National strategy on nutrition in a period of 2021-2030 and vision to 2045

I. Viewpoints
1. Everyone has right to equitable access to nutrition and food in order to achieve optimal nutritional status, contributing to health promotion.
2. Proper nutrition should be maintained regularly throughout each person's life in order to improve the health of themselves and their families and contribute to improving the quality of care and protecting the health of the community.
3. The State is responsible for formulating mechanisms and policies to promote the implementation of reasonable nutrition; regulating and allocating intervention resources to improve nutrition for mothers and children in some areas with special difficulties, remote and isolated areas, ethnic minority areas, mountainous areas and coastal areas.
II. Target
1. General objective: Implement reasonable nutrition to improve nutritional status suitable for each target group, locality, region, region and ethnic group, contributing to reducing the burden of disease and improving stature, physical strength and intelligence of Vietnamese people.
2. Specific goals and targets
a) Regarding the implementation of a varied, reasonable and food-safe diet for all ages and all subjects according to the life cycle
- The proportion of 6-23-month-old children having the right and sufficient diet will reach 65% by 2025 and 80% by 2030.
- The proportion of adults who consume enough fruits and vegetables daily will reach 55% by 2025 and 70% by 2030.
- The proportion of households with severe and moderate food insecurity will decrease below 8% (mountainous areas below 25%) by 2025 and below 5% (mountain areas below 20%) by 2030.
- The percentage of schools that organize school meals to develop menus to meet demand according to the recommendations of the Ministry of Health on ensuring appropriate nutrition by age and food diversity reaches 60% in urban areas in urban areas and 40% in rural areas by 2025 and to reach 90% and 80% by 2030.
-The percentage of hospitals that organize medical examination, counseling and treatment with nutritional regimens suitable to the nutritional and pathological status of patients is 90% for the central and provincial levels; 75% for district level by 2025 and strive to reach 100% for central and provincial level; 80% for district level by 2030.
- Percentage of communes that have implemented nutrition counseling for pregnant mothers and mothers with children under 2 years old in the basic health care service package for primary health care, prevention and health promotion. Health stations in communes, wards and townships will achieve 50% by 2025 and 75% by 2030.
b) On improving the nutritional status of mothers, children and adolescents
- Rate of stunting in children under 5 years old will be reduced to less than 17% (under 28% mountainous areas) by 2025 and below 15% (under 23% mountainous areas) by 2030.
- Rate of undernutrition and emaciation among children under 5 years old will be reduced to less than 5% by 2025 and less than 3% by 2030.
- By 2030, the average height of 18-year-old youth by gender will increase by 2-2.5cm for men and 1.5-2cm for women compared to 2020.
- Rate of children being breastfed soon after birth will reach 75% by 2025 and 80% by 2030.
- Percentage of children under 6 months of age who are exclusively breastfed will reach 50% by 2025 and 60% by 2030.
c) Regarding overweight and obesity control, prevention of chronic non-communicable diseases, related risk factors in children, adolescents and adults
- The rate of overweight and obesity is controlled: children under 5 years old are under 10% (in urban areas less than 11% and rural areas below 7%); 5-18 year olds are below 19% (urban areas are below 27% and rural areas are below 13%); adults aged 19-64 at less than 20% (urban areas at less than 23% and rural areas at less than 17%) by 2025 and remain at that level through 2030.
- The average salt consumption of the population (15-49 years old) will decrease to less than 8 grams/day by 2025 and below 7 grams/day by 2030.
d) Regarding the improvement of micronutrient deficiencies in children, adolescents and women of childbearing age
- The rate of anemia in pregnant women will decrease to less than 23% (mountainous areas below 30%) by 2025 and below 22% (mountain areas to less than 25%) by 2030.
- The rate of anemia among girls 10-14 years old in mountainous areas will decrease to less than 10% by 2025 and below 9% by 2030.
- Preclinical vitamin A deficiency rate in children 6-59 months old will decrease to less than 8% (mountainous areas to less than 13%) by 2025 and less than 7% (mountainous areas to less than 12%) by 2025. year 2030.
- The rate of serum zinc deficiency in children aged 6-59 months will drop to less than 50% (mountainous areas below 60%) by 2025 and below 40% (mountain areas below 50%) by 2020. 2030.
