World Bank JSDF Dialogue “Vietnam Northern Mountain Integrated Child Nutrition Improvement Project”

videoType

dynamic-media

videoDmUrl

keyFrameImage

timestamp

00:00 OK.

00:01 Uh,

00:01 time now a few minutes after 4 p.m.,

00:04 uh,

00:04 on the,

00:04 uh,

00:05 Friday,

00:05 uh 24th of June,

00:07 uh,

00:08 in Japan Standard Time.

00:10 Uh,

00:10 uh,

00:10 please,

00:11 uh,

00:11 allow us to start the,

00:12 uh,

00:13 uh,

00:13 seminar.

00:14 Welcome,

00:14 uh,

00:14 to another edition of the World Bank,

00:16 uh,

00:17 online seminar.

00:18 Uh,

00:18 in fact,

00:18 uh,

00:19 today is a special,

00:20 uh,

00:20 edition.

00:21 Uh,

00:21 we are having the,

00:22 uh,

00:22 13th,

00:23 uh,

00:23 JSDF Japan Social Development Fund

00:26 dialogue,

00:27 uh,

00:28 on the occasion of the visit by,

00:30 uh,

00:31 uh,

00:31 a team from Washington,

00:33 uh,

00:33 taking care of the trust fund,

00:34 having the,

00:35 uh,

00:35 uh,

00:36 uh,

00:36 the annual policy conversation with the government of Japan.

00:39 My name is Koi Shimori.

00:40 I'm senior external affairs officer of the World Bank,

00:43 uh,

00:43 based in Tokyo.

00:45 Um,

00:45 let me,

00:45 uh,

00:46 first of all,

00:46 uh,

00:46 make a,

00:47 uh,

00:47 a short housekeeping announcement,

00:49 uh,

00:49 switching,

00:50 uh,

00:50 to my mother language,

00:52 uh,

00:52 minasama,

00:53 uh,

00:53 konichiwasekagino tokojima,

00:54 uh,

00:54 kyono and seminava,

00:58 uh,

00:58 dojitsuakuwo ego kara nihongo no on

01:02 uh the uh webex sites webexgamenjo er hi.

01:14 OK.

01:27 Um,

01:27 also,

01:28 one more housekeeping announcement.

01:29 I'm sure,

01:30 uh,

01:30 you know,

01:31 those of you who are attending this seminar by Webex,

01:33 uh,

01:34 we have actually uh nearly 80 people registered,

01:36 uh,

01:36 to this,

01:37 this event,

01:38 have a question,

01:38 uh,

01:39 to the speaker as you are listening to,

01:40 uh,

01:41 this,

01:41 uh,

01:41 the presentation and discussion.

01:43 Please,

01:44 uh,

01:44 post your question.

01:45 Uh,

01:46 anytime during the,

01:47 uh,

01:47 the,

01:47 uh,

01:47 dialogue

01:48 on the,

01:49 uh,

01:49 uh,

01:49 Q&A section on the web,

01:51 uh,

01:51 uh,

01:52 Webex screen,

01:53 or in fact,

01:54 you can directly send your question to me because all of you received the,

01:57 uh,

01:58 uh,

01:58 Webex leaks from me,

01:59 uh,

02:00 uh,

02:00 yesterday or today.

02:01 So just uh responding,

02:03 uh,

02:03 uh,

02:03 to my email,

02:04 uh,

02:05 with your question.

02:06 Uh,

02:06 and then I'll read your question during the Q&A and discussion time,

02:09 so our speakers will respond,

02:11 uh,

02:12 to your,

02:12 uh,

02:13 question and point.

02:14 Thank you very much.

02:15 Uh,

02:15 so,

02:15 uh,

02:16 uh,

02:17 yeah,

02:17 uh,

02:17 first of all,

02:18 we would,

02:18 uh,

02:18 uh,

02:19 like,

02:19 uh,

02:19 to have,

02:20 uh,

02:20 opening remarks on behalf of the World Bank Group.

02:23 We have,

02:23 uh,

02:24 Doug,

02:24 uh,

02:25 Lemann,

02:25 uh,

02:25 who is the director of the Trust Fund

02:27 and Partnership relationship of the World Bank.

02:31 Uh,

02:31 so I'd like to ask Doug to come in to,

02:32 uh,

02:33 give us opening remarks.

02:34 Doug,

02:34 please.

02:36 Thank you,

02:36 Koichi,

02:37 and good afternoon,

02:38 um,

02:38 and welcome to the Japan Social Development Dialogue series.

02:42 Um as Koichi said,

02:43 my name is Dirk Reineman.

02:44 I'm the

02:44 director for Trust funds and Partnerships,

02:47 um,

02:47 at the World Bank.

02:49 Um,

02:49 I would like to extend a very warm welcome,

02:52 uh,

02:52 to Director Masashi Tanabe of the Multilateral

02:56 Bank's Division of the Ministry of Finance and his,

02:58 uh,

02:59 team.

03:00 Uh,

03:00 we wish to thank,

03:02 uh,

03:02 the government of Japan for its continuing commitment.

03:05 Uh,

03:06 to,

03:06 uh,

03:06 the Japan Social Development Fund

03:09 and to making a difference,

03:10 um,

03:11 in the lives of the poor

03:13 and disadvantaged members of society.

03:16 Uh,

03:16 the JSTF was started,

03:18 uh,

03:18 back in 2000 by the government of Japan.

03:21 Um,

03:22 and the World Bank is a unique grant program

03:25 that aims to improve the lives

03:27 of the poorest and the most vulnerable groups in society.

03:31 While the JSDF was established immediately after the Asia financial crisis,

03:36 over the past 20 years,

03:38 it has extended support to innovative and sustainable projects

03:42 across the world.

03:43 And this objective remains relevant today

03:47 as the world confronts multiple challenges,

03:50 multiple crises

03:52 of food and fuel crises,

03:55 conflict and fragility,

03:56 natural disasters and climate risk.

03:58 The poor are usually

04:01 the least able to cope with adversity

04:04 and are at great risk of falling even farther behind.

04:08 It is my privilege and great pleasure to

04:10 welcome you all here today to learn about this

04:13 innovative project to improve

04:15 child nutrition among rural disadvantaged villages in Vietnam.

04:20 As administrator of the JHDF

04:23 we enjoy very much,

04:24 uh,

04:25 showcasing some of these projects funded by this program

04:28 so that we can all learn about the results

04:31 and draw insights from those who were directly involved in implementation.

04:36 A laudable feature of this project,

04:39 for instance,

04:40 is that it was implemented through strong and effective partnerships.

04:44 Save the Children,

04:45 in close partnership with the Department of Maternal

04:47 and Child Health in the Ministry of Health,

04:50 helped to establish

04:52 community networks among mothers from ethnic minority groups

04:56 in the northern mountain regions

04:58 of Vietnam.

04:59 In turn,

05:00 they built provincial platforms so that the Department

05:02 of Health and Department of Agriculture and Rural Development

05:06 could coordinate better with these mother to mother networks

05:10 and other local authorities in introducing project interventions.

05:14 And finally,

05:15 I understand that Save the Children Japan also played an

05:18 important role in the project and I'm happy to see

05:21 two representatives of Save the Children Japan

05:24 uh with us here today.

05:25 Uh,

05:25 welcome.

05:27 Truly,

05:28 we need to work together to

05:30 deliver lasting results for these

05:32 children and mothers.

05:34 As the popular African proverb goes,

05:36 it takes a village to raise a child.

05:40 We're delighted to have you all with us to participate in this JSDF dialogue,

05:44 and I encourage you to ask questions,

05:46 share your views,

05:47 to enrich our conversation.

05:49 And without further ado,

05:50 I'd like to call

05:52 on uh Tanabe-san

05:54 uh to give us his opening remarks.

05:57 Thank you very much,

05:58 Doug.

05:58 So please allow us to uh uh welcome uh

06:01 Mr.

06:01 Masashi Tanabe,

06:02 the Director of the Multilateral Development Bank's division of

06:05 the International Bureau at the Ministry of Finance,

06:08 government of Japan.

06:09 Uh,

06:09 Tanayan,

06:09 please.

06:11 Thank you very much.

06:12 Uh,

06:12 good morning,

06:13 good afternoon,

06:14 and good evening,

06:15 everyone,

06:15 and welcome to JSDF seminar.

06:18 I'm Masashi Tanabe,

06:20 the director of MDB's division,

06:21 Minister of Finance Japan.

06:23 It's a great honor and pleasure

06:25 to be a part of today's event.

06:28 First of all,

06:29 I would like to express my sincere gratitude to DRC and the World Bank team,

06:34 and to all the institutions and the people

06:37 for their contribution to JSDF activities,

06:40 including the government of Vietnam

06:42 and the Save the Children.

06:44 Also,

06:45 on behalf of the government of Japan,

06:47 I would like to extend my heartfelt greetings

06:50 to all those participating in this seminar.

06:54 As DAC also explained,

06:56 uh,

06:56 Japan and the World Bank established GSTF

06:59 in year 2000 after the Asian financial crisis

07:03 to directly respond to the needs of the poorest

07:07 and the most vulnerable group in

07:09 developing countries.

07:12 JSDF is a very unique facility.

07:14 It aims to achieve sustainable development

07:17 and to reduce poverty through a community-driven approach

07:20 by closely collaborating with civil societies and local governments

07:25 on the ground

07:26 and by leveraging their knowledge,

07:29 experience,

07:29 and network

07:30 to the maximum

07:31 extent.

07:34 We will hear in the case of Vietnam later in this seminar

07:38 about how this fund has benefited from collaboration with

07:42 civil society and local governments and how the projects

07:46 have been implemented by them.

07:48 Since its inception,

07:50 GSDF has supported

07:52 improving more than 700,000 livelihoods so far.

07:56 Let me appreciate again the GSDF team for these achievements.

08:01 Now,

08:01 the COVID-19 pandemic and the worldwide food

08:04 crisis caused by the Russian aggression against Ukraine

08:07 are affecting the poorest and the most vulnerable people in developing countries.

08:12 We strongly believe that this is a time that the SDF

08:15 was created for

08:17 and

08:18 To provide support to the poorest and the most vulnerable people.

08:23 Today's seminar highlights JSDF's project in Vietnam,

08:27 our Northern Mountain Integrated Child Nutrition Improvement Project,

08:32 which has improved the nutrition status of children in the targeted village in

08:37 Vietnam.

08:39 I appreciate all the efforts of the colleagues of

08:42 Save the Children,

08:43 Mr.

08:43 Hertz of Vietnam,

08:45 and the World Bank team for the successful implementation of this project.

08:49 I'm delighted to hear their experience of this project today.

08:54 I'm sure that sharing the GSDF team's experiences and lessons around on site

09:00 will be truly meaningful

09:02 for

09:02 us,

09:03 for all of us.

09:04 This brings me

09:06 to the end of my opening speech,

09:07 and thank you very much.

09:10 Thank you very much,

09:10 uh,

09:11 Mr.

09:11 Tanabe,

09:11 for your,

09:12 uh,

09:12 opening,

09:12 uh,

09:13 remarks.

09:14 Uh,

09:14 as mentioned,

09:15 uh,

09:15 already,

09:16 uh,

09:16 uh,

09:16 at the,

09:17 uh,

09:17 uh,

09:17 each,

09:17 uh,

09:18 of the JSDF dialogue,

09:20 uh,

09:20 event,

09:20 we feature,

09:21 uh,

09:21 one,

09:23 interesting project,

09:23 uh,

09:23 among many,

09:24 uh,

09:24 JSDF grants,

09:25 and then,

09:26 uh,

09:26 go into deep,

09:27 uh,

09:27 uh,

09:28 insight of the project itself and also listen to,

09:31 uh,

09:31 various stories,

09:32 uh,

09:32 from

09:33 the,

09:33 uh,

09:33 people who are directly involved,

09:35 uh,

09:35 in

09:35 Uh,

09:36 preparing and implementing,

09:37 uh,

09:37 the project from the World Bank,

09:39 implementing agency,

09:40 etc.

09:41 Uh,

09:41 this,

09:42 uh,

09:42 evening and this,

09:43 uh,

09:43 afternoon,

09:44 we are going to,

09:45 uh,

09:45 future,

09:46 uh,

09:46 the Northern Mountain uh Integrated Child,

09:48 uh,

09:49 Nutrition Improvement Project in Vietnam.

09:52 Uh,

09:52 so,

09:52 uh,

09:53 first of all,

09:53 uh,

09:54 uh,

09:54 among,

09:54 uh,

09:55 the,

09:55 uh,

09:56 various speakers,

09:56 uh,

09:57 coming up in the next,

09:58 uh,

09:58 uh,

09:58 30,

09:59 40 minutes,

10:00 uh,

10:00 from the,

10:01 those who are deeply involved,

10:02 uh,

10:02 in the implementation,

10:04 uh,

10:04 itself,

10:04 uh,

10:05 let us,

10:05 uh,

10:05 hear,

10:06 uh,

10:06 Christoph Lumiere,

10:07 who is a program leader for the human development for Vietnam

10:11 at the World Bank office,

10:13 uh,

10:13 on behalf of the,

10:14 uh,

10:14 Uh,

10:14 country management,

10:15 uh,

10:15 team for Vietnam,

10:16 uh,

10:16 to share the perspectives,

10:18 uh,

10:18 uh,

10:19 uh,

10:19 on,

10:19 on,

10:20 uh,

10:20 on the,

10:21 uh,

10:21 uh,

10:21 the Vietnam and also project context.

10:23 Uh,

10:24 Christoph,

10:24 uh,

10:25 was about to join us from Paris,

10:27 but unfortunately,

10:27 uh,

10:28 he couldn't make it,

10:28 so we have a recorded,

10:30 uh,

10:30 message,

10:30 uh,

10:31 uh,

10:31 from Christoph.

10:32 So,

10:32 uh,

10:32 let's,

10:33 uh,

10:33 let's listen to what,

10:34 uh,

10:35 Christoph needs to say.

10:42 Ladies and gentlemen,

10:43 um,

10:45 dear representatives of,

10:47 um,

10:48 the government of Japan,

10:50 uh,

10:50 of also the Japanese embassy in Vietnam.

10:54 Uh,

10:54 representatives from the World Bank,

10:57 um,

10:58 also representatives of,

11:00 uh,

11:00 other Japanese organizations.

11:03 And representatives of

11:06 Save the Children Vietnam and Save the Children.

11:10 Japan,

11:11 um,

11:11 and dear colleagues.

11:13 Um,

11:14 as you can see,

11:14 I'm unable to,

11:16 uh,

11:17 join you for this meeting today,

11:19 uh,

11:19 which is

11:21 extremely sad to me,

11:22 uh,

11:23 for many reasons.

11:24 Um,

11:25 one reason is that,

11:27 um,

11:28 we are extremely proud,

11:30 I mean,

11:30 to see that this,

11:31 uh,

11:32 project has been selected

11:34 for this,

11:34 uh,

11:35 discussion with,

11:36 uh,

11:36 JSDF,

11:37 uh,

11:38 that's,

11:38 that's really a,

11:40 a strong signal for us.

11:42 Um,

11:44 I'm also very sad,

11:45 I mean,

11:45 not to be there because I know you will have,

11:48 uh,

11:48 quite interesting discussions about the results that have been

11:52 achieved by this project and they are really impressive.

11:55 Um,

11:56 I know that

11:57 you will go

11:58 much further in the details and so on,

12:00 but let me highlight

12:02 at least two or three,

12:04 of the successes.

12:06 I mean,

12:06 uh,

12:07 the first one is the.

12:08 The proportion of infants,

12:11 I mean,

12:12 um,

12:12 um,

12:13 0 to 5 months

12:15 of age that are fed exclusively with breast milk

12:20 increase from about 17%

12:23 at the baseline

12:25 to 71% at the end line.

12:28 Uh,

12:28 which is of course,

12:29 I mean,

12:30 way above the target we had.

12:33 Uh,

12:34 similarly,

12:35 uh.

12:37 About 72% of pregnant women received at least 3 antenatal care visits.

12:44 Uh,

12:45 and this is the result that was achieved at at the airline and.

12:51 Compared to

12:52 only 11%

12:54 at the baseline.

12:55 Um,

12:56 so that's really

12:57 impressive work that has been done here,

13:00 um,

13:01 and I wanted to really thank,

13:04 uh,

13:04 the project team,

13:06 especially because

13:07 they have

13:07 done all these efforts,

13:09 uh,

13:10 in a complicated situation.

13:11 I mean,

13:11 with

13:12 the COVID-19 period,

13:14 I mean all the social distancing,

13:15 I mean that came with that.

13:17 So that's an additional challenge.

13:19 Now I also want to thank the.

13:22 The teams from of course Save the Children Vietnam,

13:25 Save the Children Japan,

13:27 but also the Department of Maternal and Child Health at the Ministry of Health

13:32 and uh the project teams

13:34 from Sola

13:35 and Yanbai provinces,

13:37 uh,

13:38 they,

13:38 um,

13:39 they worked very hard on,

13:40 on,

13:40 on,

13:41 on this.

13:41 I mean during the past 5 years,

13:43 um,

13:44 they also

13:45 maintained very strong,

13:47 uh,

13:47 coordination and collaboration which was not easy,

13:51 um.

13:52 Also,

13:53 uh,

13:54 I would

13:55 like to thank again the,

13:56 the,

13:56 the government of Japan.

13:58 I mean,

13:59 um,

14:00 through the,

14:00 the,

14:01 the,

14:01 um,

14:02 Japanese,

14:03 uh,

14:03 social development fund,

14:04 I mean,

14:05 uh,

14:06 which provided,

14:07 I mean,

14:07 the

14:08 necessary resources for,

14:10 um,

14:12 implementing this project.

14:15 Now,

14:15 um,

14:17 before concluding,

14:18 I mean,

14:19 just,

14:19 just a few points I,

14:20 I,

14:20 I wanted to highlight.

14:21 I mean one is

14:23 I think it's important to

14:26 insist again on the impact of,

14:27 uh,

14:28 improving nutritional status.

14:30 I mean it's not just a,

14:31 a health issue.

14:33 I mean there is now enough,

14:35 uh,

14:35 evidence,

14:36 I mean,

14:36 to show that it has a huge impact on,

14:40 uh,

14:40 physical productivity.

14:42 Uh,

14:43 cognitive development and of course I mean improved,

14:47 uh,

14:47 school outcomes

14:49 and this has of course an impact in turn

14:52 on the overall productivity,

14:54 uh,

14:55 and,

14:55 and,

14:55 and economic growth that so that's really an extremely important

14:59 intervention.

