OF OBESITY IN VIETNAM: CHALLENGES & MEASURES IN SOCIAL AND - PowerPoint PPT Presentation

PREVENTION AND CONTROL OF OBESITY IN VIETNAM: CHALLENGES & MEASURES IN SOCIAL AND ECONOMIC PERSPECTIVES Luong, Vinh Quoc Duy

Vietnam – major statistics • Lower middle income country • GDP: 193.599 USD (2015) • Population: 91.713 million • GDP per capita: 2,110 USD • Life expectancy: 75.78 Source: World Bank

Vietnam – major statistics Source: WHO Statistics

NCDs accounts for most deaths Chart Title 69.63 61.62 53.06 52.10 44.71 43.68 41.80 33.13 25.15 23.20 18.15 13.23 12.23 6.10 2.23 1976 1986 1996 2006 2013 Communicable diseases Non-communicable diseases Accident, injury, poisoning Source: Vietnam Ministry of Health (2014)

Vol. of beer (million liters) 4.00 3.53 3.50 3.29 3.00 3.00 2.98 2.63 2.50 2.42 2.00 1.50 1.00 0.50 0.00 2010 2011 2012 2013 2014 2015 Source: General Statistical Office (2016)

Challenge 1: Data for surveillance is limited • The national child nutrition surveillance programme is oriented towards under-nutrition problem in children aged 5 years or less  national data collection system to monitor the trends of nutritional status for various cohorts, especially adults is limited. • No census on nutritional status. • Bi-annual Vietnam Household Living Standard Surveys cover fairly small sample: < 1% population.

Challenge 2: People are mostly not aware of the prevalence of overweight which tends to be associated with business concentration 16 15.2 14 12 10.3 10 8.7 Overweight in 2000 % 8 7.4 Overweight in 2005 6 5.6 5 4.9 4.7 4 3.3 3.1 2.6 2.1 2 2.0 1.9 1.6 0.9 0 RRD NE NW NCC SCC CH SE MRD Source: Ha et al. (2011)

Challenge 3: fighting undernutrition • National Strategy for Nutrition (2011- 2020), vision 2030 – Improve quality of meals – Improve nutritional intake for women and children. – Reduce deficiency in micronutrients – Control overweight and obesity step by step – Improve people’s perception of healthy diet – Improve health facilities & infrastructure

Challenge 4: Norms • Drinking as a social obligation to strengthen social network connections and opportunities: – Among relatives – Among colleagues – With business partners

Challenge 4: Norms • Reports from Ministry of Health shows an increase in consumption of alcohol among group of ages, esp. those who are working.

Challenge 4: Norms • Fast food as a modern life style.

Challenge 5: Law enforcement

Challenge 6: Commercial reasons

Challenge 6: Commercial reasons

Suggested measures • Obesity as a disease. • Housing and Population Census should include health indicators. • Strict control of advertisement and sale.