- The proportion of households using iodized salt meeting the disease prevention standards or iodized salty seasoning daily will increase to over 80% by 2025 and over 90% by 2030.
On enhancing the nutritional response capacity in all emergencies and increasing resources for the implementation of the Strategy
- By 2025, 100% of provinces and cities at risk of being affected by climate change, natural disasters and epidemics will have a response plan, assessment, and implementation of specific nutritional interventions in emergency situation and will remain until 2030.
- By 2025, 100% of provinces and cities will have annual local budget allocation to ensure nutrition activities according to the approved plan and maintain until 2030.
3. Vision to 2045: All people achieve optimal nutritional status, control nutrition-related non-communicable diseases in order to contribute to improving health and quality of life.
III. Main tasks and solutions
1. Perfecting mechanisms and policies on nutrition
a) Review, develop, supplement and complete legal provisions on the implementation of reasonable nutrition, especially nutrition interventions in difficult and extremely difficult areas, remote and mountainous areas. ethnic minorities, mountainous and island areas; complete the system of standards and national technical regulations on nutrition for food; develop financial policies and mechanisms including the payment of health insurance for nutrition activities in health facilities and schools; develop regulations on nutrition labeling on the front of prepackaged product packages, limit advertising for unhealthy foods, especially for children, impose special consumption tax on beverages have sugar.
b) Make the target of reducing malnutrition, stunting, emaciation, overweight and obesity of children under 5 years old as one of the socio-economic development indicators of the country and each locality.
2. Strengthen inter-sectoral coordination and social mobilization
a) Develop and implement an inter-sectoral coordination mechanism on nutrition work from central to local levels; focus on integrating and coordinating with programs and projects related to nutrition.
b) Mobilize organizations, individuals and communities to participate in the implementation of the Strategy. Encourage social organizations and business communities to participate in the implementation of the Strategy by sponsoring nutrition activities; ensuring nutrition at work; manufacturing nutritional products beneficial to health, strictly complying with regulations on production and trading of food and nutritional products.
3. Strengthening communication and nutrition education
a) Strengthen communication and advocacy to policy making groups to incorporate nutrition content into strategies, programs, schemes and implementation plans at all levels.
b) Organize and deploy communication activities with types, methods and contents suitable to each region, region and each target group in order to improve understanding and practice of reasonable nutrition, especially prevention of cancer, undernutrition, stunting, micronutrient deficiency, overweight and obesity control and nutrition-related chronic non-communicable diseases for all strata of the population.
c) Improve the effectiveness of communication, education and advice on life-cycle proper nutrition practices. Focusing on education on soft skills, strengthening cooperation between schools, families and society to form healthy lifestyles and habits in terms of proper nutrition.
d) Increase the amount of communication and guidance on proper nutrition in the mass media, especially the Vietnam Television Station, the Voice of Vietnam, the local radio and television stations, system of online radio channels, social networks, digital communication platforms.
4. Strengthen and improve the quality of human resources
a) Consolidate and develop nutrition staff to ensure sustainability, especially the network of nutritionists and village health workers at the grassroots health level; standardize staff working in clinical nutrition.
b) Develop curriculum framework, standardize training materials on nutrition in the medical school system. Improve teaching and training capacity on nutrition for teachers of schools. Improve the quality of training, training and retraining content on nutrition work in the community, schools and hospitals.
c) Capacity building for officials of ministries, departments, branches, mass organizations, social organizations, NGOs and religious organizations in implementing and integrating nutrition activities in programs, scheme.
5. Strengthen technical expertise in implementing nutrition interventions
a) Improve meal quality, ensure food security and nutrition security
- Develop and disseminate nutritional recommendations, nutrition pyramids, reasonable nutritional advice, menus, portions, nutrition and physical activity suitable for all subjects.
- Develop regulations and guidelines on food labels and nutrition labels; strengthen education and counseling for people to create demand for diverse, healthy and nutritious foods.