15:01 Um,

15:02 I wanted also to,

15:04 um,

15:05 mention that

15:06 of course this is,

15:07 this is one project,

15:08 but,

15:09 uh,

15:10 the team also has made sure that it could be replicated or at least mainstreamed in,

15:15 in some,

15:16 uh,

15:17 other,

15:17 uh,

15:18 instruments

15:19 and this is what has been done,

15:21 uh,

15:21 given that the approach,

15:23 uh,

15:23 has been,

15:24 uh,

15:25 introduced in the new.

15:28 National targeted program uh for ethnic minority

15:32 uh NTPEEA.

15:34 And uh

15:35 so that's really an opportunity to replicate.

15:38 I mean this uh

15:39 uh this extremely successful intervention

15:42 and I would note also that the World Bank is,

15:45 is supporting

15:46 this um

15:47 NTP edema

15:49 I mean through IBRD.

15:51 Um

15:53 And,

15:54 um,

15:56 again,

15:56 I mean,

15:57 we,

15:57 we have implemented quite um

16:00 quite a lot of uh uh GSDF projects,

16:04 uh,

16:05 including two which were

16:07 uh health projects so

16:09 it,

16:09 it has been also

16:11 a great opportunity for the bank.

16:12 I mean,

16:13 as you know

16:14 we uh work mainly with governments,

16:16 but,

16:17 um,

16:18 having this GSDF uh funding.

16:21 Uh,

16:21 has given us the,

16:23 um,

16:24 opportunity to work more

16:25 with,

16:26 uh,

16:26 NGOs and communities,

16:28 uh,

16:29 which is of course absolutely crucial,

16:31 I mean,

16:32 to,

16:32 uh,

16:33 get results,

16:34 uh,

16:34 on the ground.

16:35 So

16:37 I can stop here.

16:37 I mean,

16:38 again,

16:38 thanks a lot to,

16:40 uh,

16:40 the Ministry of Health.

16:41 I mean the provincial authorities of,

16:43 uh,

16:44 Sola and Yenbai

16:46 provinces,

16:46 um,

16:48 to the Japanese government,

16:49 of course.

16:50 And,

16:51 uh,

16:51 Save the Children for

16:53 this opportunity to collaborate with you

16:55 and uh I look forward to our um

16:59 continued collaboration

17:01 uh to improve the health of the

17:03 Vietnamese people.

17:04 Um,

17:05 thank you again and I wish you

17:07 great success for this uh event.

17:13 Thank you very much.

17:13 And that was uh Christophhe uh Lumiere,

17:15 uh,

17:15 who is a program leader for human development for Vietnam uh World Bank.

17:20 Um,

17:21 each,

17:21 uh,

17:22 of the JSDF,

17:23 uh,

17:24 project,

17:24 uh,

17:24 in fact,

17:25 uh,

17:25 not only JSDF but all of the World Bank,

17:27 uh,

17:28 uh,

17:28 lending,

17:28 uh,

17:29 and other projects,

17:30 uh,

17:30 we have a

17:31 task team leader

17:33 assigned,

17:34 uh,

17:34 to,

17:34 uh,

17:35 take care,

17:35 uh,

17:35 uh,

17:36 in terms of the preparation and implementation of the,

17:39 uh,

17:40 uh,

17:40 uh activities from the World Bank side.

17:42 Uh,

17:43 for this,

17:44 uh,

17:44 particular,

17:44 uh,

17:45 project,

17:45 uh,

17:46 the task team leader,

17:47 uh,

17:47 uh,

17:47 is,

17:48 uh,

17:48 Juan,

17:49 uh,

17:49 sorry,

17:49 um,

17:50 Juan,

17:50 uh,

17:51 Lan Dao,

17:52 who is a senior

17:53 health specialist,

17:54 uh,

17:54 uh,

17:54 at the World Bank of Vietnam office with us connecting from Hanoi.

17:58 So let us,

17:59 uh,

17:59 hear Juan,

18:00 uh,

18:00 uh,

18:01 in terms of what the task team leader of this project needs to say.

18:04 Juan,

18:04 please.

18:07 Yes,

18:07 um,

18:08 thank you very much.

18:09 Uh,

18:10 good evening,

18:11 uh,

18:11 good evening and good afternoon,

18:13 everyone.

18:14 Uh,

18:15 so,

18:15 uh,

18:16 dear,

18:16 uh,

18:17 ladies and gentlemen,

18:19 uh,

18:19 representatives from the Japanese Government Ministry of Finance,

18:24 a representative from the Japan Social Development Bank,

18:28 uh,

18:29 the,

18:29 uh,

18:30 representative from the,

18:32 uh,

18:32 Mainon and Child Health Ministry of Health.

18:35 Uh,

18:35 colleagues and friends,

18:36 ladies and gentlemen.

18:38 So it's um really my honor and proud to have this opportunity to present our project,

18:45 the Vietnam Northern Mountain Integrated Child Nutrition Intervention

18:49 today.

18:50 Um,

18:51 I'm very lucky to have been with the project from the very first day

18:55 of the project ideas development in the last day of the project's implementation.

19:00 It is really a long journey,

19:02 I should say,

19:02 um,

19:03 back to,

19:04 uh,

19:04 the project was initiated in 2014.

19:09 So by that time,

19:10 JSDF was very new to me

19:13 and working with an uh non-government organization

19:17 was also really my new experience.

19:20 So,

19:20 uh,

19:20 as Kochi uh just mentioned,

19:23 The World Bank support to a country normally through official Development Bank,

19:27 a development aid

19:29 officially to the government,

19:31 ministries and government institutions.

19:34 So the JSDF has brought to us a new approach

19:37 of working with NGO

19:39 and empowering community and local people.

19:44 So as its objective,

19:45 the GSDF provides grants in support

19:48 of community-driven development and poverty reduction projects

19:52 that empower the poorest and most vulnerable groups

19:55 not reached by other programs and improve their lives through direct benefits.

20:01 So through this nutrition project,

20:03 we had a chance to work with people

20:05 in the most remote and disadvantaged areas in

20:09 poorest provinces in the northern mountain of Vietnam.

20:14 We also had a chance to work with people at the village level,

20:17 with mothers,

20:19 families,

20:20 community organizations,

20:22 and more importantly,

20:23 all of the project beneficiaries,

20:25 almost all of them were ethnic minority people.

20:29 You will hear more about the project in the next few minutes,

20:32 but from the tech team leader's perspective,

20:35 I would like to highlight a few things.

20:38 So first,

20:39 even Vietnam is very good in achieving SDGs

20:42 and improving child nutrition in the last decade,

20:46 and the country's stunting rate has decreased significantly

20:50 from almost 30% in 2010

20:53 to 19% in 2020.

20:56 The gap across different girl.

20:59 African areas

21:00 and ethnic minority is still exist and even widened in the last 10 years.

21:05 So data from the 2020 National Nutrition Survey showed that

21:10 the under 5 stunting rate

21:12 was 37.4 in northern Uplands,

21:16 the area of our two project provinces.

21:19 While it was only about 10% in lowland areas like in Red River Delta region,

21:26 where Hanoi is situated,

21:27 and southeast area,

21:30 Ho Chi Minh,

21:30 where the Ho Chi Minh City is located.

21:33 So I would like to confirm that our project was implemented

21:37 in the very right place and address

21:40 the right problems.

21:42 So second,

21:44 it was very obvious that close collaboration with the light ministry

21:48 from the design phase and throughout the implementation period is very essential.

21:54 To achieve

21:55 the project designs,

21:56 so interventions can be disseminated and scaled

21:59 up widely after the project closed.

22:02 All of the communication products,

22:05 training documents,

22:06 and guidelines were transferred to the Mainan of Child Health Department

22:11 and have already been integrated in the government's related instructions.

22:15 It was a strategic way to contribute to the sustainability of Project Grizans.

22:21 I'm happy to see that we could invite the representatives

22:25 from the Department of Mainon and Child Health,

22:27 Ministry of Health,

22:29 Dr.

22:29 Hua,

22:30 the Deputy Director,

22:31 and Dr.

22:32 Tong to join the meeting as a way

22:34 to confirm their support to the project.

22:38 So last but not least,

22:39 the collaboration with the non-government,

22:43 non-governmental organization proves to be

22:45 very efficient for community-based project.

22:48 The project had an appropriate approach in working with the

22:52 NGO in implementing pilot scale activities in disadvantaged area.

22:57 As an NGO,

22:58 the implementing agency had an advantage of

23:01 working very closely with community people,

23:04 providing hands-on training and support,

23:07 and more importantly,

23:08 providing very close supervision and monitoring of the project interventions.

23:13 The NGO team was very dedicated to implementing the project

23:17 with strong support from all its relevant technical staff,

23:21 procurement,

23:21 financial,

23:22 administrative.

23:24 Administration,

23:25 communication,

23:26 and especially

23:27 the country management team also pay a

23:30 lot of attention to the project implementation.

23:34 So once again,

23:34 I would like to thank the project implementation

23:37 team from the Save the Children Vietnam,

23:39 Save the Children Japan,

23:41 the Department of Maternal and Child Health Ministry of Health,

23:44 and the project teams from the project provinces.

23:47 I will never forget our remarkable film supervisions and missions

23:52 where we can see in our eyes how the people changed the behavior and attitude

23:57 and then changed their lives and their children's lives.

24:00 I really hope that you,

24:01 the delegations and participants of this seminar today,

24:05 will have a chance in the future to actually see by your own eyes the project results.

24:11 Actually,

24:11 I was so emotional and happy to see the fathers

24:15 cooking food for the little children

24:17 and then feed them by themselves

24:20 and help their wives in their home garden.

24:23 So

24:23 to me it's really significant because it happened in the areas

24:27 that you still know so many social issues persist,

24:31 including early marriage,

24:32 domestic violence against women,

24:35 low education levels among women,

24:37 and low social status of women.

24:39 So I realized very clearly that we can only make the big difference in the future

24:44 if we start doing small actions and changes today and every day.

24:49 So we all know that it is a smart project,

24:52 but we all hope that it can be sustained,

24:54 replicated,

24:56 and at least it can make some changes,

24:58 really changes among its beneficiaries in 20

25:01 communes of 4 districts in 2 provinces.

25:05 So I'm currently managing another JSDF project in strengthening preparedness

25:10 and response to COVID-19 at the grassroots level in Vietnam.

25:14 I hope that my experience in working with this project

25:17 will help me to continue success with the new project.

25:21 So I should stop here and give the floor to the project implementation team.

25:26 So I wish you all the good health and good success.

25:28 Thank you very much.

25:32 Thank you very much.

25:32 That was uh uh Fun Lan uh Dao,

25:35 the uh task team leader uh for this project and

25:37 the senior health specialist at the World Bank Vietnam office.

25:41 By now,

25:41 uh,

25:41 all of us,

25:42 including myself,

25:43 are so eager now,

25:44 uh,

25:44 to,

25:45 uh,

25:45 uh,

25:46 uh,

25:46 see

25:46 how the project.

25:48 site look like.

25:49 Uh,

25:49 we have a 5 minute video put together by the implementing,

25:52 uh,

25:53 partners.

25:54 Uh,

25:54 so,

25:54 uh,

25:55 all of us,

25:55 we have now

25:56 more visual image of,

25:57 uh,

25:58 where the project

26:00 was taking place.

26:01 So let's,

26:02 uh,

26:02 enjoy the video.

26:13 Tell the liu chasing sung hangikum chamhai mui tai Vietnam

26:17 Gunnam chai zu nam toi second modem beatu xing zungt kai

26:20 lu mamuiko bit tong tung napa chat losai.

26:24 I got thing do you

26:26 be late night on Calhoun

26:27 a mukb for for chum.

26:30 Muguyena

26:32 I'm so now

26:33 kunko kin sing kung te kunk and they do k cha cha cha ching nai.

26:41 The kaitian ting chang nai to chipuchambovafeg

26:44 took and sung kaitian sing sun chai mkububinnu

26:49 taihaiing in bai sun la poonggen sang hai fei tame hai chi

26:53 labi to uifa chin saho ye pan tong wang and han teoi.

26:58 Tasuka kokono tai tsa kaku hung sukweifa sings liturg tai

27:06 khuikon bangi kb come on and they do sing fat

27:14 to look.

27:35 banging cha cha tsaba chun sao fuku sing.

27:42 That the kasading the hong kbian but so sings to firm santa feng

27:48 ying chai su sing sun k ping nang kong kobinchunchedu

27:51 yu chi i bang che firm and lin so sing.

28:14 sad.

28:15 Kaba kaiki was naming chamhai mode kohn chinweba chum soho or dosao nam chin

28:22 tam cham sohounaya soga chungwing chinho tang

28:26 to hamikonchksuan lin bam chinkkisuan keto.

28:31 Yung tai tiku nai tang choy kai zing sung hannai koho sading

28:35 tho kokon to sau in haimeba tang toi

28:38 kobu and bonyam to fumtangtu baba face south and chum chuksu

28:42 an then for south and chum he's and get to.

28:45 So.

29:04 Nam hanging kum chamweba

29:05 tea tai kazu and good sun laba chai la bon south and chum bekla bami myself and chum

29:12 nam hanging kum cham hai mode katti nai do samsukhaime by fan cham.

29:39 I.

30:06 don't feel like home.

30:37 that.

30:59 Vietnam.

31:08 Thank you very much.

31:09 That was a wonderful video uh put together by the Save the Children.

31:13 Uh,

31:13 now,

31:13 uh,

31:14 we would like to,

31:15 uh,

31:15 ask,

31:15 uh,

31:16 uh,

31:16 uh,

31:17 Wong A Deen Diap,

31:18 uh,

31:19 who is the director of the program implementation

31:21 of the Save the Children in Vietnam,

31:23 uh,

31:23 to go deeper and share the perspectives,

31:26 uh,

31:26 of the implementers of this project.

31:28 Uh,

31:28 Boon,

31:29 please

31:29 come in.

31:55 For each other a minute,

31:56 uh,

31:57 I'm starting to share the,

31:58 uh

32:00 Impression.

32:02 And uh

32:05 Today,

32:05 uh,

32:05 I'm very happy to be here on behalf of uh Ship the Children team in Vietnam.

32:11 Uh,

32:12 with me also Mr.

32:13 Kang,

32:14 the,

32:14 uh,

32:16 Project manager who has uh been working for the project from the beginning.

32:20 to share the

32:24 For that information and results.

32:26 And before this,

32:27 uh,

32:27 again I would like to take this opportunity to thank,

32:30 uh,

32:31 for the,

32:31 uh,

32:32 government of Japan and the World Bank

32:34 to provide fund for this project.

32:36 Uh,

32:36 thank you also the,

32:37 uh,

32:38 World Bank team in Vietnam.

32:41 The

32:42 Department of uh maternal and Child Health

32:44 from the Ministry of Health and the other partner in Vietnam

32:47 also serve the children in Japan.

32:50 Uh,

32:50 to,

32:50 uh,

32:51 provide support and,

32:52 uh,

32:53 cooperate with us during the last,

32:55 uh,

32:55 five years,

32:56 uh,

32:57 and we have been,

32:58 uh,

32:58 successfully

32:59 implemented the project.

33:02 Uh,

33:02 so this project,

33:03 uh,

33:03 during the last,

33:04 uh,

33:05 a few speech and,

33:06 uh,

33:06 the videos we are already,

33:08 you see,

33:08 uh,

33:09 the name of the project.

33:09 It's the,

33:11 uh,

33:11 Northern Martinnus Integrated,

33:13 uh,

33:13 Nutrition

33:15 Iment Project,

33:15 uh,

33:15 and we implemented in,

33:17 uh,

33:17 two,

33:20 Project in two provinces.

33:22 In this,

33:22 uh,

33:22 presentation,

33:23 I would like to,

33:23 uh,

33:24 present three,

33:25 key parts.

33:26 One you see on the project overview.

33:28 The second one is on the achievement

33:30 impact.

33:31 lesson learned and the uh last one is uh the sustainability,

33:36 scalabilities,

33:37 and the exit strategy of uh the project.

33:43 Uh,

33:43 the BOSAC,

33:45 objectives focus to improve the nutrition status of children

33:50 under 5.

33:52 In the uh target villages

33:54 through the improving the

33:56 child feeding practices,

33:58 maternal and childcare,

34:00 and to diversify

34:02 sources of nutrition

34:04 of uh pregnant women,

34:05 infants,

34:06 and young children.

34:09 Uh,

34:09 the,

34:09 um

34:11 Uh,

34:11 BOC,

34:12 uh,

34:12 beneficiary include to groups.

34:14 The primary beneficiary are the children under 5.

34:18 Women of uh rebutative age and uh pregnant woman.

34:23 And the second very beneficiary are the whole population of

34:28 the uh

34:29 People in the 4 district,

34:30 uh,

34:30 we

34:32 the people.

34:36 Uh,

34:37 so this project,

34:38 we work in uh SEA and in Bai,

34:40 uh,

34:41 and from Hanoi where we,

34:42 uh,

34:42 have,

34:43 uh,

34:43 the,

34:43 uh,

34:44 our office,

34:45 uh,

34:45 it takes about 6 to 2 hours

34:48 to 7 hours

34:50 to go there.

34:51 Uh,

34:52 and we implemented these scenes,

34:54 um,

34:56 started from,

34:56 uh,

34:58 2017 and ended uh by December last year after

35:02 five years.

35:05 So in these two provinces,

35:07 there are some significant information including this is the high rate of poverty.

35:12 Uh,

35:12 the high prevalence of stunting

35:16 children under 5.

35:17 And the hyper state of ethnic minority population.

35:21 There are

35:22 Hmong,

35:22 Thai,

35:23 Zhou,

35:23 and the other groups in those two districts.

35:27 So,

35:27 uh,

35:27 4 district,

35:28 uh,

35:28 2 provinces.

35:31 Uh,

35:31 the project has 4 components.

35:35 Uh,

35:35 component one

35:37 is,

35:37 uh,

35:37 improving the food

35:39 and nutrition security.

35:41 In this component,

35:42 we focus on two things.

35:44 One,

35:44 we diversify agricultural production,

35:47 adoption in the low gas input agricultural techniques.

35:50 So the focus on the chicken raising,

35:52 uh,

35:52 nutrition,

35:53 vegetable.

35:56 System of rise,

35:58 interfuscation and soybean conservation.

36:01 Uh,

36:01 and the second,

36:02 uh,

36:03 focus is to promote the internalization of um,

36:08 Local available

36:10 natural inte uh

36:12 in those 2 communes.

36:15 Uh,

36:16 so that we can utilize,

36:17 uh,

36:17 local resources,

36:18 uh.

36:22 The second component,

36:23 the component two is to strengthen the

36:27 Community-based nutrition and care and practice.

36:31 Uh,

36:32 in this component,

36:33 we focus on 5 things.

36:34 Uh,

36:35 first,

36:35 to promote,

36:36 uh,

36:36 child growth monitoring at community.

