

Number of month

During 1srt trimester of preg. 2 __

2nd trimester of preg. 3 __

3rd trimester. of preg. 4 __

3 mon. before preg. 1 __

Fever 2

304

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Question related to youngest child under 2yr (Name……..…....)

Within 1 hour 1

Number of hours 2

Number of days 3

8.17.5 How many times did you breastfeed yesterday from the time

you woke up to the time you went to bed? (Including feeding expressed breast milk. If answer is not numeric, probe for approximate number)

7.6 How many times did you breastfeed last night from the time you went to sleep until you woke up?(Including feeding expressed breast milk. If answer is not numeric, probe for approximate number)

9.1

Yes/times No DK

A Plain water or boiled water A…………………… 1 0 7

B Infant Formula powder milk (Frisolac, Similac, Mama colostrum...) B………………….. __ Times 0 77

C Fresh animal milk, package milk, tinned, powdered (Vinamilk, Dutch lady) C………………….. __ Times 0 77

D Fruit juice, coconut milk or herbal drink D………………….. 1 0 7

E Clear broth (rice, bones, meat) E………………….. 1 0 7

F Liquid yogurt F………………….. __ Times 0 77

G Vitamins or minerals syrup (iron, zinc), ORS G………………….. 1 0 7

H Any other liquid? (tea, coffee, coke, sprite...) H………………….. 1 0 7

Options

7.1

What was (NAME) given to drink during the first three days after birth?(Multiple choice possible)(Ask one by one option, if not given any thing, circle "Nothing other than breast milk")

How long after birth was (NAME) breastfed for the first time (or put the child to the breast)?If less than 1 hour, circle 1If less than 24 hours, circle 2 and record hoursOtherwise, circle 3 and record days

Plain Water 1 Sugar or glucose water 2

Honey 3

Nothing other than breast milk 0

7.2

VI. Y

oung

chi

ld b

reas

t fee

ding

and

com

plem

enta

ry fo

od

Empty one breast before switching to the other 2

___ ___ hours

___ ___ days

Other 9

___ ___ times

___ ___ times

Other milk (not breast milk) 5 Fruit Juice 6

A little from each breast 1

Yes 1

Yes 1No 2

No beast milk 7

Number of nighttime feeding:

Food name

Sugar - Salt - Water Solution/ ORS or syrup 8

Coding categories

Drin

ks

No 2

Number of daylight feeding:

8.1

No 2

7.7When (NAME) is breastfeeding, do you give a little from each breast or empty one breast first before moving to second one?

Are you still breastfeeding (NAME)?

8.2

Infant Formula 4

Next I would like to ask you about some liquids that (NAME) may have had from the time (NAME) woke up yesterday morning to the time (NAME) woke up this morning.Did (NAME) have any (ITEM FROM LIST)?:(Read the list of liquids starting with ‘plain water’)

7.4

Don’t know 7

7.3Did you squeeze out any colostrum before putting (NAME) to the breast?

Could you describe what (NAME) was fed yesterday?Yes 1

Tea/Infusions/hebal 7

305

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(A)

(B)

(C)

8.3Yes No DK

ARice, rice porridge, rice gruel, rice noodles or other foods from rice A…………………..

1 0 7

BNoodles (instant or green bean noodle), bread, dumplings, or other foods made from grains other than rice B…………………..

1 0 7

CPumpkins, carrots, jackfruit or sweet potatoes that are yellow or orange inside C…………………..

1 0 7

D White potatoes, white yams, cassava, or any other tubersD…………………..

1 0 7

E Any dark green leafy vegetables (morning glory, spinach, jute)E…………………..

1 0 7

FRipe mangoes, papaya, water melon, tomatoes, tangerine, persimmons or other fruits that are yellow, orange or red inside F……...…………..

1 0 7

G Any other fruits or vegetables (not mentioned above)G…………………..

1 0 7

H Heart, liver, kidney or other organ meatsH…………………..

1 0 7

I Any meat, such as beef, pork, chicken, duck, lamb, or goatI…………………..

1 0 7

J Eggs (chicken, ducks, geese, or quail)J…………………..

1 0 7

KFresh or dried fish, shellfish (shrimp, crab), or seafood (eel, squid, etc) K…………………..