- Develop plans, models of nutrition agriculture, guidelines to ensure food security and quality of meals at households.
b) Increase coverage and quality of essential nutrition interventions
- Effectively develop and implement programs, projects and models of essential nutrition interventions such as: nutritional care in the first 1000 days of life (nutrition care for pregnant and lactating women; feeding); exclusive breastfeeding for the first 6 months; reasonable complementary feeding and continued breastfeeding for children from 6 to 23 months); monitor children's growth and development; management and treatment of children with acute malnutrition; prevention of micronutrient deficiency for mothers and children; ensure clean water, personal hygiene and environmental sanitation.
- Implement the provision of counseling services, nutrition rehabilitation, intervention models to prevent overweight and obesity, prevention of chronic non-communicable diseases and related risk factors at all levels. Strengthen the implementation of nutrition interventions for the elderly, professional nutrition.
- Promote the fortification of micronutrients into domestically produced and imported food products. Encourage people to use food products fortified with micronutrients. Monitor enforcement of food regulations requiring fortification of micronutrients.
- Strengthen the local food system that is safe, diverse, nutritious and sustainable to meet the needs of all people in all regions, especially in areas affected by natural disasters and epidemics.
- Improve the quality of service delivery through the development and standardization of procedures and technical guidelines for nutrition intervention groups. Include assessment of intervention quality in the annual evaluation criteria of health facilities.
- Integrating nutrition services with other programs such as health, education, socio-economic development in mountainous areas and ethnic minorities, new rural areas, poverty reduction, social protection to protect ensure increased investment resources for all subjects in need of intervention.
c) Implement school nutrition activities at school
- Promote and improve the quality of school nutrition education, physical education and sports activities, integrate it in regular school hours, extracurricular activities and build appropriate communication models.
- Develop communication materials and organize communication for parents of students on proper nutrition, healthy and safe foods for health, prevention and control of non-communicable diseases, and increase physical activity for children. Pay special attention to proper nutrition for pre-pubertal and pubertal age.
- Develop guidelines, organize school meals to ensure reasonable nutrition according to age, region, region and ensure food diversity (for schools that organize school meals). Enact regulations to limit students' access to unhealthy foods.
- Building a mechanism for coordination and linkage between schools and families in nutritional care for children and students; information for parents about the nutritional status of children and students in school.
- Maintain regular deworming in areas with high prevalence of worms and helminths.
d) Carry out nutrition activities at the hospital
- Develop and implement professional guidelines on therapeutic nutrition, clinical nutrition, and moderation at medical examination and treatment establishments.
- Organizing communication and nutritional counseling for patients and patients' family members at medical examination and treatment facilities.
- Implement regulations on nutrition in hospitals such as implementing nutrition and breastfeeding criteria in the Hospital Quality Criteria.
Strengthening the implementation of emergency nutrition activities
- Develop a component to ensure nutrition into the plan to respond to natural disasters, epidemics of the central government and of the provinces and cities.
- Improve nutritional response capacity in emergency situations for officials at all levels and relevant departments and agencies.
- Effectively implement emergency nutrition activities in both the community and in hospitals in localities affected by climate change, natural disasters and epidemics.
6. To promote basic research and applied research on science and technology in nutrition and food suitable for Vietnamese people. Strengthen technical development and research into high-tech science and technology application models for nutrition work.
7. To step up the application of information technology in management, administration, supervision, consulting, statistics and reporting on nutrition work nationwide.
8. Actively integrate, strengthen international cooperation on nutrition, solve nutrition issues of global and regional nature
a) Actively and actively participate in global and regional networks and movements on nutrition.
b) Promote international cooperation to take advantage of financial, technical, training and management skills support in nutrition work with countries and international organizations.
IV. Implementation resources
1. The State invests and ensures financial resources for nutrition activities from the central and local budgets in accordance with the Law on State Budget. In which: Continue to allocate budget for nutrition activities in the National Target Programs (sustainable poverty reduction, new rural construction, socio-economic development in ethnic minority and mountainous areas). mountain); prioritize the allocation of state budget to organize the implementation of the Strategy in areas with extremely difficult socio-economic conditions, ethnic minority areas, remote and border areas, islands and areas at high risk of being affected by natural disasters and epidemics. Continue to invest, upgrade research and training facilities on nutrition, strengthen the capacity of the management system and implement nutrition activities according to regulations.
2. Promote mobilization of domestic and foreign organizations and individuals to invest in nutrition activities. Develop programs to socialize nutrition activities suitable to each target group, locality, region, region and ethnicity.