36:39 Uh,

36:40 the second one is we provide support to mother to mother network,

36:43 uh,

36:44 and also to organize,

36:46 uh,

36:46 to help,

36:47 uh,

36:47 we call it,

36:48 uh,

36:49 nutrition,

36:50 education,

36:50 and,

36:50 uh,

36:51 rehabilitation program where we,

36:52 uh,

36:53 organize monthly,

36:55 uh,

36:55 activities.

36:56 Uh,

36:56 we also promote,

36:57 uh,

36:58 itinerary to care in the,

37:00 uh,

37:00 Commun Health Center

37:02 again

37:02 through the,

37:03 uh,

37:04 monthly days.

37:06 We organize the action in the communities.

37:09 We also provide a group of peer counseling,

37:12 where we,

37:13 um,

37:15 Uh,

37:15 provide,

37:16 uh,

37:16 exclusive,

37:17 uh,

37:17 breastfeeding,

37:18 uh,

37:18 also the infant and child feeding.

37:22 Days and the other.

37:25 A communication event in the community.

37:29 And lastly,

37:30 we also provided the um

37:33 Integrated management of acute malnutrition program.

37:36 So those are the key intervention in the government to,

37:40 uh,

37:40 to achieve,

37:41 uh,

37:42 To,

37:43 to promote the

37:45 committee by which and,

37:46 and,

37:46 uh,

37:47 fair and practice.

37:52 For,

37:52 uh,

37:52 component 3 where we provide support,

37:55 uh,

37:56 to escalate up the policy platform at provincial

38:01 level

38:02 in order to replicate the integrated

38:05 rural logician care approach.

38:07 Uh,

38:07 in this component,

38:09 uh,

38:09 we advocate,

38:10 uh,

38:10 to integrate the nutrition-sensitive agriculture model

38:14 into the five-year

38:16 plan.

38:17 At provincial level,

38:18 uh,

38:19 by the

38:20 Department of Agriculture and Forestry.

38:24 Uh,

38:25 the second one is we also advocate

38:27 to mainstream the stunting rate

38:30 reaction.

38:31 Into the commune social

38:34 economic even plan.

38:36 So this we achieved in the old communes

38:38 in 12 communes of the project.

38:41 And last one,

38:42 we also document lesson learned,

38:44 and we also develop guideline

38:46 for the,

38:47 uh,

38:48 implementation of the agricultural-based nutrition approach,

38:51 uh,

38:52 to ensure that,

38:53 uh,

38:53 to,

38:55 to,

38:55 uh,

38:55 to replicate,

38:56 uh,

38:56 the project results and model to the other provinces.

39:00 And this thanks to the strong support and also,

39:03 uh,

39:03 active,

39:04 uh,

39:05 action.

39:06 By the um

39:08 Department of uh maternal and Child Health

39:11 and the

39:12 Ministry of Health.

39:13 We have already achieved uh

39:16 Some replication.

39:21 The last project component focused on the project management,

39:25 uh,

39:25 application,

39:25 monitoring in,

39:26 and knowledge dissemination.

39:28 So where we uh ensure the uh day to day

39:31 project management.

39:33 We also,

39:34 um,

39:35 ensure the uh regular monitor and uh project evaluation.

39:40 And in this one,

39:41 that's,

39:41 um,

39:42 we,

39:42 uh,

39:43 own the project stakeholder.

39:45 Actively participated uh in the uh regulatory including the

39:50 Tammus district and province of Pa.

39:54 Department of maternal and Child Health,

39:57 one by teams in Vietnam.

39:59 Our Save the Children team and also from Save the Children Japan.

40:04 Uh,

40:04 we,

40:05 at the end of the project,

40:06 we organize the,

40:08 uh,

40:08 this medicine workshops at two provinces,

40:10 uh,

40:10 Sunlai and Bai.

40:12 We also organized one.

40:15 Workshop in Hanoi and during that period there was the COVID situation,

40:19 so we organized it online but with uh

40:23 Participation from uh many provinces,

40:26 uh,

40:26 we,

40:27 so that we can share project visa,

40:29 but also that we got some

40:31 uh primary commitment.

40:33 To replicate uh project results.

40:39 Uh,

40:40 so the,

40:40 um,

40:41 the implementation arrangement of project,

40:43 you can see,

40:44 uh,

40:44 in the slide that,

40:45 uh,

40:46 we have one,

40:47 project management unit,

40:48 uh,

40:49 at,

40:49 uh,

40:49 SC Save the Children Office in Vietnam

40:52 with the technical support from uh SAFE the Child in Japan.

40:56 At the same time,

40:57 there's also Management Unit at the,

40:59 uh,

41:00 Maternal and Child Health Department,

41:03 Ministry of Health.

41:04 Uh,

41:05 we worked closely with the World Bank in Vietnam led by,

41:08 uh,

41:08 Dawn Hung,

41:09 uh,

41:10 and we also got very good support.

41:13 And very active and also very positive support from government team here.

41:17 Uh,

41:17 at provincial level,

41:18 there's also one,

41:21 project management unit in each province and now

41:23 to the district and commune there was,

41:25 uh,

41:27 Jose

41:28 even teams

41:29 shut up.

41:32 Uh,

41:33 now I'd like to present the uh achievement impact and actually learn uh from,

41:37 uh,

41:38 from this project.

41:40 Uh,

41:40 in terms of the,

41:41 uh,

41:41 target and achievement actually already in the statement by the,

41:45 uh,

41:46 from one Bang and also the video already showed the achievement.

41:50 Uh,

41:50 I will not,

41:51 uh,

41:52 read the detail of each indicator.

41:55 Uh,

41:56 overly,

41:57 we have 4.

41:59 Project development objective and it uh

42:02 evaluate project results objective

42:05 and all project indicators will achieve

42:08 at least

42:09 those target.

42:10 And some of the

42:12 indicator

42:13 achieved

42:14 234,

42:15 and 5 times than the,

42:17 rather than target.

42:18 So

42:18 for,

42:19 for us it's really the uh

42:21 great achievement

42:22 after the 5 years.

42:26 Um,

42:28 I would like to go into a bit in more detail to show you,

42:31 um,

42:33 on the,

42:33 um,

42:34 on the impact,

42:35 uh,

42:35 with the,

42:35 to the,

42:36 uh,

42:37 improvement of the nutrition status of the children under five.

42:41 you can see here the,

42:43 uh,

42:44 type one compare the uh baseline in

42:47 2017

42:50 and was,

42:51 and by the end of the project.

42:53 And uh I would like to,

42:54 to focus on the stunting.

42:58 situation

42:59 at the beginning.

43:01 There was 70,

43:03 67%

43:05 of children

43:06 in nearby,

43:07 and more than 40%

43:09 of children in China

43:11 were stunting.

43:14 It's a stunting situation.

43:16 And on average,

43:17 you can see that there was more than half,

43:18 like every 2 children,

43:20 there's 1

43:21 student malnutrition.

43:23 Uh,

43:24 by the end of the project,

43:25 uh,

43:26 if we look at,

43:27 uh,

43:27 each provin in by has been reduced from

43:30 67

43:32 to

43:34 53%

43:35 and insula,

43:37 the reaction is from 41%.

43:42 Uh

43:43 To 27.

43:45 Uh,

43:45 so,

43:46 so we all know that,

43:47 uh,

43:47 if something red is under 30,

43:49 it,

43:50 it means that person is in.

43:53 The,

43:53 uh,

43:53 intervention,

43:55 uh,

43:56 and,

43:56 and so it's a lot I think we think we,

43:58 we can see that the achievement is quite good,

44:00 but the situation in,

44:01 uh,

44:03 in by,

44:03 we,

44:03 we can see that there's been a little bit for the,

44:05 for the.

44:07 Prevention

44:08 and in overall,

44:11 uh project uh achieved to reduce the situation from

44:15 From 67 to 40%.

44:18 That's the,

44:19 the in fact we would like to highlight in,

44:21 in this presentation.

44:23 Uh,

44:24 for the lesson learned,

44:25 there's quite many lesson learned,

44:27 uh,

44:27 we,

44:27 we,

44:27 we already discussed with,

44:29 uh,

44:29 different stakeholder in project and we'll agree with those,

44:31 uh,

44:32 key points.

44:33 Uh,

44:33 the first one is,

44:34 uh,

44:34 is clearly that,

44:35 uh,

44:36 into,

44:36 uh,

44:36 the,

44:37 um,

44:37 nutrition issues cannot be solved by the,

44:40 um,

44:40 by the health sector,

44:42 but there are close the link between the health and agriculture

44:46 sector so that we can achieve the positive result.

44:49 The second one is really from one of the very significant achievement we,

44:54 we see that from this project is on the communication,

44:57 how we communicate

44:59 the,

44:59 uh,

45:00 we transfer the knowledge and skills to the local people,

45:03 local partner,

45:04 and also local communities.

45:05 Uh,

45:06 so that we,

45:07 uh,

45:07 so in this project,

45:08 we develop um natural and we use local language.

45:12 Uh,

45:12 we prepare that with consideration of local culture.

45:16 We organize peer to peer communication.

45:18 Uh,

45:19 and also we,

45:20 we have a word of mouth approach,

45:22 so we provide directly communication at community level.

45:25 There's also very close and frequent supervision,

45:28 as I mentioned before,

45:29 like every 6 months,

45:30 there's um

45:32 monitoring visit by uh one team in Vietnam.

45:35 Our team accepts the children.

45:37 We have monthly,

45:39 every month,

45:39 we have several chief,

45:41 uh,

45:41 working at the,

45:41 with the partner and community.

45:44 And our team

45:45 actually spend

45:46 more,

45:47 most of the time,

45:48 their time with the community and with partner in two provinces.

45:53 The one,

45:53 the other one is on the CBD of the,

45:56 so we really

45:58 develop the based on the

46:00 People needs.

46:02 We have consultation,

46:03 uh,

46:03 uh,

46:03 carefully at the beginning and also during the intervention,

46:07 uh,

46:07 we make some adjustment needed to make sure that the project fit with the,

46:11 uh,

46:12 with the local condition and also the need.

46:15 Uh,

46:16 we design very

46:17 careful,

46:18 um,

46:18 monitoring information.

46:20 We also,

46:20 during the project intervention,

46:21 we also discuss closely when buying to adapt and to,

46:26 uh,

46:26 adjust the project indicator to ensure that it's the

46:29 right track and so we can monitor and achieve the

46:32 right results.

46:34 We also see ourselves that the role of sick children like uh

46:38 around 74.

46:40 Uh,

46:40 we believe that the role of,

46:42 uh,

46:42 INGO including this state uh safe children play a very important,

46:47 uh,

46:47 important role,

46:48 uh,

46:48 to deliver,

46:49 uh,

46:50 the project,

46:50 uh,

46:51 to the community level.

46:53 There's also very clear and important uh

46:56 cooperation from the ministry level in this case,

46:59 uh,

47:00 Ministry of Health and particularly the

47:02 Department of Maternal Engineering Health.

47:05 Uh,

47:06 we think,

47:07 we consider project sustainability and replication from

47:11 the beginning and during the projective preparation.

47:13 That's why,

47:14 uh,

47:15 before the,

47:15 um,

47:16 before the project goes out,

47:17 we already discussed with the project local partner

47:21 how to handle,

47:22 how to handle project result and also,

47:24 uh,

47:25 maintain the project,

47:26 uh,

47:26 result

47:27 after the project.

47:29 Uh,

47:29 that's the last point on the lesson learned is also on the,

47:32 uh,

47:32 mother and mother network where,

47:34 where we set up those networks of the community.

47:39 In terms of sustainability,

47:41 scalability,

47:42 and,

47:42 and this strategy,

47:43 uh,

47:44 I mentioned before that,

47:45 uh,

47:46 before the project goes,

47:47 we discussed with two provinces.

47:49 Uh,

47:49 and there's concrete,

47:51 uh,

47:52 plan by each province,

47:53 by each,

47:53 uh,

47:53 district

47:54 to ensure that project visa will be continued,

47:57 uh,

47:57 will be integrated in the,

47:59 uh,

48:00 existing and coming,

48:01 uh,

48:01 government,

48:02 uh,

48:02 programs such as the national nutrition strategy,

48:06 natural strategy for on preventing stunting,

48:08 uh,

48:09 among native,

48:09 uh,

48:10 ethnic minority children,

48:11 and so on.

48:13 There's also a

48:15 plan to ensure that the project,

48:18 the train.

48:20 Health and agriculture staff at district and community will

48:24 be continuing to provide training to the other.

48:28 Staff at the Kambian district level,

48:31 uh,

48:31 on the matter we developed using BOSEC will be used.

48:36 By the project uh.

48:38 Partner,

48:39 but also by safe children by ourselves,

48:41 uh to uh so that uh

48:44 we can also even for the other senior levels

48:46 that might save the children in uh Vietnam.

48:49 For the equipment,

48:50 also,

48:50 we hand it over to the commune district so that

48:53 they can continue to use for the uh existing work.

49:00 Um,

49:02 at national level,

49:03 there's,

49:04 um,

49:04 INC before that we organize the,

49:06 um,

49:08 Sharing workshop uh with the most of the other provinces,

49:13 uh,

49:13 to replicate Portugueseau

49:15 except that she didn't also share.

49:17 Document,

49:18 let alone with the other NGO with the national

49:23 Institute application.

49:26 And,

49:26 and that's what was very high.

49:30 Recommended by those networks,

49:31 uh,

49:32 to,

49:32 to further look into the model and then they can also relocate to the project and the,

49:37 the other location as well.

49:40 Uh,

49:40 the last one is on the,

49:42 the guideline we developed for the

49:43 implementation of agriculture-based nutrition approach.

49:46 Also we developed and then it will be used.

49:48 Um,

49:49 Doctor Hua from the

49:50 Department of Matinau and Child Healthcare,

49:53 uh,

49:53 have a very strong commitment to,

49:55 uh,

49:56 to communicate with the,

49:57 uh,

49:58 with the other department

50:00 so that those documents can be,

50:02 uh,

50:02 used widely.

50:05 Uh,

50:05 now,

50:05 I would like to spend the last one minute,

50:08 uh,

50:08 to,

50:09 so that Mr.

50:10 Gang,

50:10 the,

50:10 uh,

50:11 project,

50:11 uh,

50:12 manager,

50:13 could

50:13 tell you

50:14 one great story

50:16 from the project.

50:24 Yeah,

50:24 hi,

50:24 uh,

50:25 everyone.

50:26 Uh,

50:26 I would like to tell you about a

50:30 story,

50:30 uh,

50:31 about,

50:31 uh,

50:32 China in one

50:34 was a commu in,

50:35 uh,

50:35 Moolichi and insuna Rubin relating to the IMM.

50:41 Uh,

50:42 because of his,

50:42 uh,

50:43 parents worked uh way to earn money,

50:46 and

50:47 so he's,

50:47 uh,

50:48 stayed with,

50:48 uh,

50:48 his grandfather.

50:51 And when health staffs screen on children under 5,

50:57 Yes,

50:57 I was,

50:58 uh,

50:58 he was identified as a,

51:00 uh,

51:01 severely killed,

51:04 uh,

51:05 many,

51:06 many rich,

51:07 uh,

51:07 children.

51:09 And uh,

51:10 They,

51:10 uh,

51:11 he,

51:11 he,

51:12 uh,

51:12 saw the Imam I the supportvisor who said.

51:15 Uh,

51:16 after the

51:17 Ed Bush,

51:19 uh,

51:19 saw this,

51:19 uh,

51:19 programs,

51:19 uh,

51:20 he was,

51:20 uh,

51:20 recover,

51:22 uh,

51:22 recover his,

51:22 uh,

51:23 nutrition status,

51:25 and

51:25 his,

51:25 uh,

51:26 makmaks,

51:27 uh,

51:28 it means a mid upper arm,

51:30 uh,

51:31 circumference.

51:34 Uh,

51:34 it's,

51:34 uh,

51:35 one to the method of the.

51:38 Westing

51:41 For children

51:42 and uh the his works includes uh

51:45 12.1.

51:48 To uh

51:49 30.

51:50 And he uh was a chat,

51:52 uh,

51:52 it,

51:52 uh,

51:55 from the I remember that,

51:56 yeah.

51:57 And there is uh on the successful case in,

52:01 uh,

52:01 IMM in

52:04 I will say.

52:05 So thank you

52:06 so much.

52:11 So if you have any questions,

52:13 uh,

52:14 please,

52:14 uh,

52:15 do,

52:15 uh,

52:16 ask,

52:16 and,

52:17 uh,

52:17 I believe that our

52:19 colleagues from,

52:19 uh,

52:20 ship the children in Japan will also provide some further comments.

52:23 You.

52:26 Thank you very much.

52:27 Uh,

52:27 that was,

52:27 uh,

52:28 that was,

52:28 uh,

52:28 uh,

52:29 Boon Dean Gap,

52:30 uh,

52:30 director of the Program Implementation of Save the Children in,

52:33 uh,

52:33 Vietnam,

52:34 and I understand Mr.

52:35 Khan,

52:35 uh,

52:36 from the uh team also shared the story from,

52:38 from the beneficiaries.

52:39 Thank you very much.

52:41 Um,

52:42 next,

52:42 uh,

52:42 we would like to,

52:43 uh,

52:44 ask,

52:44 uh,

52:45 Uh,

52:45 Doctor Tran Dan,

52:47 uh,

52:47 Kua,

52:48 uh,

52:48 who is a deputy director of the Department of Maternal and Child Health,

52:53 uh,

52:53 as a co-implementing agency and partner of this project

52:57 from Ministry of Health Vietnam to share

53:00 the perspectives from the government of Vietnam,

53:02 uh,

53:03 Ministry of Health.

53:04 Uh,

53:04 Doctor Kua,

53:05 please come in.

53:08 Well

53:10 uh taka

53:12 kwan kai chu yatba to chukwan bang by etsi kakabi uh that be tamzu kokongai honai

53:20 uh ta ma bowichlachen kun

53:24 uh ching ban

53:26 uh one bangi kato chu

53:29 zuzu.

53:37 So,

53:38 dear representative from the uh the Japanese government,

53:42 the Won Bank,

53:43 and the Children Organization,

53:45 on behalf of the Ministry of Health,

53:48 we'd like to extend our heartfelt thanks to your dedication and support in the

53:53 last meaningful project,

53:55 uh,

53:55 on the integrated uh children

53:58 uh nutrition intervention.

54:00 Uh,

54:02 kung

54:04 ying dam i'm like ok.

54:21 Then the other cow

54:25 i

54:34 i kuma.

54:38 So we really appreciate not only

54:41 the grant itself,

54:43 but the

54:44 technical support,

54:45 the trainings,

54:46 extensive training that we receive,

54:48 uh,

54:49 uh,

54:49 along the uh project journey

54:51 that uh create

54:52 pragmatic and long-lasting impact.

