Nobody left behind? Equity and the drivers of stunting reduction in Vietnamese ethnic minority populations

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cg.authorship.typesCGIAR single centreen_US
cg.authorship.typesCGIAR and developing country instituteen_US
cg.contributor.affiliationInternational Food Policy Research Instituteen_US
cg.contributor.crpAgriculture for Nutrition and Healthen_US
cg.coverage.countryVietnamen_US
cg.coverage.iso3166-alpha2VNen_US
cg.coverage.regionSouth-eastern Asiaen_US
cg.coverage.regionAsiaen_US
cg.creator.identifierPhuong H Nguyen: 0000-0003-3418-1674en_US
cg.identifier.doihttps://doi.org/10.1007/s12571-021-01183-7en_US
cg.identifier.projectIFPRI - Poverty, Health, and Nutrition Divisionen_US
cg.identifier.projectIFPRI - Stories of Change in Nutritionen_US
cg.identifier.publicationRankBen_US
cg.isijournalISI Journalen_US
cg.issn1876-4517en_US
cg.issue4en_US
cg.journalFood Securityen_US
cg.reviewStatusPeer Reviewen_US
cg.volume13en_US
dc.contributor.authorHarris, Jodyen_US
dc.contributor.authorHuynh, Phuongen_US
dc.contributor.authorNguyen, Hoa T.en_US
dc.contributor.authorHoang, Ngaen_US
dc.contributor.authorTran, Lan Maien_US
dc.contributor.authorTuyen, Le Danhen_US
dc.contributor.authorNguyen, Phuong Hongen_US
dc.date.accessioned2024-05-22T12:10:42Zen_US
dc.date.available2024-05-22T12:10:42Zen_US
dc.identifier.urihttps://hdl.handle.net/10568/142576en_US
dc.titleNobody left behind? Equity and the drivers of stunting reduction in Vietnamese ethnic minority populationsen_US
dcterms.abstractVietnam has successfully reduced population stunting, but ethnic minority groups are being systematically left behind, limiting progress on national reductions. This mixed methods study aims to understand how drivers of stunting reduction differ between ethnic majority and minority communities. We used decomposition analysis to explain key determinants of stunting change between 2000 and 2010; and framework analysis to qualitatively assess changes in policy, actors and narratives that have underpinned these over decades. Our analysis shows that stunting reductions are associated with increased household wealth (accounting for 61% of change), improved access to specific health services (16%), and changes in level of maternal education (12%). Despite multiple actors involved in change and a large set of policies designed to address inequities, many among Vietnam’s defined ethnic minority groups are not finding themselves able to effectively engage with central government plans for their communities, and central policies often do not consider their preferences or limitations. This in turn impacts the nutrition of minority groups through the determinants above. Vietnam has achieved the easier portion of stunting reduction through national economic growth and sustained commitment to socially-oriented policy. In order to tackle the remaining pockets of high malnutrition, more attention, thought and funding will need to focus on marginalised ethnic minority communities. The current national development discourse aims to incorporate minorities into mainstream majority systems. This paper argues that should rather take into account their particular needs and preferences to address and overcome the identified determinants of malnutrition.en_US
dcterms.accessRightsOpen Accessen_US
dcterms.bibliographicCitationHarris, Jody; Huynh, Phuong; Nguyen, Hoa T.; Hoang, Nga; Mai, Lan Tran; Tuyen, Le Danh; and Nguyen, Phuong Hong. 2021. Nobody left behind? Equity and the drivers of stunting reduction in Vietnamese ethnic minority populations. Food Security 13(4): 803–818. https://doi.org/10.1007/s12571-021-01183-7en_US
dcterms.extentpp. 803-818en_US
dcterms.issued2021-08-18en_US
dcterms.languageenen_US
dcterms.licenseCC-BY-4.0en_US
dcterms.publisherSpringeren_US
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/7830en_US
dcterms.subjectpoliciesen_US
dcterms.subjectequityen_US
dcterms.subjectstuntingen_US
dcterms.subjecthousehold incomeen_US
dcterms.subjectnutritionen_US
dcterms.subjectminority groupsen_US
dcterms.typeJournal Articleen_US

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