3. Based on the objectives and tasks in this Strategy, ministries, central agencies and localities shall proactively prepare annual budget estimates and submit them to competent agencies for approval in accordance with the law on budget.
V. Implementation organization
1. Ministry of Health
a) To assume the prime responsibility for, and develop an action plan for the implementation of the Strategy for the health sector; guide and organize the implementation of the Strategy nationwide. To supervise, inspect, annually synthesize and report to the Prime Minister on the implementation situation and results of the implementation of the Strategy. Organize a preliminary review by the end of 2025 and a review of the implementation of the Strategy by the end of 2030.
b) Assume the prime responsibility for, and coordinate with ministries, branches, mass organizations and People's Committees of provinces and centrally run cities in formulating and organizing the implementation of intervention programs, projects and schemes such as implementing proper nutrition and rations, improving maternal and child nutrition, nutritional care for the first 1000 days of life, prevention of micronutrient deficiencies, school nutrition, nutrition for the elderly, industry nutrition occupation, nutrition for prevention of risk factors and chronic non-communicable diseases, diet in hospitals, nutrition in emergency situations; other programs and projects on nutrition and food security.
c) Research, develop and complete for promulgation according to its competence or submit to competent authorities for promulgation of legal documents and policies to promote nutrition work such as implementing nutrition interventions early and in a short time. , in an emergency situation; ensure human resources and appropriate remuneration for nutrition staff. Completing the inter-sectoral coordination mechanism on nutrition work from central to local levels.
d) Researching and perfecting basic scientific expertise on nutrition; develop communication materials, health education, guidelines on proper nutrition, healthy foods, and diets suitable for each age group, locality, region, region, ethnicity and form of organization in community, hospital.
Research solutions and intervention models to prevent and control nutrition-related diseases, develop techniques and tools for monitoring and monitoring nutritional indicators.
2. Ministry of Education and Training
a) Promote nutrition education and communication, increase physical education and sports activities in schools.
b) Strengthening coordination between schools and families in educational activities, practical guidance on nutrition and appropriate physical activities for children and students.
c) Assume the prime responsibility for, and coordinate with the health sector in, organizing the implementation, implementation and supervision of activities on reasonable nutrition in schools, school meals, food safety and assessment of nutritional status of children, manage school canteens, enhance physical activities for children and students; do not advertise and sell alcoholic beverages, sugary drinks and other unhealthy foods on and off school premises as required.
d) Directing and promoting the implementation of activities related to reasonable nutrition for students in the School Health Program for the period 2021-2025 and the Scheme on ensuring reasonable nutrition and increasing physical activity for children, pupils and students to improve their health and prevent cancer, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and asthma in the period 2018 - 2025.
3. Committee for Ethnic Minorities
a) Directing and promoting the implementation of nutrition activities in the socio-economic development program in ethnic minority and mountainous areas in the 2021-2030 period.
b) Monitor, supervise and evaluate the implementation of nutrition activities in programs, schemes and projects for ethnic minorities and mountainous areas.
4. Ministry of Labor - Invalids and Social Affairs
a) Lead and direct the implementation of policies for social protection beneficiaries according to the provisions of law, associated with the goal of ensuring nutrition.
b) Strengthen the integration and implementation of nutrition-related activities for mothers and children in ongoing programs and projects such as national target program for sustainable poverty reduction in a period of 2021-2025.
c) Assume the prime responsibility for, and coordinate with relevant agencies in, promoting propaganda and directing the implementation of a reasonable nutritional regime for employees, especially female workers, pregnant and nursing female workers, young children, workers in industrial parks, employees doing heavy, hazardous and dangerous occupations and jobs and particularly arduous, hazardous and dangerous occupations and jobs.
5. Ministry of Agriculture and Rural Development
a) To assume the prime responsibility for implementing food security assurance, household food to meet nutritional needs.
b) Integrating nutrition goals into food and agriculture policies in implementing transformation and developing a transparent, responsible and sustainable food system; in on-going programs such as the National Target Program on building new rural areas for the period of 2021-2025, the Program on Zero Hunger.
c) Integrate nutrition response activities in the National Plan for preparedness and readiness to respond to natural disasters to be ready to provide food and ensure nutrition for areas vulnerable to climate change.