54:55 Not only on the children,

54:56 the primary beneficiaries of the project,

54:59 uh,

54:59 and,

55:00 and,

55:00 um,

55:01 um,

55:01 the reproductive woman and uh and pregnant women,

55:04 but also the entire population,

55:07 medical,

55:07 uh,

55:08 professionals and the community as a whole.

55:12 the

55:29 and

55:47 So the project was also challenged by the pandemic as it nears the end.

55:53 However,

55:54 with the dedicated support from the World Bank,

55:57 with the Ms.

55:58 Hung as the task team leader,

55:59 uh,

56:00 with the collaboration from Save the Children via Mr.

56:03 Gang,

56:03 Mr.

56:04 Za,

56:04 and especially the project team in the participating provinces,

56:09 we have weathered,

56:11 uh,

56:11 all those,

56:12 um,

56:13 um.

56:14 Uh,

56:14 challenges and brought the project to the end

56:18 successfully and so that we are here today

56:21 to celebrate its successes.

56:25 Uh,

56:25 liobuk help up

56:31 uh because

56:36 ok.

56:38 And our key takeaway from this project

56:41 is the close collaboration across different stakeholders,

56:45 and we really appreciate such multi,

56:48 um,

56:49 like partner,

56:50 uh,

56:51 collaboration so far.

56:54 Uh,

56:55 chuniza kwa k so

57:01 dingi

57:06 funding kai nabuja ok uh kay or tamza India.

57:19 And we appreciate this um different aspect of the project outcomes,

57:24 uh,

57:25 spending from improved nutrition for the primary beneficiaries

57:30 and also the

57:31 uh food security for the broader population

57:35 and also the improved capacity uh across the local and central stakeholders.

57:44 Uh.

58:09 And that success can be attributed to the proper design

58:15 of the project.

58:16 Also,

58:16 the correct,

58:17 uh low uh project site selection.

58:20 Um,

58:21 those are the regions that are most in need of

58:24 this intervention and also the valuable technical support from,

58:29 uh,

58:29 Japanese uh partners and,

58:31 um,

58:32 Vietnamese partner.

58:34 Um.

58:59 And the project outcome is a testimony

59:02 to the necessity for collaboration between different sectors

59:08 in improving the nutrition for children and mothers,

59:13 uh including the shared responsibilities between the

59:16 Ministry of Health and Ministry of Agriculture and Rural Development.

59:23 Uh.

1:00:08 And I do hope that the projects,

1:00:11 uh,

1:00:12 good practices and outcomes can be

1:00:15 scaled up and rolled out to,

1:00:17 um,

1:00:18 a broader range of,

1:00:20 uh,

1:00:20 of localities because,

1:00:22 you know,

1:00:22 as part of this project,

1:00:23 we could only touch upon,

1:00:25 uh,

1:00:26 we could only touch,

1:00:27 uh,

1:00:28 4 districts of the two provinces and hopefully at the.

1:00:32 Localities in in Bai and Laoai,

1:00:34 uh,

1:00:34 in,

1:00:35 in these two provinces,

1:00:36 uh,

1:00:36 in Bai and Sunla can also benefit from this.

1:00:40 And in the meantime,

1:00:41 the Ministry of Health is also taking stock of the,

1:00:46 uh,

1:00:46 joint collaboration models between the Ministry of

1:00:50 Health and Ministry of Agriculture and Rural Development

1:00:53 to roll out,

1:00:54 uh,

1:00:55 two more provinces.

1:00:58 Uh,

1:01:17 uh.

1:01:20 Uh,

1:01:20 what we sini,

1:01:22 uh,

1:01:22 ching bang to

1:01:24 to get,

1:01:25 uh,

1:01:28 uh.

1:01:34 Um,

1:01:34 in our,

1:01:35 uh,

1:01:35 project,

1:01:36 uh,

1:01:36 closing Stock-taking Review Workshop,

1:01:39 we also shared with the representative from the Won Bank,

1:01:42 Ms.

1:01:43 Heng,

1:01:43 and,

1:01:44 uh,

1:01:44 from the Save the Children,

1:01:46 uh,

1:01:46 about our aspiration for rolling out this project to more Districts

1:01:51 within Yan Bai and Sanla and also to other provinces

1:01:55 and on this occasion I would like to um

1:01:58 reiterate these wishes that our project can touch more lives

1:02:03 and uh and communities across um

1:02:07 uh different provinces in Vietnam and,

1:02:10 um,

1:02:10 for that we will count on the Japanese government,

1:02:14 the Wound Bank,

1:02:14 and Save the Children for your kind support.

1:02:18 Uh.

1:02:51 So,

1:02:51 um,

1:02:52 in closing,

1:02:53 uh,

1:02:53 we would like to again show,

1:02:55 uh,

1:02:55 express our appreciation to,

1:02:57 uh,

1:02:58 the Japanese government,

1:02:59 the Guang and Save the Children,

1:03:01 and look forward to our continued collaboration.

1:03:05 And from the Department of Maternal and Child Health,

1:03:08 we would renew our commitment

1:03:11 and efforts,

1:03:12 uh,

1:03:12 one,

1:03:13 if we can secure a new sources of funding

1:03:16 to,

1:03:17 uh,

1:03:17 roll out this project and

1:03:19 touch upon more beneficiaries and extend our range of beneficiaries.

1:03:23 Thank you.

1:03:27 Thank you very much.

1:03:27 Uh,

1:03:27 we had a pleasure of having,

1:03:29 uh,

1:03:29 Doctor Tran Dung uh Kuo,

1:03:31 Deputy Director of the Department of Maternal and Child Health,

1:03:34 uh,

1:03:35 from the Ministry of Health,

1:03:36 Vietnam.

1:03:37 Thank you very much,

1:03:37 Doctor Kuh.

1:03:39 Uh,

1:03:39 we have,

1:03:39 uh,

1:03:40 our last speaker,

1:03:41 uh,

1:03:41 Mr.

1:03:42 Kosuke Nagino,

1:03:43 uh,

1:03:43 who is,

1:03:44 uh,

1:03:44 the program coordinator from the Save the Children,

1:03:47 uh,

1:03:47 Japan,

1:03:48 uh,

1:03:48 joining us from Tokyo site,

1:03:50 uh,

1:03:50 to share perspectives,

1:03:51 uh,

1:03:51 from the Save the Children Japan.

1:03:53 Langdosan,

1:03:54 please.

1:03:58 Thank you very much for the introduction.

1:04:00 Um,

1:04:01 my name is Koskeagino.

1:04:02 I'm a program coordinator of,

1:04:03 uh,

1:04:05 International Programs of,

1:04:07 uh,

1:04:07 uh,

1:04:08 Save the Children in Japan.

1:04:09 Um,

1:04:10 uh,

1:04:11 on behalf of Save the Children in Japan,

1:04:13 we,

1:04:13 we also would like to express sincere appreciation

1:04:17 to the Japanese government and the World Bank.

1:04:19 And also,

1:04:21 uh,

1:04:21 I'd like to say thank you

1:04:23 to the,

1:04:23 uh,

1:04:23 Ministry of Health in Vietnam.

1:04:26 Uh,

1:04:26 for the project to implementation.

1:04:28 Yeah,

1:04:29 we,

1:04:29 we had,

1:04:30 uh,

1:04:31 a close,

1:04:32 close collaboration with the uh

1:04:34 Ministry of Health.

1:04:36 So,

1:04:36 yeah,

1:04:37 uh,

1:04:37 I want to,

1:04:38 I'd like to express,

1:04:40 uh,

1:04:40 deep appreciation as well.

1:04:43 And from,

1:04:43 from the,

1:04:44 uh,

1:04:45 during the project implementation,

1:04:46 Save the Children in Japan has supported uh technical aspect

1:04:50 of the project.

1:04:52 And,

1:04:52 uh,

1:04:52 uh,

1:04:53 from,

1:04:53 uh,

1:04:53 Save the Children in Japan,

1:04:54 uh,

1:04:55 I,

1:04:56 we'd like to stress two points,

1:04:58 uh,

1:04:59 regarding the project outcome.

1:05:02 Uh,

1:05:02 the first of all is,

1:05:03 uh,

1:05:03 first of all,

1:05:04 uh,

1:05:04 multi-sectoral approach.

1:05:06 Uh,

1:05:06 the Japanese government,

1:05:08 uh,

1:05:08 nutrition initiatives have focused on

1:05:11 Our multi sexual approach.

1:05:14 The project's lessons run

1:05:16 uh

1:05:17 could be a useful example for the Japanese ODS stakeholders,

1:05:21 uh,

1:05:22 including in the delivery

1:05:23 of Japan's commitment of over $2.8 billion US dollars to improve nutrition

1:05:29 made at the Tokyo Nutrition.

1:05:32 For growth summit,

1:05:33 uh,

1:05:34 last year.

1:05:36 Lessons learned

1:05:37 from the project can be applied not only the,

1:05:40 uh,

1:05:41 not only to the multi-sectoral approach between agriculture and health,

1:05:45 but also the effective implementation

1:05:48 structure at the central

1:05:51 provincial district

1:05:53 and commune level.

1:05:54 Uh,

1:05:56 that is,

1:05:56 uh,

1:05:57 first point.

1:05:58 The second point is,

1:05:59 uh,

1:06:00 social behavior change communication strategy

1:06:03 approach

1:06:04 of the project.

1:06:06 Uh,

1:06:07 during the,

1:06:07 uh,

1:06:08 project explanation from,

1:06:09 uh,

1:06:10 my colleague in Vietnam,

1:06:11 uh,

1:06:12 they mentioned the suitability of our approach.

1:06:15 This is quite important.

1:06:17 For a better understanding of the local tradition.

1:06:21 To effectively develop,

1:06:23 uh,

1:06:23 beneficiaries skills and knowledge

1:06:26 of maternal and child nutrition care

1:06:29 in target areas,

1:06:30 the project conducted formative research in the field.

1:06:34 Uh

1:06:36 And through the,

1:06:36 through the research,

1:06:38 uh,

1:06:38 we were able to get a deep understanding of the local tradition and culture

1:06:43 linked with maternal and child nutrition through the research.

1:06:49 Then we developed a strategy of social

1:06:52 behavior change communication for ethnic minorities.

1:06:55 Uh,

1:06:55 this was an important,

1:06:57 uh,

1:06:57 strategy,

1:06:58 important approach to developing,

1:07:00 uh,

1:07:01 like,

1:07:01 uh,

1:07:02 IEC materials

1:07:04 and the training manuals.

1:07:06 And to extending our new skills and knowledge

1:07:11 among local people.

1:07:12 For example,

1:07:13 more ethnic minorities are

1:07:16 doesn't have own,

1:07:17 uh,

1:07:17 like characters.

1:07:18 So project,

1:07:20 uh,

1:07:21 develop,

1:07:22 developed the Irish materials

1:07:24 and training manuals using uh a lot of pictures,

1:07:28 uh,

1:07:28 to be easily understood,

1:07:30 understood by the,

1:07:31 uh,

1:07:32 beneficiaries.

1:07:33 That is,

1:07:33 uh,

1:07:34 that is also a point.

1:07:35 So then,

1:07:36 um,

1:07:37 we would like to stress

1:07:39 this approach for effective and sustainable nutrition improvement

1:07:44 based on their tradition and culture.

1:07:46 I do believe,

1:07:47 uh,

1:07:47 this approach can be applicable,

1:07:49 applicable to

1:07:51 other health and uh nutrition projects.

1:07:55 Yes.

1:07:56 Uh,

1:07:56 so,

1:07:57 other,

1:07:58 uh,

1:07:58 other behavior change of the beneficiaries.

1:08:01 For example,

1:08:02 in the beginning of the project,

1:08:04 um,

1:08:06 One family

1:08:07 just provides

1:08:08 a very simple

1:08:10 porridge to their

1:08:12 to their babies,

1:08:13 but uh after the,

1:08:15 at the end of the project,

1:08:16 um,

1:08:18 Uh,

1:08:18 the families,

1:08:19 uh,

1:08:19 provide,

1:08:20 uh,

1:08:20 provides,

1:08:21 uh,

1:08:22 like

1:08:22 provide also porridge,

1:08:23 but

1:08:24 it's not simple porridge.

1:08:25 It includes,

1:08:26 uh,

1:08:27 a vegetable and meats,

1:08:28 uh,

1:08:28 something like that.

1:08:29 So it's very,

1:08:30 it became very nutritious food.

1:08:33 So,

1:08:33 uh,

1:08:33 those change,

1:08:34 uh,

1:08:35 made after the,

1:08:36 uh,

1:08:36 at the end of the project,

1:08:38 uh,

1:08:38 that is,

1:08:38 uh,

1:08:39 are quite important.

1:08:40 So

1:08:41 I,

1:08:41 I'd like to,

1:08:42 uh,

1:08:42 we'd like to,

1:08:43 uh,

1:08:43 stress those two points.

1:08:45 Yes.

1:08:45 Thank you very much.

1:08:48 Thank you,

1:08:48 uh,

1:08:49 Naginosan,

1:08:49 uh,

1:08:50 for,

1:08:50 uh,

1:08:51 sharing,

1:08:51 uh,

1:08:51 your,

1:08:52 uh,

1:08:52 perspectives,

1:08:53 uh,

1:08:53 on behalf of the Save the Children,

1:08:54 uh,

1:08:55 Japan.

1:08:56 Uh,

1:08:56 for the next 15 minutes or so,

1:08:58 uh,

1:08:58 I would like to propose,

1:08:59 uh,

1:08:59 to use our time in that way,

1:09:01 in this way.

1:09:01 Uh,

1:09:02 we received several,

1:09:03 uh,

1:09:03 questions from our viewers.

1:09:05 Uh,

1:09:05 so let me read those,

1:09:06 uh,

1:09:07 questions.

1:09:07 Uh,

1:09:08 and then I'll,

1:09:08 uh,

1:09:09 double check,

1:09:10 uh,

1:09:10 uh,

1:09:10 you know,

1:09:11 uh,

1:09:11 with the,

1:09:11 uh,

1:09:12 uh,

1:09:12 colleagues gathered in this room if you have any comments and questions,

1:09:17 and then I'll ask,

1:09:18 uh,

1:09:18 our speakers,

1:09:19 uh,

1:09:20 from,

1:09:20 uh,

1:09:20 the,

1:09:20 uh,

1:09:21 Vietnam,

1:09:22 uh,

1:09:22 side to,

1:09:23 uh,

1:09:23 respond to,

1:09:24 uh,

1:09:24 the some of the questions,

1:09:26 uh,

1:09:26 uh,

1:09:26 and then,

1:09:27 uh,

1:09:27 perhaps in,

1:09:28 in the order of,

1:09:29 uh,

1:09:29 Doctor,

1:09:30 uh,

1:09:30 uh,

1:09:30 uh,

1:09:31 Doctor Kua and then Moon from implementing,

1:09:34 uh,

1:09:34 agency side,

1:09:35 and then,

1:09:36 Uh,

1:09:36 I will ask,

1:09:37 uh,

1:09:37 also,

1:09:38 uh,

1:09:38 from,

1:09:39 uh,

1:09:39 from the TDO,

1:09:40 uh,

1:09:40 perspective to share your views,

1:09:42 then we wrap up the seminar.

1:09:43 So,

1:09:44 uh,

1:09:44 let me,

1:09:44 uh,

1:09:45 introduce the,

1:09:46 uh,

1:09:46 question that we received in,

1:09:47 in advance.

1:09:48 Uh,

1:09:48 first of all,

1:09:49 the question,

1:09:50 uh,

1:09:50 from,

1:09:50 uh,

1:09:51 Nam,

1:09:51 uh,

1:09:51 Tan.

1:09:51 Thank you very much for your question.

1:09:53 What were the main challenges uh for uh the Vietnamese

1:09:57 Ministry of Health National Strategy on Nutrition 2011 to 2020

1:10:04 in terms of reaching poor and remote ethnic minority groups,

1:10:08 uh,

1:10:08 in spite of its successful implementation.

1:10:11 So perhaps,

1:10:12 uh,

1:10:12 uh,

1:10:12 uh,

1:10:13 if,

1:10:13 uh,

1:10:14 Doctor Ko later can uh respond to this point,

1:10:16 that would be great.

1:10:17 Thank you very much.

1:10:18 And then,

1:10:19 uh,

1:10:20 the another question,

1:10:20 uh,

1:10:21 from,

1:10:21 uh,

1:10:21 Nam.

1:10:22 The project component for strengthening community-based nutrition

1:10:27 care and practice is set to overcome

1:10:30 the,

1:10:31 uh,

1:10:31 uh,

1:10:32 superstitious beliefs.

1:10:34 What are those superstitious beliefs that,

1:10:37 uh,

1:10:38 deferred the improvement of child nutrition?

1:10:41 So,

1:10:41 that was the second question.

1:10:43 And then one more question.

1:10:45 Is there a specific reason

1:10:47 why the prevalence of waste

1:10:50 among boys

1:10:51 in Yan Bai

1:10:53 has increased after the project implementation,

1:10:56 uh,

1:10:56 7% in 2017 to

1:10:59 7.9% in 2021.

1:11:03 So that was another question.

1:11:05 And then a question from the uh

1:11:07 uh our regular anonymous uh participant who sent,

1:11:10 uh,

1:11:10 you know,

1:11:10 question enthusiastically all the time to our online seminar.

1:11:13 Thank you for your uh

1:11:14 uh joining uh this afternoon also.

1:11:16 The beneficiaries are characterized as the

1:11:19 poor and remote ethnic minority groups,

1:11:22 which were mainly dependent on,

1:11:24 uh,

1:11:25 uh,

1:11:26 subsistence farming

1:11:28 in a very small plot.

1:11:30 The project seems to focus on a subsistence farming.

1:11:33 Does the project include cash income for transaction to gain food such as seafood,

1:11:40 which uh uh expands the the possibly a varieties of nutrition

1:11:44 and difficult to get uh in the high mountain area.

1:11:48 And that was the first question.

1:11:49 Then more,

1:11:49 one more question from the uh same person.

1:11:52 Dialogue among ethnic minorities,

1:11:55 uh,

1:11:55 ethnic minority mothers,

1:11:57 village health workers,

1:11:59 and women union staff was mentioned.

1:12:02 How did the process for dialogue at the community level,

1:12:05 including men or males,

1:12:07 happen,

1:12:08 uh,

1:12:08 if any?

1:12:09 Uh,

1:12:09 did any discussion happen related to agriculture renewal,

1:12:13 accessibility to health services,

1:12:15 uh,

1:12:16 and the decisions related to livelihood,

1:12:18 division,

1:12:18 and role of labor in farming and lifestyle.

1:12:21 So involvement of men out of the question.

1:12:24 So,

1:12:25 so before,

1:12:25 uh,

1:12:25 turning uh to our speakers from Vietnam side,

1:12:27 I'd like to check if uh anyone in this room in Tokyo side have any

1:12:31 uh comment or views to share.