1 0 7

LTofu, soy milk or any foods made from beans, peas, lentils, nuts (peanuts), or seeds (sesame) L…………………..

1 0 7

MYogurt, cheese, condensed milk, flan/pudding or other solid/ semi-solid milk products M………………….

1 0 7

N Any oil, fats, or butter, or foods made with any of theseN…………………..

1 0 7

OAny sugary foods such as chocolates, sweets, candies, pastries, cakes, or biscuit O…………………..

1 0 7

P Fish Sauce and other condimentsP…………………..

1 0 7

Q Grubs, grasshopper, snails, other insectsQ…………………..

1 0 7

R

Check categories A–R

8.4

How many times did (NAME) eat solid, semi-solid, or soft foods other than liquids yesterday during the day or at night?

8.5 How many times did (NAME) eat snack yesterday during the day or at night (snacks: fruit, cracker)? ( Small snacks and small feeds such as one or two bites of mother's or sibling's food should not be counted)

___ ___ times

___ ___ times

FINISHES RECALING: Ask about food groups that the respondent did not mention

Interviewer ask the respondent to list any food that (NAME) ate from the time (NAME) woke up yesterday morning to the time (NAME) woke up this morning

If all options are ‘NO’: ➞ Skip to question 9.1

Other foods (that respondent mentioned but are not in the list above) ………………………………………….………………

Food name

Soft

/ har

d fo

ods

Let the respondent recall by herself.MIXIXED DISH: ask about ingredients in that mixixed dishAs respondent recall foods, write down food name and circle "1" in the column "Yes"PROBE: Anything else? Until respondent says "Nothing else".

Num

ber o

f m

eals

Gui

de to

ask

306

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QuestionsVHW/ Nutrition volunteer 1

Women union 2

CHC staff 3

Health staff in hospital center 4

Private health sectors 5

Don't know 7

No one 0

Club

, nut

ritio

n gr

oup

mee

ting

Hea

lth st

aff/

vol

.

TV

Radi

o,

loud

spea

ker

New

spap

er,

mag

azin

eIn

tern

et/c

ellp

hone

/tab

let

Post

er, l

eafle

t

Not

rem

embe

r

Oth

ers

A.Infants should be breastfed immediately after birth

0 1 2 3 4 5 6 7 8 9

B. Nurse more leads to more breast milk0 1 2 3 4 5 6 7 8 9

C. Infants should be exclusively breastfed up to 6 months 0 1 2 3 4 5 6 7 8 9

D.Other than breastmilk, infants under 6 months should not be given any water 0 1 2 3 4 5 6 7 8 9

E. Continue to BF up to 24 months, or beyond0 1 2 3 4 5 6 7 8 9

F. Ban on advertising of breastmilk substitutes for children under 2 years 0 1 2 3 4 5 6 7 8 9

G. Feed infants meat, fish, eggs and other animal source food

0 1 2 3 4 5 6 7 8 9

H. Feed infants green leafty vegetables (spinach, jute, watercress, morning-glory) 0 1 2 3 4 5 6 7 8 9

I. Wash hands with soap before preparing food and before feeding the child 0 1 2 3 4 5 6 7 8 9

J.Child's growth (height and weight)

0 1 2 3 4 5 6 7 8 9

K.Women should consume iron tablets before and during pregnancy to prevent anemia 0 1 2 3 4 5 6 7 8 9

L.Extend paid maternity leave from 4 to 6 months 0 1 2 3 4 5 6 7 8 9

M. Using iodized salt in the meals 0 1 2 3 4 5 6 7 8 9

Thank you very much for your participation!

Yes 1

No 2

Don't know 3

VIII.

Com

mun

icat

ion

with

nut

ritio

n pr

ogra

m

Options

9.2 During last 3 months did you hear, see or have you been counseled on any of the following….? If yes, where or from whom?(Multiple choices) (Ask one by one)

NO

Source of information (multiple choices)

9.1 Did you ever meet with the following health staff within last month? (Multiple possible answer)(Ask one by one)(If concurrently, circle the higher possition)

9.3Does your family use iodized salt or soup powder for cooking or flavoring?

Iodi

ne s

alt

307