6. Ministry of Information and Communications
a) Assume the prime responsibility for, and coordinate with concerned ministries and branches in, directing and organizing nutrition communication activities, focusing on communication activities to raise awareness and practice of reasonable nutrition on communication channels.
b) Coordinating with the Ministry of Health and related ministries and branches in controlling advertising on nutrition and food.
7. Ministry of Culture, Sports and Tourism
a) Coordinate with the Ministry of Health and relevant ministries and branches in directing the implementation of the Strategy integrated with the Master Plan on development of physical strength and stature of Vietnamese people for the period 2011-2030.
b) Directing the integration of physical activity activities and ensuring proper nutrition with mass movements and sports and cultural activities in the community; strengthen propaganda about the benefits of mass sports activities for health.
8. Ministry of Industry and Trade
a) Review, amend and supplement mechanisms and policies to promote research, production, branding, trade promotion, and market development of food products fortified with micronutrients, healthy food.
b) Strengthening the management of production and trading of non-healthy products in the field of management.
9. Ministry of Science and Technology
a) Direct and strengthen the allocation of funds and budgets for the implementation of scientific and technological tasks in nutrition and food.
b) Coordinating with relevant ministries and branches in formulating, amending, supplementing and perfecting the system of national standards and technical regulations for food, nutritional supplements, complementary foods, fortification of micronutrients, legal documents on food nutrition labeling.
10. The Ministry of Planning and Investment shall assume the prime responsibility for, and coordinate with the Ministry of Health in, guiding the inclusion of specific nutritional indicators in national and local socio-economic development plans.
11. Ministry of Finance
a) Assume the prime responsibility for, and coordinate with the Ministry of Health, based on the ability to balance the state budget, to allocate funds to ministries and central agencies to implement the Strategy for assigned tasks in accordance with the Law, state budget and budget decentralization.
b) Coordinate with the Ministry of Health, relevant ministries and branches in formulating financial mechanisms and policies to promote socialization, mobilizing capital sources outside the state budget, encouraging organizations and individuals to invest in financial resources, invest in nutrition.
12. Ministry of Home Affairs shall coordinate with Ministry of Health, relevant ministries and branches in proposing mechanisms, policies and solutions to improve the quality of human resources to serve the state management of nutrition at ministries, sector and locality.
13. Vietnam News Agency, Vietnam Television Station, Voice of Vietnam Radio and other mass media agencies focus on increasing the broadcasting time and the number of appropriate articles; improve the quality of propaganda and education on reasonable nutrition in specialized pages and categories; promote propaganda on the organization and implementation of the Strategy.
14. Request socio-political organizations and associations to coordinate with the health sector, education sector, agriculture sector, relevant ministries, branches and local authorities in organizing the implementation of the Strategy. strategy within the scope of functions, tasks and authority; participate in propagating and disseminating knowledge to members and the community on nutrition work and mobilizing resources to implement relevant contents, tasks and solutions of the Strategy; promote the role of supervision, social criticism, and policy proposals to ensure the effective implementation of the Strategy and nutrition action programs.
15. People's Committees of provinces and centrally run cities
a) Formulate and organize the implementation of the Nutrition Action Plan and nutrition intervention programs, projects and schemes in the area in accordance with the National Strategy on Nutrition and the economic development plan - local society. Monitor and evaluate the nutritional status of the people annually, and incorporate specific nutritional indicators into the local socio-economic development indicator system.
b) Allocate funding in accordance with the law on state budget to realize the objectives of the Strategy, in which priority is given to disadvantaged and extremely difficult areas, remote, mountainous and lowland areas, ethnic minorities in the localities where this area exists. Integrate the effective implementation of the National Strategy on nutrition with other relevant strategies, programs, schemes and projects in the area. In case there is a difficulty in funding for nutrition activities, it is requested to report to the Ministry of Health to summarize and propose the Prime Minister to consider funding support as prescribed.
c) Mobilize resources, promote socialization in accordance with local conditions to implement the Strategy; arrange sufficient human resources to carry out nutritional work according to regulations.
d) Organize, monitor, urge, inspect and evaluate the implementation of the Strategy in the locality.

Source: Vitic/ thuvienphapluat.vn