1:12:37 Nope.

1:12:40 OK.

1:12:41 Then,

1:12:42 uh,

1:12:43 perhaps,

1:12:43 uh,

1:12:43 uh,

1:12:44 the,

1:12:44 uh,

1:12:45 um,

1:12:45 Doctor Ko,

1:12:46 uh,

1:12:46 can you come in,

1:12:47 uh,

1:12:47 to say a few words on the,

1:12:49 uh,

1:12:50 uh,

1:12:51 uh,

1:12:51 challenges that you faced with in terms of,

1:12:53 uh,

1:12:54 uh,

1:12:54 the national strategy on nutrition,

1:12:57 uh,

1:12:57 2011 and,

1:12:58 uh,

1:12:59 to,

1:12:59 uh,

1:12:59 2020.

1:13:01 Uh,

1:13:01 so,

1:13:02 uh,

1:13:02 Doctor Ko,

1:13:02 please.

1:13:04 Uh

1:13:08 Ranga uh

1:13:10 takakuvi uh

1:13:12 Izukoko

1:13:15 I know uh I took the uh kua Vietnam

1:13:17 ki machin k kitchen looks these unk that and hanging kuncha more hangikcha my.

1:13:23 Yet Laura,

1:13:24 oh,

1:13:24 because I got 90,

1:13:25 uh,

1:13:26 the katikania the zing zung

1:13:29 uh ngapalat look.

1:13:32 Uh,

1:13:37 uh,

1:13:37 yai kla

1:13:41 uh bolat to pumpkin.

1:13:56 They took

1:13:57 from Chong xinzung when ikon

1:14:00 where uh

1:14:03 uh uh busu wan kuma zungi

1:14:09 kimchez uh kin

1:14:14 uh zingzung

1:14:21 where they took it to the top chunk.

1:14:28 Yes.

1:14:28 When we start implementing the um National Nutrition strategy 2011,

1:14:34 2020,

1:14:35 at that time,

1:14:36 we were faced with uh many structural

1:14:39 um and fundamental challenges like um the

1:14:43 food insecurity uh still uh prevalent among the population.

1:14:48 And second,

1:14:49 um,

1:14:50 the poor knowledge and practices among the citizen both in the raising children.

1:14:57 Um,

1:14:58 including the very simple uh simple basics like,

1:15:01 uh,

1:15:02 exclusive breastfeeding,

1:15:04 uh,

1:15:05 care,

1:15:05 uh,

1:15:05 prenatal care for preg pregnant woman,

1:15:08 and it's even worsened by,

1:15:10 um,

1:15:11 outdated or like obsolete,

1:15:13 um,

1:15:14 customs

1:15:15 and,

1:15:15 uh,

1:15:15 beliefs

1:15:16 and also the

1:15:18 nutrition.

1:15:20 Inventions face shortage of resources across all aspects,

1:15:24 including

1:15:25 funding,

1:15:26 budget,

1:15:27 experience,

1:15:28 capacity of the implementing

1:15:31 agencies and individuals.

1:15:34 So that's also the key focus that we address under this project,

1:15:39 those uh structural

1:15:41 challenges.

1:15:44 For the lua

1:15:45 to create the pila.

1:15:49 Uh.

1:16:19 And another challenge we face is that um there is a

1:16:22 notion that uh nutrition improvement is exclusive uh responsibilities of the

1:16:30 uh health sector.

1:16:32 Uh,

1:16:32 so it's like,

1:16:33 it's deemed to be our,

1:16:35 uh,

1:16:35 role only.

1:16:36 However,

1:16:37 researchers and,

1:16:38 uh,

1:16:39 practical,

1:16:40 uh,

1:16:40 evidence show that it should be a joint collaboration among different sector

1:16:46 or

1:16:47 an interdisciplinary effort

1:16:50 to uh address this issue.

1:16:52 The health sector alone cannot complete it uh

1:16:55 without the collaboration of other sectors.

1:16:58 And,

1:16:58 um,

1:16:58 like,

1:16:59 uh,

1:16:59 other,

1:17:00 uh,

1:17:01 walks of life in the society.

1:17:05 uh

1:17:05 uh uh

1:17:23 uh

1:17:27 uh banging.

1:17:31 As I highlighted,

1:17:32 uh,

1:17:33 um,

1:17:34 previously,

1:17:35 the,

1:17:36 this project's outcome can be attributed to such interdisciplinary,

1:17:42 uh,

1:17:42 and inter-sectoral collaboration at the low,

1:17:45 uh,

1:17:45 between the Ministry of Health and Ministry of Agriculture

1:17:49 and Rural Development and at local level,

1:17:51 we also in benefit from,

1:17:53 um,

1:17:54 the support from different,

1:17:56 uh,

1:17:57 Areas like the Women's union,

1:17:59 the farmers' union,

1:18:00 even the agricultural extension,

1:18:02 um,

1:18:03 uh,

1:18:03 units,

1:18:04 etc.

1:18:05 and that all contributes to the project's outcomes.

1:18:11 Uh,

1:18:33 we can't.

1:18:38 Yeah,

1:18:39 so that's the challenges that we faced in the previous period,

1:18:43 um,

1:18:43 strategy

1:18:45 and uh learning lesson from that period in the new coming phase,

1:18:49 uh,

1:18:50 we will,

1:18:51 um,

1:18:51 uh,

1:18:53 address.

1:18:53 We have

1:18:53 Partially addressed so,

1:18:55 uh,

1:18:55 those challenges and we'll,

1:18:58 uh,

1:18:58 take,

1:18:58 uh,

1:18:59 planning ahead

1:19:00 perspective in

1:19:02 implementing our new,

1:19:03 uh,

1:19:04 nutrition strategy so that,

1:19:06 uh,

1:19:06 we will not be constrained by those.

1:19:12 Thank you very much,

1:19:12 Doctor Cole,

1:19:13 uh,

1:19:13 for your responses.

1:19:15 Uh,

1:19:15 Boon,

1:19:15 uh,

1:19:16 please come in to respond to the questions raised by our viewers.

1:19:19 Thank you.

1:19:24 Thank you.

1:19:24 Yes,

1:19:24 I want to,

1:19:25 yeah,

1:19:25 um,

1:19:26 I will,

1:19:26 uh,

1:19:27 respond for question two,

1:19:31 from the reason,

1:19:31 uh,

1:19:32 by,

1:19:32 by slide survey and,

1:19:33 uh,

1:19:34 when we,

1:19:34 uh,

1:19:35 invent abo in line and by we found that,

1:19:37 uh,

1:19:38 in,

1:19:38 uh,

1:19:39 in,

1:19:40 was this size,

1:19:41 uh,

1:19:42 uh.

1:19:44 We believe they have uh some uh custom

1:19:46 uh.

1:19:48 Not good for our health needs to

1:19:50 like this,

1:19:51 uh,

1:19:52 so that's,

1:19:52 um,

1:19:54 yeah,

1:19:54 but uh the uh

1:19:56 Uh,

1:19:57 the mother

1:19:59 don't go to hell facility

1:20:01 to,

1:20:02 uh,

1:20:03 regular checkup

1:20:04 because,

1:20:04 uh,

1:20:05 especially the young people,

1:20:07 they very shy

1:20:09 when they go to the

1:20:11 Now facilitator,

1:20:13 uh,

1:20:13 facility,

1:20:14 um,

1:20:15 the second,

1:20:16 um,

1:20:17 the mother diet,

1:20:18 uh,

1:20:19 have a diet during the pregnancy and after the

1:20:23 giving birth.

1:20:25 Yeah,

1:20:25 they,

1:20:26 uh,

1:20:26 like some of the food,

1:20:27 uh,

1:20:28 for,

1:20:29 uh,

1:20:29 some

1:20:30 kind of meat or some

1:20:33 special,

1:20:33 kind of,

1:20:34 uh,

1:20:34 better.

1:20:36 Uh,

1:20:36 the,

1:20:37 the,

1:20:38 the

1:20:40 mother walk until the

1:20:42 birds.

1:20:43 Uh,

1:20:44 some people,

1:20:45 there's,

1:20:45 uh,

1:20:46 sometimes they give birth,

1:20:47 uh,

1:20:47 in the field.

1:20:48 Uh,

1:20:49 it's,

1:20:49 uh,

1:20:50 it means that they,

1:20:51 uh,

1:20:52 have a hard work until the,

1:20:54 uh,

1:20:54 birth.

1:20:55 And uh

1:20:57 but

1:20:58 the uh.

1:21:01 And give birth at home

1:21:02 and the reason from much like supervision,

1:21:04 so that's,

1:21:05 uh,

1:21:06 uh,

1:21:07 rates of,

1:21:07 uh,

1:21:08 but at homes are

1:21:11 around 50%,

1:21:13 especially in Changta.

1:21:14 This is the,

1:21:16 uh,

1:21:16 this,

1:21:16 uh,

1:21:16 rate,

1:21:17 uh,

1:21:17 is,

1:21:17 uh,

1:21:18 89%.

1:21:22 Yeah.

1:21:23 Um,

1:21:24 the 5th,

1:21:24 the mother,

1:21:25 uh,

1:21:26 usually,

1:21:26 uh,

1:21:27 squeeze out the cost

1:21:29 before the

1:21:31 first,

1:21:31 uh,

1:21:31 breastfeeding.

1:21:34 And uh

1:21:35 so that's uh

1:21:37 Um,

1:21:38 the mother

1:21:40 used to be like to,

1:21:42 uh,

1:21:42 to hard work

1:21:43 in the field.

1:21:45 One month after the reimbursed,

1:21:47 yeah,

1:21:48 yeah,

1:21:48 uh,

1:21:49 um,

1:21:50 based on the,

1:21:51 this information,

1:21:52 uh,

1:21:53 I was already the design is,

1:21:54 uh,

1:21:55 uh,

1:21:56 IC meter and,

1:21:58 uh,

1:21:58 events,

1:21:59 uh,

1:21:59 BBC activity to improve,

1:22:01 improve,

1:22:02 uh,

1:22:02 this.

1:22:03 Yeah,

1:22:03 thank you

1:22:04 so much.

1:22:09 And uh in terms of,

1:22:11 in terms of the question on the why the

1:22:14 prevalence of Western among boys in Iba has increased.

1:22:18 So this,

1:22:19 uh,

1:22:19 so based on the,

1:22:20 um,

1:22:21 based on the collected information from some of the airline data baseline,

1:22:25 actually,

1:22:25 to be very honest,

1:22:26 we couldn't really know why.

1:22:29 Uh,

1:22:29 because this only came up after we finalized the report and we,

1:22:33 we think that we need to have a further

1:22:36 Uh,

1:22:37 collect the information and also discard,

1:22:39 uh,

1:22:40 to really understand why,

1:22:41 uh,

1:22:41 but at least is the fact,

1:22:43 uh,

1:22:43 based on the collected information.

1:22:45 I don't know,

1:22:46 even inquire,

1:22:47 you,

1:22:47 uh,

1:22:48 you know,

1:22:48 from the other experience,

1:22:50 maybe in case something similar or you,

1:22:52 uh,

1:22:53 improve from one by you also observe similar situation in the other.

1:22:57 Um,

1:22:59 er or not.

1:22:59 Thank you.

1:23:01 Yeah,

1:23:01 I just,

1:23:02 um,

1:23:02 uh,

1:23:03 thanks for picking it up,

1:23:05 uh,

1:23:05 but I think we may need to go back to

1:23:07 the original data to see whether the difference is significant.

1:23:13 If not,

1:23:13 so maybe it's um not an issue,

1:23:15 but anyway,

1:23:16 uh,

1:23:17 the team will go back to the analysis and,

1:23:19 and,

1:23:20 and check the data.

1:23:21 Thank you for picking it up.

1:23:26 OK.

1:23:26 Uh,

1:23:26 thank you very much.

1:23:27 Uh,

1:23:28 so I just wanted to double check,

1:23:29 uh,

1:23:29 with,

1:23:29 uh,

1:23:30 Fon,

1:23:30 uh,

1:23:31 if you have any additional comment from TTO's perspective,

1:23:34 uh,

1:23:34 as you are listening to uh Q&A section.

1:23:39 No,

1:23:40 I think uh the uh

1:23:42 uh Doctor Hua and Mr.

1:23:44 Kang and,

1:23:45 and the team at the SC team already addressed the,

1:23:47 the questions.

1:23:49 Thank

1:23:50 OK,

1:23:51 thank you very much.

1:23:52 Um,

1:23:53 we do have actually,

1:23:54 uh,

1:23:54 34 minutes left.

1:23:55 I would like to,

1:23:56 uh,

1:23:57 ask Dork to come in,

1:23:58 uh,

1:23:58 to,

1:23:59 uh,

1:23:59 uh,

1:23:59 share your views,

1:24:00 uh,

1:24:00 you know,

1:24:01 as you are listening to this conversation.

1:24:03 No,

1:24:03 thank you very much for this session.

1:24:05 This is very personal.

1:24:06 I have a 5 month,

1:24:07 um,

1:24:08 baby girl at home who's,

1:24:09 uh,

1:24:10 being,

1:24:10 uh,

1:24:10 100% breastfed,

1:24:12 so I'm

1:24:13 I was listening very intently.

1:24:15 Um,

1:24:16 it's really wonderful to see these impressive results,

1:24:18 um,

1:24:20 in terms of health outcomes and that you've overachieved,

1:24:23 um,

1:24:23 overachieved all of these,

1:24:25 um,

1:24:25 outcomes and that you're reaching

1:24:27 so many children,

1:24:28 um,

1:24:28 of ethnic minorities.

1:24:30 I said earlier,

1:24:31 it takes a village.

1:24:31 I think in this case,

1:24:32 the village is

1:24:34 a global village between Washington and Tokyo and

1:24:38 Uh,

1:24:38 Hanoi and um

1:24:40 Yenbai and Sonla provinces.

1:24:42 So congratulations to uh to all of you.

1:24:45 I have a,

1:24:45 I have a question that is similar to a question that was asked before,

1:24:49 and maybe it's a question to Huang at the,

1:24:51 at the World Bank and,

1:24:52 and Hung and,

1:24:53 and colleague

1:24:54 at Save the Children,

1:24:55 Vietnam.

1:24:56 I noticed that uh despite the overachievement of the targets,

1:25:01 the stunting rate

1:25:03 um in Yubai is still

1:25:05 above 50%,

1:25:07 which is,

1:25:07 it's a,

1:25:08 it's a very,

1:25:08 very high number.

1:25:10 And I was wondering um why that is.

1:25:12 Um,

1:25:13 I assume that,

1:25:13 of course,

1:25:14 given limited resources,

1:25:16 you could only reach

1:25:17 a certain number of families and,

1:25:19 and children,

1:25:20 and

1:25:21 the,

1:25:21 the rate probably applies to the entire population.

1:25:24 So I,

1:25:25 I think that's the answer.

1:25:26 But,

1:25:27 um,

1:25:27 if that's the case,

1:25:28 then what would it take to bring,

1:25:31 uh,

1:25:31 the project that has been so successful to scale

1:25:34 uh in Yanbai province?

1:25:36 Uh,

1:25:36 what would it take?

1:25:37 Is it financial resources?

1:25:39 Is it,

1:25:40 uh,

1:25:40 changing,

1:25:41 uh,

1:25:41 the way,

1:25:42 uh,

1:25:42 agricultural policies uh are conducted,

1:25:44 health policies are conducted?

1:25:46 That's my question.

1:25:48 Thank you,

1:25:48 uh,

1:25:49 uh,

1:25:49 Dork,

1:25:49 uh,

1:25:49 for your intervention.

1:25:50 So,

1:25:51 let us,

1:25:51 uh,

1:25:52 hear,

1:25:52 uh,

1:25:53 uh,

1:25:53 the Moon,

1:25:54 uh,

1:25:54 and,

1:25:55 uh,

1:25:55 uh,

1:25:55 Juan,

1:25:56 uh,

1:25:56 to,

1:25:57 uh,

1:25:57 you know,

1:25:57 uh,

1:25:57 make a comment on Doug's point.

1:25:59 But also,

1:26:00 when you make a comment,

1:26:01 uh,

1:26:01 you know,

1:26:01 this,

1:26:02 uh,

1:26:02 should be your final remarks as,

1:26:04 uh,

1:26:04 we are going to wrap up soon.

1:26:06 So,

1:26:06 you know,

1:26:06 uh,

1:26:07 please combine your final remarks together.

1:26:10 Yes,

1:26:10 um,

1:26:11 thank you very much.

1:26:12 Yeah,

1:26:12 thank you very much for your question.

1:26:14 It is

1:26:15 really,

1:26:15 uh,

1:26:15 our own concern

1:26:17 and as I already made in,

1:26:19 in,

1:26:19 in my point,

1:26:20 uh,

1:26:21 I mentioned that Vietnam made a very good progress in terms of achieving SDG

1:26:27 in terms of reducing the children,

1:26:30 uh,

1:26:30 the overall

1:26:31 standing among children,

1:26:33 and if you notice,

1:26:34 uh,

1:26:35 Vietnam is not a priority.

1:26:36 Country,

1:26:37 even for Japan in addressing malnutrition

1:26:40 at the beginning,

1:26:41 but then

1:26:43 the number because of high number of children in Vietnam,

1:26:47 so the absolute number is about 1 million

1:26:51 children suffering from malnutrition,

1:26:53 and then we could

1:26:57 to get the intention of the Japanese fund for tackling malnutrition in Vietnam.

1:27:04 So the problem is the,

1:27:05 the gaps

1:27:07 between the mountainous and the lowland area,

1:27:09 the gaps between the majority and the minority.

1:27:13 So I think I already mentioned that the rate is even,

1:27:17 I mean,

1:27:18 the difference is

1:27:20 40,

1:27:21 almost 40% in northern upland to only 10% in lowland,

1:27:25 in low lowland areas.

1:27:27 And in lowland,

1:27:28 even now,

1:27:28 the issues of child obesity has been becoming a problem.

1:27:33 I mean,

1:27:33 like in big cities in Hanoi and Ho Chi Minh City,

1:27:37 so the double burden of malnutrition is really an issue.

1:27:40 So I think in the coming time,

1:27:43 the approach from the government should be focused,

1:27:46 I mean have the different interventions

1:27:49 and to be more focused on addressing the gap

1:27:52 at the same time addressing the malnutrition among children.

1:27:56 Uh,

1:27:56 in the mountainous,

1:27:57 uh,

1:27:58 and,

1:27:58 and ethnic minority,

1:28:00 but also to think about addressing obesity for children in the big cities,

1:28:05 which is the,

1:28:05 which the rate is,

1:28:07 uh,

1:28:07 I mean,

1:28:08 uh,

1:28:08 higher and,

1:28:09 and higher.

1:28:11 So

1:28:12 the lesson from this project,

1:28:14 as I mentioned,

1:28:15 is very,

1:28:16 can be applicable,

1:28:17 and Vietnam has starting,

1:28:19 as Dr.

1:28:19 Hua mentioned,

1:28:21 included the lesson learned from the project

1:28:23 into the action plan on tackling

1:28:25 malnutrition and child stunting in ethnic minorities

1:28:29 and also Included in the

1:28:32 national targeted program

1:28:35 on the socioeconomic development for ethnic minority.

1:28:38 So health and nutrition

1:28:40 is one component of this.

1:28:42 So,

1:28:42 uh,

1:28:43 as a conclusion,

1:28:44 I think we really hope that

1:28:46 nutrition is the

1:28:49 uh

1:28:50 need across collaboration,

1:28:52 nutrition

1:28:54 needs.

1:28:54 I mean,

1:28:55 the intersectional collaborations and uh joint

1:28:58 hand from all different uh stakeholders,

1:29:01 development partners,

1:29:02 and your support,

1:29:03 but also the efforts from the country itself,

1:29:06 from the people themselves in,

1:29:08 in,

1:29:08 in Vietnam and in those areas.

1:29:11 So,

1:29:12 we continue to work with this agenda,

1:29:14 it's not the end,

1:29:15 uh,

1:29:16 so we,

1:29:17 we hope that we will keep

1:29:19 I mean,

1:29:20 uh,

1:29:20 maintaining

1:29:21 the success of the project,

1:29:23 keep maintaining this work

1:29:25 and to expand it further to tackling the,

1:29:28 the issues,

1:29:28 the chronic issues

1:29:30 in Vietnam.

1:29:31 Uh,

1:29:31 I also noticed that there are some questions that have been uh really addressed.

1:29:36 So maybe after this meeting,

1:29:38 uh,

1:29:39 our team

1:29:40 will answer by email

1:29:42 and also to share the presentations with the,

1:29:45 the wider participants.

1:29:47 Thank you very much.

1:29:50 Thank you very much.

1:29:51 Brun,

1:29:51 uh,

1:29:51 any,

1:29:52 uh,

1:29:52 final words from you,

1:29:53 please?

1:29:54 Thank you.

1:29:55 Yes,

1:29:55 um,

1:29:56 so from our perspective,

1:29:57 uh,

1:29:58 one

1:29:58 from different projects,

1:30:00 we see that radio stunting is really take time,

1:30:03 it's really a challenge.

1:30:06 because of several reasons we been before,

1:30:08 so

1:30:08 I think one of the reasons was to get attention from all stakeholder.

1:30:13 Uh,

1:30:13 even if it was like way after that,

1:30:15 uh,

1:30:15 some year and even at the end,

1:30:17 we can go like that,

1:30:18 OK,

1:30:18 we achieved good result.

1:30:20 But then this was a time for the end.

1:30:22 So the,

1:30:23 now we ensure the integration of stunting irrigator into the land by the local,

1:30:29 but we also wish that in,

1:30:30 in the other area,

1:30:32 the similar action can be also taken by the local government.

1:30:35 Uh,

1:30:35 so that's one of the issues we also learn and

1:30:37 we also now working with in the other project,

1:30:40 uh,

1:30:40 we have by our resources

1:30:43 and,

1:30:43 um,

1:30:44 nutrition,

1:30:44 I think,

1:30:45 uh,

1:30:46 last,

1:30:46 last month we had a friendship with the,

1:30:49 um.

1:30:50 National Institute of Nutrition,

1:30:53 and we,

1:30:53 we,

1:30:53 we discussed and we see that

1:30:55 there are

1:30:56 several

1:30:58 smaller location like uh some village,

1:31:00 some commune in one,

1:31:01 in one district,

1:31:02 one province.

1:31:03 We need really to spend more resources.

1:31:06 At the moment,

1:31:07 the,

1:31:07 the kind of equal investment maybe it is not enough,

1:31:09 but we,

1:31:10 we do need

1:31:11 much more

1:31:12 resources needed for those areas.

1:31:14 And,

1:31:14 and,

1:31:14 and sometimes it's quite hard because

1:31:17 in one district,

1:31:17 in one province,

1:31:18 maybe there are only 5 communes,

1:31:21 and it's uh in,

1:31:21 in,

1:31:22 in,

1:31:22 in this type of situation,

1:31:24 uh we need to have another way so this can really

1:31:28 be a good example

1:31:30 how we incorporate,

1:31:31 which is the health and the

1:31:33 Agriculture,

1:31:34 but can also be the other actor

1:31:36 to really boost the action in uh

1:31:38 in the day to day

1:31:40 uh by the local government but also by the other stakeholder.

1:31:43 So,

1:31:44 so again for Safe Children,

1:31:45 we learned from this project,

1:31:47 we also discuss

1:31:48 with their stakeholder and

1:31:50 even bring with them more

1:31:52 way of working and more initiative.

1:31:54 Thank you.

1:31:57 Thank you very much.

1:31:57 Uh,

1:31:58 in closing,

1:31:59 uh,

1:31:59 uh,

1:31:59 uh,

1:32:00 the conversation,

1:32:01 uh,

1:32:01 first of all,

1:32:02 I would like to,

1:32:02 uh,

1:32:03 thank the representatives,

1:32:04 uh,

1:32:04 from the Ministry of Finance,

1:32:06 uh,

1:32:06 Tanabean,

1:32:07 uh,

1:32:07 uh,

1:32:08 uh,

1:32:08 and,

1:32:08 uh,

1:32:09 uh,

1:32:10 Yamamoto-san,

1:32:11 uh,

1:32:12 and then,

1:32:12 uh,

1:32:13 uh,

1:32:14 Shirasasan andyokai-san from the Japanese Office staying on,

1:32:18 uh,

1:32:19 uh,

1:32:19 and,

1:32:19 uh.

1:32:20 Uh,

1:32:21 joining us,

1:32:22 uh,

1:32:22 this,

1:32:23 uh,

1:32:23 conversation,

1:32:23 uh,

1:32:23 throughout the session.

1:32:24 Thank you very much.

1:32:25 Uh,

1:32:26 also,

1:32:26 uh,

1:32:27 we had,

1:32:28 uh,

1:32:28 more than 50 people watching this seminar,

1:32:31 uh,

1:32:31 you know,

1:32:31 from all over Japan,

1:32:33 uh,

1:32:33 from different sectors,

1:32:34 uh,

1:32:34 civil society,

1:32:35 academia,

1:32:35 and the private sector and government agencies.

1:32:38 Thank you very much for,

1:32:39 uh,

1:32:39 watching the seminar,

1:32:40 uh,

1:32:40 today.

1:32:41 I'd like to,

1:32:42 uh,

1:32:42 uh,

1:32:43 conclude this,

1:32:44 uh,

1:32:44 seminar.

1:32:45 Um,

1:32:46 we,

1:32:46 we organize so many interesting online seminars,

1:32:48 uh,

1:32:49 so please,

1:32:49 uh,

1:32:49 check our website,

1:32:50 uh,

1:32:51 for further information.

1:32:52 Uh,

1:32:52 with that,

1:32:53 uh,

1:32:54 stay safe,

1:32:55 stay healthy,

1:32:55 uh,

1:32:55 have a wonderful weekend.

1:32:57 Thank you very much,

1:32:58 and then see you next time.

1:32:59 Thank you.

1:33:01 Thank you very much.

1:33:03 Thank you.

1:33:03 Goodbye.

1:33:05 Thank you and bye bye.

1:33:08 And.

showAllTimestamps

no

transcript

OK. Uh, time now a few minutes after 4 p.m., uh, on the, uh, Friday, uh 24th of June, uh, in Japan Standard Time. Uh, uh, please, uh, allow us to start the, uh, uh, seminar. Welcome, uh, to another edition of the World Bank, uh, online seminar. Uh, in fact, uh, today is a special, uh, edition. Uh, we are having the, uh, 13th, uh, JSDF Japan Social Development Fund dialogue, uh, on the occasion of the visit by, uh, uh, a team from Washington, uh, taking care of the trust fund, having the, uh, uh, uh, the annual policy conversation with the government of Japan. My name is Koi Shimori. I'm senior external affairs officer of the World Bank, uh, based in Tokyo. Um, let me, uh, first of all, uh, make a, uh, a short housekeeping announcement, uh, switching, uh, to my mother language, uh, minasama, uh, konichiwasekagino tokojima, uh, kyono and seminava, uh, dojitsuakuwo ego kara nihongo no on uh the uh webex sites webexgamenjo er hi. OK. Um, also, one more housekeeping announcement. I'm sure, uh, you know, those of you who are attending this seminar by Webex, uh, we have actually uh nearly 80 people registered, uh, to this, this event, have a question, uh, to the speaker as you are listening to, uh, this, uh, the presentation and discussion. Please, uh, post your question. Uh, anytime during the, uh, the, uh, dialogue on the, uh, uh, Q&A section on the web, uh, uh, Webex screen, or in fact, you can directly send your question to me because all of you received the, uh, uh, Webex leaks from me, uh, uh, yesterday or today. So just uh responding, uh, uh, to my email, uh, with your question. Uh, and then I'll read your question during the Q&A and discussion time, so our speakers will respond, uh, to your, uh, question and point. Thank you very much. Uh, so, uh, uh, yeah, uh, first of all, we would, uh, uh, like, uh, to have, uh, opening remarks on behalf of the World Bank Group. We have, uh, Doug, uh, Lemann, uh, who is the director of the Trust Fund and Partnership relationship of the World Bank. Uh, so I'd like to ask Doug to come in to, uh, give us opening remarks. Doug, please. Thank you, Koichi, and good afternoon, um, and welcome to the Japan Social Development Dialogue series. Um as Koichi said, my name is Dirk Reineman. I'm the director for Trust funds and Partnerships, um, at the World Bank. Um, I would like to extend a very warm welcome, uh, to Director Masashi Tanabe of the Multilateral Bank's Division of the Ministry of Finance and his, uh, team. Uh, we wish to thank, uh, the government of Japan for its continuing commitment. Uh, to, uh, the Japan Social Development Fund and to making a difference, um, in the lives of the poor and disadvantaged members of society. Uh, the JSTF was started, uh, back in 2000 by the government of Japan. Um, and the World Bank is a unique grant program that aims to improve the lives of the poorest and the most vulnerable groups in society. While the JSDF was established immediately after the Asia financial crisis, over the past 20 years, it has extended support to innovative and sustainable projects across the world. And this objective remains relevant today as the world confronts multiple challenges, multiple crises of food and fuel crises, conflict and fragility, natural disasters and climate risk. The poor are usually the least able to cope with adversity and are at great risk of falling even farther behind. It is my privilege and great pleasure to welcome you all here today to learn about this innovative project to improve child nutrition among rural disadvantaged villages in Vietnam. As administrator of the JHDF we enjoy very much, uh, showcasing some of these projects funded by this program so that we can all learn about the results and draw insights from those who were directly involved in implementation. A laudable feature of this project, for instance, is that it was implemented through strong and effective partnerships. Save the Children, in close partnership with the Department of Maternal and Child Health in the Ministry of Health, helped to establish community networks among mothers from ethnic minority groups in the northern mountain regions of Vietnam. In turn, they built provincial platforms so that the Department of Health and Department of Agriculture and Rural Development could coordinate better with these mother to mother networks and other local authorities in introducing project interventions. And finally, I understand that Save the Children Japan also played an important role in the project and I'm happy to see two representatives of Save the Children Japan uh with us here today. Uh, welcome. Truly, we need to work together to deliver lasting results for these children and mothers. As the popular African proverb goes, it takes a village to raise a child. We're delighted to have you all with us to participate in this JSDF dialogue, and I encourage you to ask questions, share your views, to enrich our conversation. And without further ado, I'd like to call on uh Tanabe-san uh to give us his opening remarks. Thank you very much, Doug. So please allow us to uh uh welcome uh Mr. Masashi Tanabe, the Director of the Multilateral Development Bank's division of the International Bureau at the Ministry of Finance, government of Japan. Uh, Tanayan, please. Thank you very much. Uh, good morning, good afternoon, and good evening, everyone, and welcome to JSDF seminar. I'm Masashi Tanabe, the director of MDB's division, Minister of Finance Japan. It's a great honor and pleasure to be a part of today's event. First of all, I would like to express my sincere gratitude to DRC and the World Bank team, and to all the institutions and the people for their contribution to JSDF activities, including the government of Vietnam and the Save the Children. Also, on behalf of the government of Japan, I would like to extend my heartfelt greetings to all those participating in this seminar. As DAC also explained, uh, Japan and the World Bank established GSTF in year 2000 after the Asian financial crisis to directly respond to the needs of the poorest and the most vulnerable group in developing countries. JSDF is a very unique facility. It aims to achieve sustainable development and to reduce poverty through a community-driven approach by closely collaborating with civil societies and local governments on the ground and by leveraging their knowledge, experience, and network to the maximum extent. We will hear in the case of Vietnam later in this seminar about how this fund has benefited from collaboration with civil society and local governments and how the projects have been implemented by them. Since its inception, GSDF has supported improving more than 700,000 livelihoods so far. Let me appreciate again the GSDF team for these achievements. Now, the COVID-19 pandemic and the worldwide food crisis caused by the Russian aggression against Ukraine are affecting the poorest and the most vulnerable people in developing countries. We strongly believe that this is a time that the SDF was created for and To provide support to the poorest and the most vulnerable people. Today's seminar highlights JSDF's project in Vietnam, our Northern Mountain Integrated Child Nutrition Improvement Project, which has improved the nutrition status of children in the targeted village in Vietnam. I appreciate all the efforts of the colleagues of Save the Children, Mr. Hertz of Vietnam, and the World Bank team for the successful implementation of this project. I'm delighted to hear their experience of this project today. I'm sure that sharing the GSDF team's experiences and lessons around on site will be truly meaningful for us, for all of us. This brings me to the end of my opening speech, and thank you very much. Thank you very much, uh, Mr. Tanabe, for your, uh, opening, uh, remarks. Uh, as mentioned, uh, already, uh, uh, at the, uh, uh, each, uh, of the JSDF dialogue, uh, event, we feature, uh, one, interesting project, uh, among many, uh, JSDF grants, and then, uh, go into deep, uh, uh, insight of the project itself and also listen to, uh, various stories, uh, from the, uh, people who are directly involved, uh, in Uh, preparing and implementing, uh, the project from the World Bank, implementing agency, etc. Uh, this, uh, evening and this, uh, afternoon, we are going to, uh, future, uh, the Northern Mountain uh Integrated Child, uh, Nutrition Improvement Project in Vietnam. Uh, so, uh, first of all, uh, uh, among, uh, the, uh, various speakers, uh, coming up in the next, uh, uh, 30, 40 minutes, uh, from the, those who are deeply involved, uh, in the implementation, uh, itself, uh, let us, uh, hear, uh, Christoph Lumiere, who is a program leader for the human development for Vietnam at the World Bank office, uh, on behalf of the, uh, Uh, country management, uh, team for Vietnam, uh, to share the perspectives, uh, uh, uh, on, on, uh, on the, uh, uh, the Vietnam and also project context. Uh, Christoph, uh, was about to join us from Paris, but unfortunately, uh, he couldn't make it, so we have a recorded, uh, message, uh, uh, from Christoph. So, uh, let's, uh, let's listen to what, uh, Christoph needs to say. Ladies and gentlemen, um, dear representatives of, um, the government of Japan, uh, of also the Japanese embassy in Vietnam. Uh, representatives from the World Bank, um, also representatives of, uh, other Japanese organizations. And representatives of Save the Children Vietnam and Save the Children. Japan, um, and dear colleagues. Um, as you can see, I'm unable to, uh, join you for this meeting today, uh, which is extremely sad to me, uh, for many reasons. Um, one reason is that, um, we are extremely proud, I mean, to see that this, uh, project has been selected for this, uh, discussion with, uh, JSDF, uh, that's, that's really a, a strong signal for us. Um, I'm also very sad, I mean, not to be there because I know you will have, uh, quite interesting discussions about the results that have been achieved by this project and they are really impressive. Um, I know that you will go much further in the details and so on, but let me highlight at least two or three, of the successes. I mean, uh, the first one is the. The proportion of infants, I mean, um, um, 0 to 5 months of age that are fed exclusively with breast milk increase from about 17% at the baseline to 71% at the end line. Uh, which is of course, I mean, way above the target we had. Uh, similarly, uh. About 72% of pregnant women received at least 3 antenatal care visits. Uh, and this is the result that was achieved at at the airline and. Compared to only 11% at the baseline. Um, so that's really impressive work that has been done here, um, and I wanted to really thank, uh, the project team, especially because they have done all these efforts, uh, in a complicated situation. I mean, with the COVID-19 period, I mean all the social distancing, I mean that came with that. So that's an additional challenge. Now I also want to thank the. The teams from of course Save the Children Vietnam, Save the Children Japan, but also the Department of Maternal and Child Health at the Ministry of Health and uh the project teams from Sola and Yanbai provinces, uh, they, um, they worked very hard on, on, on, on this. I mean during the past 5 years, um, they also maintained very strong, uh, coordination and collaboration which was not easy, um. Also, uh, I would like to thank again the, the, the government of Japan. I mean, um, through the, the, the, um, Japanese, uh, social development fund, I mean, uh, which provided, I mean, the necessary resources for, um, implementing this project. Now, um, before concluding, I mean, just, just a few points I, I, I wanted to highlight. I mean one is I think it's important to insist again on the impact of, uh, improving nutritional status. I mean it's not just a, a health issue. I mean there is now enough, uh, evidence, I mean, to show that it has a huge impact on, uh, physical productivity. Uh, cognitive development and of course I mean improved, uh, school outcomes and this has of course an impact in turn on the overall productivity, uh, and, and, and economic growth that so that's really an extremely important intervention. Um, I wanted also to, um, mention that of course this is, this is one project, but, uh, the team also has made sure that it could be replicated or at least mainstreamed in, in some, uh, other, uh, instruments and this is what has been done, uh, given that the approach, uh, has been, uh, introduced in the new. National targeted program uh for ethnic minority uh NTPEEA. And uh so that's really an opportunity to replicate. I mean this uh uh this extremely successful intervention and I would note also that the World Bank is, is supporting this um NTP edema I mean through IBRD. Um And, um, again, I mean, we, we have implemented quite um quite a lot of uh uh GSDF projects, uh, including two which were uh health projects so it, it has been also a great opportunity for the bank. I mean, as you know we uh work mainly with governments, but, um, having this GSDF uh funding. Uh, has given us the, um, opportunity to work more with, uh, NGOs and communities, uh, which is of course absolutely crucial, I mean, to, uh, get results, uh, on the ground. So I can stop here. I mean, again, thanks a lot to, uh, the Ministry of Health. I mean the provincial authorities of, uh, Sola and Yenbai provinces, um, to the Japanese government, of course. And, uh, Save the Children for this opportunity to collaborate with you and uh I look forward to our um continued collaboration uh to improve the health of the Vietnamese people. Um, thank you again and I wish you great success for this uh event. Thank you very much. And that was uh Christophhe uh Lumiere, uh, who is a program leader for human development for Vietnam uh World Bank. Um, each, uh, of the JSDF, uh, project, uh, in fact, uh, not only JSDF but all of the World Bank, uh, uh, lending, uh, and other projects, uh, we have a task team leader assigned, uh, to, uh, take care, uh, uh, in terms of the preparation and implementation of the, uh, uh, uh activities from the World Bank side. Uh, for this, uh, particular, uh, project, uh, the task team leader, uh, uh, is, uh, Juan, uh, sorry, um, Juan, uh, Lan Dao, who is a senior health specialist, uh, uh, at the World Bank of Vietnam office with us connecting from Hanoi. So let us, uh, hear Juan, uh, uh, in terms of what the task team leader of this project needs to say. Juan, please. Yes, um, thank you very much. Uh, good evening, uh, good evening and good afternoon, everyone. Uh, so, uh, dear, uh, ladies and gentlemen, uh, representatives from the Japanese Government Ministry of Finance, a representative from the Japan Social Development Bank, uh, the, uh, representative from the, uh, Mainon and Child Health Ministry of Health. Uh, colleagues and friends, ladies and gentlemen. So it's um really my honor and proud to have this opportunity to present our project, the Vietnam Northern Mountain Integrated Child Nutrition Intervention today. Um, I'm very lucky to have been with the project from the very first day of the project ideas development in the last day of the project's implementation. It is really a long journey, I should say, um, back to, uh, the project was initiated in 2014. So by that time, JSDF was very new to me and working with an uh non-government organization was also really my new experience. So, uh, as Kochi uh just mentioned, The World Bank support to a country normally through official Development Bank, a development aid officially to the government, ministries and government institutions. So the JSDF has brought to us a new approach of working with NGO and empowering community and local people. So as its objective, the GSDF provides grants in support of community-driven development and poverty reduction projects that empower the poorest and most vulnerable groups not reached by other programs and improve their lives through direct benefits. So through this nutrition project, we had a chance to work with people in the most remote and disadvantaged areas in poorest provinces in the northern mountain of Vietnam. We also had a chance to work with people at the village level, with mothers, families, community organizations, and more importantly, all of the project beneficiaries, almost all of them were ethnic minority people. You will hear more about the project in the next few minutes, but from the tech team leader's perspective, I would like to highlight a few things. So first, even Vietnam is very good in achieving SDGs and improving child nutrition in the last decade, and the country's stunting rate has decreased significantly from almost 30% in 2010 to 19% in 2020. The gap across different girl. African areas and ethnic minority is still exist and even widened in the last 10 years. So data from the 2020 National Nutrition Survey showed that the under 5 stunting rate was 37.4 in northern Uplands, the area of our two project provinces. While it was only about 10% in lowland areas like in Red River Delta region, where Hanoi is situated, and southeast area, Ho Chi Minh, where the Ho Chi Minh City is located. So I would like to confirm that our project was implemented in the very right place and address the right problems. So second, it was very obvious that close collaboration with the light ministry from the design phase and throughout the implementation period is very essential. To achieve the project designs, so interventions can be disseminated and scaled up widely after the project closed. All of the communication products, training documents, and guidelines were transferred to the Mainan of Child Health Department and have already been integrated in the government's related instructions. It was a strategic way to contribute to the sustainability of Project Grizans. I'm happy to see that we could invite the representatives from the Department of Mainon and Child Health, Ministry of Health, Dr. Hua, the Deputy Director, and Dr. Tong to join the meeting as a way to confirm their support to the project. So last but not least, the collaboration with the non-government, non-governmental organization proves to be very efficient for community-based project. The project had an appropriate approach in working with the NGO in implementing pilot scale activities in disadvantaged area. As an NGO, the implementing agency had an advantage of working very closely with community people, providing hands-on training and support, and more importantly, providing very close supervision and monitoring of the project interventions. The NGO team was very dedicated to implementing the project with strong support from all its relevant technical staff, procurement, financial, administrative. Administration, communication, and especially the country management team also pay a lot of attention to the project implementation. So once again, I would like to thank the project implementation team from the Save the Children Vietnam, Save the Children Japan, the Department of Maternal and Child Health Ministry of Health, and the project teams from the project provinces. I will never forget our remarkable film supervisions and missions where we can see in our eyes how the people changed the behavior and attitude and then changed their lives and their children's lives. I really hope that you, the delegations and participants of this seminar today, will have a chance in the future to actually see by your own eyes the project results. Actually, I was so emotional and happy to see the fathers cooking food for the little children and then feed them by themselves and help their wives in their home garden. So to me it's really significant because it happened in the areas that you still know so many social issues persist, including early marriage, domestic violence against women, low education levels among women, and low social status of women. So I realized very clearly that we can only make the big difference in the future if we start doing small actions and changes today and every day. So we all know that it is a smart project, but we all hope that it can be sustained, replicated, and at least it can make some changes, really changes among its beneficiaries in 20 communes of 4 districts in 2 provinces. So I'm currently managing another JSDF project in strengthening preparedness and response to COVID-19 at the grassroots level in Vietnam. I hope that my experience in working with this project will help me to continue success with the new project. So I should stop here and give the floor to the project implementation team. So I wish you all the good health and good success. Thank you very much. Thank you very much. That was uh uh Fun Lan uh Dao, the uh task team leader uh for this project and the senior health specialist at the World Bank Vietnam office. By now, uh, all of us, including myself, are so eager now, uh, to, uh, uh, uh, see how the project. site look like. Uh, we have a 5 minute video put together by the implementing, uh, partners. Uh, so, uh, all of us, we have now more visual image of, uh, where the project was taking place. So let's, uh, enjoy the video. Tell the liu chasing sung hangikum chamhai mui tai Vietnam Gunnam chai zu nam toi second modem beatu xing zungt kai lu mamuiko bit tong tung napa chat losai. I got thing do you be late night on Calhoun a mukb for for chum. Muguyena I'm so now kunko kin sing kung te kunk and they do k cha cha cha ching nai. The kaitian ting chang nai to chipuchambovafeg took and sung kaitian sing sun chai mkububinnu taihaiing in bai sun la poonggen sang hai fei tame hai chi labi to uifa chin saho ye pan tong wang and han teoi. Tasuka kokono tai tsa kaku hung sukweifa sings liturg tai khuikon bangi kb come on and they do sing fat to look. banging cha cha tsaba chun sao fuku sing. That the kasading the hong kbian but so sings to firm santa feng ying chai su sing sun k ping nang kong kobinchunchedu yu chi i bang che firm and lin so sing. sad. Kaba kaiki was naming chamhai mode kohn chinweba chum soho or dosao nam chin tam cham sohounaya soga chungwing chinho tang to hamikonchksuan lin bam chinkkisuan keto. Yung tai tiku nai tang choy kai zing sung hannai koho sading tho kokon to sau in haimeba tang toi kobu and bonyam to fumtangtu baba face south and chum chuksu an then for south and chum he's and get to. So. Nam hanging kum chamweba tea tai kazu and good sun laba chai la bon south and chum bekla bami myself and chum nam hanging kum cham hai mode katti nai do samsukhaime by fan cham. I. don't feel like home. that. Vietnam. Thank you very much. That was a wonderful video uh put together by the Save the Children. Uh, now, uh, we would like to, uh, ask, uh, uh, uh, Wong A Deen Diap, uh, who is the director of the program implementation of the Save the Children in Vietnam, uh, to go deeper and share the perspectives, uh, of the implementers of this project. Uh, Boon, please come in. For each other a minute, uh, I'm starting to share the, uh Impression. And uh Today, uh, I'm very happy to be here on behalf of uh Ship the Children team in Vietnam. Uh, with me also Mr. Kang, the, uh, Project manager who has uh been working for the project from the beginning. to share the For that information and results. And before this, uh, again I would like to take this opportunity to thank, uh, for the, uh, government of Japan and the World Bank to provide fund for this project. Uh, thank you also the, uh, World Bank team in Vietnam. The Department of uh maternal and Child Health from the Ministry of Health and the other partner in Vietnam also serve the children in Japan. Uh, to, uh, provide support and, uh, cooperate with us during the last, uh, five years, uh, and we have been, uh, successfully implemented the project. Uh, so this project, uh, during the last, uh, a few speech and, uh, the videos we are already, you see, uh, the name of the project. It's the, uh, Northern Martinnus Integrated, uh, Nutrition Iment Project, uh, and we implemented in, uh, two, Project in two provinces. In this, uh, presentation, I would like to, uh, present three, key parts. One you see on the project overview. The second one is on the achievement impact. lesson learned and the uh last one is uh the sustainability, scalabilities, and the exit strategy of uh the project. Uh, the BOSAC, objectives focus to improve the nutrition status of children under 5. In the uh target villages through the improving the child feeding practices, maternal and childcare, and to diversify sources of nutrition of uh pregnant women, infants, and young children. Uh, the, um Uh, BOC, uh, beneficiary include to groups. The primary beneficiary are the children under 5. Women of uh rebutative age and uh pregnant woman. And the second very beneficiary are the whole population of the uh People in the 4 district, uh, we the people. Uh, so this project, we work in uh SEA and in Bai, uh, and from Hanoi where we, uh, have, uh, the, uh, our office, uh, it takes about 6 to 2 hours to 7 hours to go there. Uh, and we implemented these scenes, um, started from, uh, 2017 and ended uh by December last year after five years. So in these two provinces, there are some significant information including this is the high rate of poverty. Uh, the high prevalence of stunting children under 5. And the hyper state of ethnic minority population. There are Hmong, Thai, Zhou, and the other groups in those two districts. So, uh, 4 district, uh, 2 provinces. Uh, the project has 4 components. Uh, component one is, uh, improving the food and nutrition security. In this component, we focus on two things. One, we diversify agricultural production, adoption in the low gas input agricultural techniques. So the focus on the chicken raising, uh, nutrition, vegetable. System of rise, interfuscation and soybean conservation. Uh, and the second, uh, focus is to promote the internalization of um, Local available natural inte uh in those 2 communes. Uh, so that we can utilize, uh, local resources, uh. The second component, the component two is to strengthen the Community-based nutrition and care and practice. Uh, in this component, we focus on 5 things. Uh, first, to promote, uh, child growth monitoring at community. Uh, the second one is we provide support to mother to mother network, uh, and also to organize, uh, to help, uh, we call it, uh, nutrition, education, and, uh, rehabilitation program where we, uh, organize monthly, uh, activities. Uh, we also promote, uh, itinerary to care in the, uh, Commun Health Center again through the, uh, monthly days. We organize the action in the communities. We also provide a group of peer counseling, where we, um, Uh, provide, uh, exclusive, uh, breastfeeding, uh, also the infant and child feeding. Days and the other. A communication event in the community. And lastly, we also provided the um Integrated management of acute malnutrition program. So those are the key intervention in the government to, uh, to achieve, uh, To, to promote the committee by which and, and, uh, fair and practice. For, uh, component 3 where we provide support, uh, to escalate up the policy platform at provincial level in order to replicate the integrated rural logician care approach. Uh, in this component, uh, we advocate, uh, to integrate the nutrition-sensitive agriculture model into the five-year plan. At provincial level, uh, by the Department of Agriculture and Forestry. Uh, the second one is we also advocate to mainstream the stunting rate reaction. Into the commune social economic even plan. So this we achieved in the old communes in 12 communes of the project. And last one, we also document lesson learned, and we also develop guideline for the, uh, implementation of the agricultural-based nutrition approach, uh, to ensure that, uh, to, to, uh, to replicate, uh, the project results and model to the other provinces. And this thanks to the strong support and also, uh, active, uh, action. By the um Department of uh maternal and Child Health and the Ministry of Health. We have already achieved uh Some replication. The last project component focused on the project management, uh, application, monitoring in, and knowledge dissemination. So where we uh ensure the uh day to day project management. We also, um, ensure the uh regular monitor and uh project evaluation. And in this one, that's, um, we, uh, own the project stakeholder. Actively participated uh in the uh regulatory including the Tammus district and province of Pa. Department of maternal and Child Health, one by teams in Vietnam. Our Save the Children team and also from Save the Children Japan. Uh, we, at the end of the project, we organize the, uh, this medicine workshops at two provinces, uh, Sunlai and Bai. We also organized one. Workshop in Hanoi and during that period there was the COVID situation, so we organized it online but with uh Participation from uh many provinces, uh, we, so that we can share project visa, but also that we got some uh primary commitment. To replicate uh project results. Uh, so the, um, the implementation arrangement of project, you can see, uh, in the slide that, uh, we have one, project management unit, uh, at, uh, SC Save the Children Office in Vietnam with the technical support from uh SAFE the Child in Japan. At the same time, there's also Management Unit at the, uh, Maternal and Child Health Department, Ministry of Health. Uh, we worked closely with the World Bank in Vietnam led by, uh, Dawn Hung, uh, and we also got very good support. And very active and also very positive support from government team here. Uh, at provincial level, there's also one, project management unit in each province and now to the district and commune there was, uh, Jose even teams shut up. Uh, now I'd like to present the uh achievement impact and actually learn uh from, uh, from this project. Uh, in terms of the, uh, target and achievement actually already in the statement by the, uh, from one Bang and also the video already showed the achievement. Uh, I will not, uh, read the detail of each indicator. Uh, overly, we have 4. Project development objective and it uh evaluate project results objective and all project indicators will achieve at least those target. And some of the indicator achieved 234, and 5 times than the, rather than target. So for, for us it's really the uh great achievement after the 5 years. Um, I would like to go into a bit in more detail to show you, um, on the, um, on the impact, uh, with the, to the, uh, improvement of the nutrition status of the children under five. you can see here the, uh, type one compare the uh baseline in 2017 and was, and by the end of the project. And uh I would like to, to focus on the stunting. situation at the beginning. There was 70, 67% of children in nearby, and more than 40% of children in China were stunting. It's a stunting situation. And on average, you can see that there was more than half, like every 2 children, there's 1 student malnutrition. Uh, by the end of the project, uh, if we look at, uh, each provin in by has been reduced from 67 to 53% and insula, the reaction is from 41%. Uh To 27. Uh, so, so we all know that, uh, if something red is under 30, it, it means that person is in. The, uh, intervention, uh, and, and so it's a lot I think we think we, we can see that the achievement is quite good, but the situation in, uh, in by, we, we can see that there's been a little bit for the, for the. Prevention and in overall, uh project uh achieved to reduce the situation from From 67 to 40%. That's the, the in fact we would like to highlight in, in this presentation. Uh, for the lesson learned, there's quite many lesson learned, uh, we, we, we already discussed with, uh, different stakeholder in project and we'll agree with those, uh, key points. Uh, the first one is, uh, is clearly that, uh, into, uh, the, um, nutrition issues cannot be solved by the, um, by the health sector, but there are close the link between the health and agriculture sector so that we can achieve the positive result. The second one is really from one of the very significant achievement we, we see that from this project is on the communication, how we communicate the, uh, we transfer the knowledge and skills to the local people, local partner, and also local communities. Uh, so that we, uh, so in this project, we develop um natural and we use local language. Uh, we prepare that with consideration of local culture. We organize peer to peer communication. Uh, and also we, we have a word of mouth approach, so we provide directly communication at community level. There's also very close and frequent supervision, as I mentioned before, like every 6 months, there's um monitoring visit by uh one team in Vietnam. Our team accepts the children. We have monthly, every month, we have several chief, uh, working at the, with the partner and community. And our team actually spend more, most of the time, their time with the community and with partner in two provinces. The one, the other one is on the CBD of the, so we really develop the based on the People needs. We have consultation, uh, uh, carefully at the beginning and also during the intervention, uh, we make some adjustment needed to make sure that the project fit with the, uh, with the local condition and also the need. Uh, we design very careful, um, monitoring information. We also, during the project intervention, we also discuss closely when buying to adapt and to, uh, adjust the project indicator to ensure that it's the right track and so we can monitor and achieve the right results. We also see ourselves that the role of sick children like uh around 74. Uh, we believe that the role of, uh, INGO including this state uh safe children play a very important, uh, important role, uh, to deliver, uh, the project, uh, to the community level. There's also very clear and important uh cooperation from the ministry level in this case, uh, Ministry of Health and particularly the Department of Maternal Engineering Health. Uh, we think, we consider project sustainability and replication from the beginning and during the projective preparation. That's why, uh, before the, um, before the project goes out, we already discussed with the project local partner how to handle, how to handle project result and also, uh, maintain the project, uh, result after the project. Uh, that's the last point on the lesson learned is also on the, uh, mother and mother network where, where we set up those networks of the community. In terms of sustainability, scalability, and, and this strategy, uh, I mentioned before that, uh, before the project goes, we discussed with two provinces. Uh, and there's concrete, uh, plan by each province, by each, uh, district to ensure that project visa will be continued, uh, will be integrated in the, uh, existing and coming, uh, government, uh, programs such as the national nutrition strategy, natural strategy for on preventing stunting, uh, among native, uh, ethnic minority children, and so on. There's also a plan to ensure that the project, the train. Health and agriculture staff at district and community will be continuing to provide training to the other. Staff at the Kambian district level, uh, on the matter we developed using BOSEC will be used. By the project uh. Partner, but also by safe children by ourselves, uh to uh so that uh we can also even for the other senior levels that might save the children in uh Vietnam. For the equipment, also, we hand it over to the commune district so that they can continue to use for the uh existing work. Um, at national level, there's, um, INC before that we organize the, um, Sharing workshop uh with the most of the other provinces, uh, to replicate Portugueseau except that she didn't also share. Document, let alone with the other NGO with the national Institute application. And, and that's what was very high. Recommended by those networks, uh, to, to further look into the model and then they can also relocate to the project and the, the other location as well. Uh, the last one is on the, the guideline we developed for the implementation of agriculture-based nutrition approach. Also we developed and then it will be used. Um, Doctor Hua from the Department of Matinau and Child Healthcare, uh, have a very strong commitment to, uh, to communicate with the, uh, with the other department so that those documents can be, uh, used widely. Uh, now, I would like to spend the last one minute, uh, to, so that Mr. Gang, the, uh, project, uh, manager, could tell you one great story from the project. Yeah, hi, uh, everyone. Uh, I would like to tell you about a story, uh, about, uh, China in one was a commu in, uh, Moolichi and insuna Rubin relating to the IMM. Uh, because of his, uh, parents worked uh way to earn money, and so he's, uh, stayed with, uh, his grandfather. And when health staffs screen on children under 5, Yes, I was, uh, he was identified as a, uh, severely killed, uh, many, many rich, uh, children. And uh, They, uh, he, he, uh, saw the Imam I the supportvisor who said. Uh, after the Ed Bush, uh, saw this, uh, programs, uh, he was, uh, recover, uh, recover his, uh, nutrition status, and his, uh, makmaks, uh, it means a mid upper arm, uh, circumference. Uh, it's, uh, one to the method of the. Westing For children and uh the his works includes uh 12.1. To uh 30. And he uh was a chat, uh, it, uh, from the I remember that, yeah. And there is uh on the successful case in, uh, IMM in I will say. So thank you so much. So if you have any questions, uh, please, uh, do, uh, ask, and, uh, I believe that our colleagues from, uh, ship the children in Japan will also provide some further comments. You. Thank you very much. Uh, that was, uh, that was, uh, uh, Boon Dean Gap, uh, director of the Program Implementation of Save the Children in, uh, Vietnam, and I understand Mr. Khan, uh, from the uh team also shared the story from, from the beneficiaries. Thank you very much. Um, next, uh, we would like to, uh, ask, uh, Uh, Doctor Tran Dan, uh, Kua, uh, who is a deputy director of the Department of Maternal and Child Health, uh, as a co-implementing agency and partner of this project from Ministry of Health Vietnam to share the perspectives from the government of Vietnam, uh, Ministry of Health. Uh, Doctor Kua, please come in. Well uh taka kwan kai chu yatba to chukwan bang by etsi kakabi uh that be tamzu kokongai honai uh ta ma bowichlachen kun uh ching ban uh one bangi kato chu zuzu. So, dear representative from the uh the Japanese government, the Won Bank, and the Children Organization, on behalf of the Ministry of Health, we'd like to extend our heartfelt thanks to your dedication and support in the last meaningful project, uh, on the integrated uh children uh nutrition intervention. Uh, kung ying dam i'm like ok. Then the other cow i i kuma. So we really appreciate not only the grant itself, but the technical support, the trainings, extensive training that we receive, uh, uh, along the uh project journey that uh create pragmatic and long-lasting impact. Not only on the children, the primary beneficiaries of the project, uh, and, and, um, um, the reproductive woman and uh and pregnant women, but also the entire population, medical, uh, professionals and the community as a whole. the and So the project was also challenged by the pandemic as it nears the end. However, with the dedicated support from the World Bank, with the Ms. Hung as the task team leader, uh, with the collaboration from Save the Children via Mr. Gang, Mr. Za, and especially the project team in the participating provinces, we have weathered, uh, all those, um, um. Uh, challenges and brought the project to the end successfully and so that we are here today to celebrate its successes. Uh, liobuk help up uh because ok. And our key takeaway from this project is the close collaboration across different stakeholders, and we really appreciate such multi, um, like partner, uh, collaboration so far. Uh, chuniza kwa k so dingi funding kai nabuja ok uh kay or tamza India. And we appreciate this um different aspect of the project outcomes, uh, spending from improved nutrition for the primary beneficiaries and also the uh food security for the broader population and also the improved capacity uh across the local and central stakeholders. Uh. And that success can be attributed to the proper design of the project. Also, the correct, uh low uh project site selection. Um, those are the regions that are most in need of this intervention and also the valuable technical support from, uh, Japanese uh partners and, um, Vietnamese partner. Um. And the project outcome is a testimony to the necessity for collaboration between different sectors in improving the nutrition for children and mothers, uh including the shared responsibilities between the Ministry of Health and Ministry of Agriculture and Rural Development. Uh. And I do hope that the projects, uh, good practices and outcomes can be scaled up and rolled out to, um, a broader range of, uh, of localities because, you know, as part of this project, we could only touch upon, uh, we could only touch, uh, 4 districts of the two provinces and hopefully at the. Localities in in Bai and Laoai, uh, in, in these two provinces, uh, in Bai and Sunla can also benefit from this. And in the meantime, the Ministry of Health is also taking stock of the, uh, joint collaboration models between the Ministry of Health and Ministry of Agriculture and Rural Development to roll out, uh, two more provinces. Uh, uh. Uh, what we sini, uh, ching bang to to get, uh, uh. Um, in our, uh, project, uh, closing Stock-taking Review Workshop, we also shared with the representative from the Won Bank, Ms. Heng, and, uh, from the Save the Children, uh, about our aspiration for rolling out this project to more Districts within Yan Bai and Sanla and also to other provinces and on this occasion I would like to um reiterate these wishes that our project can touch more lives and uh and communities across um uh different provinces in Vietnam and, um, for that we will count on the Japanese government, the Wound Bank, and Save the Children for your kind support. Uh. So, um, in closing, uh, we would like to again show, uh, express our appreciation to, uh, the Japanese government, the Guang and Save the Children, and look forward to our continued collaboration. And from the Department of Maternal and Child Health, we would renew our commitment and efforts, uh, one, if we can secure a new sources of funding to, uh, roll out this project and touch upon more beneficiaries and extend our range of beneficiaries. Thank you. Thank you very much. Uh, we had a pleasure of having, uh, Doctor Tran Dung uh Kuo, Deputy Director of the Department of Maternal and Child Health, uh, from the Ministry of Health, Vietnam. Thank you very much, Doctor Kuh. Uh, we have, uh, our last speaker, uh, Mr. Kosuke Nagino, uh, who is, uh, the program coordinator from the Save the Children, uh, Japan, uh, joining us from Tokyo site, uh, to share perspectives, uh, from the Save the Children Japan. Langdosan, please. Thank you very much for the introduction. Um, my name is Koskeagino. I'm a program coordinator of, uh, International Programs of, uh, uh, Save the Children in Japan. Um, uh, on behalf of Save the Children in Japan, we, we also would like to express sincere appreciation to the Japanese government and the World Bank. And also, uh, I'd like to say thank you to the, uh, Ministry of Health in Vietnam. Uh, for the project to implementation. Yeah, we, we had, uh, a close, close collaboration with the uh Ministry of Health. So, yeah, uh, I want to, I'd like to express, uh, deep appreciation as well. And from, from the, uh, during the project implementation, Save the Children in Japan has supported uh technical aspect of the project. And, uh, uh, from, uh, Save the Children in Japan, uh, I, we'd like to stress two points, uh, regarding the project outcome. Uh, the first of all is, uh, first of all, uh, multi-sectoral approach. Uh, the Japanese government, uh, nutrition initiatives have focused on Our multi sexual approach. The project's lessons run uh could be a useful example for the Japanese ODS stakeholders, uh, including in the delivery of Japan's commitment of over $2.8 billion US dollars to improve nutrition made at the Tokyo Nutrition. For growth summit, uh, last year. Lessons learned from the project can be applied not only the, uh, not only to the multi-sectoral approach between agriculture and health, but also the effective implementation structure at the central provincial district and commune level. Uh, that is, uh, first point. The second point is, uh, social behavior change communication strategy approach of the project. Uh, during the, uh, project explanation from, uh, my colleague in Vietnam, uh, they mentioned the suitability of our approach. This is quite important. For a better understanding of the local tradition. To effectively develop, uh, beneficiaries skills and knowledge of maternal and child nutrition care in target areas, the project conducted formative research in the field. Uh And through the, through the research, uh, we were able to get a deep understanding of the local tradition and culture linked with maternal and child nutrition through the research. Then we developed a strategy of social behavior change communication for ethnic minorities. Uh, this was an important, uh, strategy, important approach to developing, uh, like, uh, IEC materials and the training manuals. And to extending our new skills and knowledge among local people. For example, more ethnic minorities are doesn't have own, uh, like characters. So project, uh, develop, developed the Irish materials and training manuals using uh a lot of pictures, uh, to be easily understood, understood by the, uh, beneficiaries. That is, uh, that is also a point. So then, um, we would like to stress this approach for effective and sustainable nutrition improvement based on their tradition and culture. I do believe, uh, this approach can be applicable, applicable to other health and uh nutrition projects. Yes. Uh, so, other, uh, other behavior change of the beneficiaries. For example, in the beginning of the project, um, One family just provides a very simple porridge to their to their babies, but uh after the, at the end of the project, um, Uh, the families, uh, provide, uh, provides, uh, like provide also porridge, but it's not simple porridge. It includes, uh, a vegetable and meats, uh, something like that. So it's very, it became very nutritious food. So, uh, those change, uh, made after the, uh, at the end of the project, uh, that is, uh, are quite important. So I, I'd like to, uh, we'd like to, uh, stress those two points. Yes. Thank you very much. Thank you, uh, Naginosan, uh, for, uh, sharing, uh, your, uh, perspectives, uh, on behalf of the Save the Children, uh, Japan. Uh, for the next 15 minutes or so, uh, I would like to propose, uh, to use our time in that way, in this way. Uh, we received several, uh, questions from our viewers. Uh, so let me read those, uh, questions. Uh, and then I'll, uh, double check, uh, uh, you know, uh, with the, uh, uh, colleagues gathered in this room if you have any comments and questions, and then I'll ask, uh, our speakers, uh, from, uh, the, uh, Vietnam, uh, side to, uh, respond to, uh, the some of the questions, uh, uh, and then, uh, perhaps in, in the order of, uh, Doctor, uh, uh, uh, Doctor Kua and then Moon from implementing, uh, agency side, and then, Uh, I will ask, uh, also, uh, from, uh, from the TDO, uh, perspective to share your views, then we wrap up the seminar. So, uh, let me, uh, introduce the, uh, question that we received in, in advance. Uh, first of all, the question, uh, from, uh, Nam, uh, Tan. Thank you very much for your question. What were the main challenges uh for uh the Vietnamese Ministry of Health National Strategy on Nutrition 2011 to 2020 in terms of reaching poor and remote ethnic minority groups, uh, in spite of its successful implementation. So perhaps, uh, uh, uh, if, uh, Doctor Ko later can uh respond to this point, that would be great. Thank you very much. And then, uh, the another question, uh, from, uh, Nam. The project component for strengthening community-based nutrition care and practice is set to overcome the, uh, uh, superstitious beliefs. What are those superstitious beliefs that, uh, deferred the improvement of child nutrition? So, that was the second question. And then one more question. Is there a specific reason why the prevalence of waste among boys in Yan Bai has increased after the project implementation, uh, 7% in 2017 to 7.9% in 2021. So that was another question. And then a question from the uh uh our regular anonymous uh participant who sent, uh, you know, question enthusiastically all the time to our online seminar. Thank you for your uh uh joining uh this afternoon also. The beneficiaries are characterized as the poor and remote ethnic minority groups, which were mainly dependent on, uh, uh, subsistence farming in a very small plot. The project seems to focus on a subsistence farming. Does the project include cash income for transaction to gain food such as seafood, which uh uh expands the the possibly a varieties of nutrition and difficult to get uh in the high mountain area. And that was the first question. Then more, one more question from the uh same person. Dialogue among ethnic minorities, uh, ethnic minority mothers, village health workers, and women union staff was mentioned. How did the process for dialogue at the community level, including men or males, happen, uh, if any? Uh, did any discussion happen related to agriculture renewal, accessibility to health services, uh, and the decisions related to livelihood, division, and role of labor in farming and lifestyle. So involvement of men out of the question. So, so before, uh, turning uh to our speakers from Vietnam side, I'd like to check if uh anyone in this room in Tokyo side have any uh comment or views to share. Nope. OK. Then, uh, perhaps, uh, uh, the, uh, um, Doctor Ko, uh, can you come in, uh, to say a few words on the, uh, uh, uh, challenges that you faced with in terms of, uh, uh, the national strategy on nutrition, uh, 2011 and, uh, to, uh, 2020. Uh, so, uh, Doctor Ko, please. Uh Ranga uh takakuvi uh Izukoko I know uh I took the uh kua Vietnam ki machin k kitchen looks these unk that and hanging kuncha more hangikcha my. Yet Laura, oh, because I got 90, uh, the katikania the zing zung uh ngapalat look. Uh, uh, yai kla uh bolat to pumpkin. They took from Chong xinzung when ikon where uh uh uh busu wan kuma zungi kimchez uh kin uh zingzung where they took it to the top chunk. Yes. When we start implementing the um National Nutrition strategy 2011, 2020, at that time, we were faced with uh many structural um and fundamental challenges like um the food insecurity uh still uh prevalent among the population. And second, um, the poor knowledge and practices among the citizen both in the raising children. Um, including the very simple uh simple basics like, uh, exclusive breastfeeding, uh, care, uh, prenatal care for preg pregnant woman, and it's even worsened by, um, outdated or like obsolete, um, customs and, uh, beliefs and also the nutrition. Inventions face shortage of resources across all aspects, including funding, budget, experience, capacity of the implementing agencies and individuals. So that's also the key focus that we address under this project, those uh structural challenges. For the lua to create the pila. Uh. And another challenge we face is that um there is a notion that uh nutrition improvement is exclusive uh responsibilities of the uh health sector. Uh, so it's like, it's deemed to be our, uh, role only. However, researchers and, uh, practical, uh, evidence show that it should be a joint collaboration among different sector or an interdisciplinary effort to uh address this issue. The health sector alone cannot complete it uh without the collaboration of other sectors. And, um, like, uh, other, uh, walks of life in the society. uh uh uh uh uh banging. As I highlighted, uh, um, previously, the, this project's outcome can be attributed to such interdisciplinary, uh, and inter-sectoral collaboration at the low, uh, between the Ministry of Health and Ministry of Agriculture and Rural Development and at local level, we also in benefit from, um, the support from different, uh, Areas like the Women's union, the farmers' union, even the agricultural extension, um, uh, units, etc. and that all contributes to the project's outcomes. Uh, we can't. Yeah, so that's the challenges that we faced in the previous period, um, strategy and uh learning lesson from that period in the new coming phase, uh, we will, um, uh, address. We have Partially addressed so, uh, those challenges and we'll, uh, take, uh, planning ahead perspective in implementing our new, uh, nutrition strategy so that, uh, we will not be constrained by those. Thank you very much, Doctor Cole, uh, for your responses. Uh, Boon, uh, please come in to respond to the questions raised by our viewers. Thank you. Thank you. Yes, I want to, yeah, um, I will, uh, respond for question two, from the reason, uh, by, by slide survey and, uh, when we, uh, invent abo in line and by we found that, uh, in, uh, in, was this size, uh, uh. We believe they have uh some uh custom uh. Not good for our health needs to like this, uh, so that's, um, yeah, but uh the uh Uh, the mother don't go to hell facility to, uh, regular checkup because, uh, especially the young people, they very shy when they go to the Now facilitator, uh, facility, um, the second, um, the mother diet, uh, have a diet during the pregnancy and after the giving birth. Yeah, they, uh, like some of the food, uh, for, uh, some kind of meat or some special, kind of, uh, better. Uh, the, the, the mother walk until the birds. Uh, some people, there's, uh, sometimes they give birth, uh, in the field. Uh, it's, uh, it means that they, uh, have a hard work until the, uh, birth. And uh but the uh. And give birth at home and the reason from much like supervision, so that's, uh, uh, rates of, uh, but at homes are around 50%, especially in Changta. This is the, uh, this, uh, rate, uh, is, uh, 89%. Yeah. Um, the 5th, the mother, uh, usually, uh, squeeze out the cost before the first, uh, breastfeeding. And uh so that's uh Um, the mother used to be like to, uh, to hard work in the field. One month after the reimbursed, yeah, yeah, uh, um, based on the, this information, uh, I was already the design is, uh, uh, IC meter and, uh, events, uh, BBC activity to improve, improve, uh, this. Yeah, thank you so much. And uh in terms of, in terms of the question on the why the prevalence of Western among boys in Iba has increased. So this, uh, so based on the, um, based on the collected information from some of the airline data baseline, actually, to be very honest, we couldn't really know why. Uh, because this only came up after we finalized the report and we, we think that we need to have a further Uh, collect the information and also discard, uh, to really understand why, uh, but at least is the fact, uh, based on the collected information. I don't know, even inquire, you, uh, you know, from the other experience, maybe in case something similar or you, uh, improve from one by you also observe similar situation in the other. Um, er or not. Thank you. Yeah, I just, um, uh, thanks for picking it up, uh, but I think we may need to go back to the original data to see whether the difference is significant. If not, so maybe it's um not an issue, but anyway, uh, the team will go back to the analysis and, and, and check the data. Thank you for picking it up. OK. Uh, thank you very much. Uh, so I just wanted to double check, uh, with, uh, Fon, uh, if you have any additional comment from TTO's perspective, uh, as you are listening to uh Q&A section. No, I think uh the uh uh Doctor Hua and Mr. Kang and, and the team at the SC team already addressed the, the questions. Thank OK, thank you very much. Um, we do have actually, uh, 34 minutes left. I would like to, uh, ask Dork to come in, uh, to, uh, uh, share your views, uh, you know, as you are listening to this conversation. No, thank you very much for this session. This is very personal. I have a 5 month, um, baby girl at home who's, uh, being, uh, 100% breastfed, so I'm I was listening very intently. Um, it's really wonderful to see these impressive results, um, in terms of health outcomes and that you've overachieved, um, overachieved all of these, um, outcomes and that you're reaching so many children, um, of ethnic minorities. I said earlier, it takes a village. I think in this case, the village is a global village between Washington and Tokyo and Uh, Hanoi and um Yenbai and Sonla provinces. So congratulations to uh to all of you. I have a, I have a question that is similar to a question that was asked before, and maybe it's a question to Huang at the, at the World Bank and, and Hung and, and colleague at Save the Children, Vietnam. I noticed that uh despite the overachievement of the targets, the stunting rate um in Yubai is still above 50%, which is, it's a, it's a very, very high number. And I was wondering um why that is. Um, I assume that, of course, given limited resources, you could only reach a certain number of families and, and children, and the, the rate probably applies to the entire population. So I, I think that's the answer. But, um, if that's the case, then what would it take to bring, uh, the project that has been so successful to scale uh in Yanbai province? Uh, what would it take? Is it financial resources? Is it, uh, changing, uh, the way, uh, agricultural policies uh are conducted, health policies are conducted? That's my question. Thank you, uh, uh, Dork, uh, for your intervention. So, let us, uh, hear, uh, uh, the Moon, uh, and, uh, uh, Juan, uh, to, uh, you know, uh, make a comment on Doug's point. But also, when you make a comment, uh, you know, this, uh, should be your final remarks as, uh, we are going to wrap up soon. So, you know, uh, please combine your final remarks together. Yes, um, thank you very much. Yeah, thank you very much for your question. It is really, uh, our own concern and as I already made in, in, in my point, uh, I mentioned that Vietnam made a very good progress in terms of achieving SDG in terms of reducing the children, uh, the overall standing among children, and if you notice, uh, Vietnam is not a priority. Country, even for Japan in addressing malnutrition at the beginning, but then the number because of high number of children in Vietnam, so the absolute number is about 1 million children suffering from malnutrition, and then we could to get the intention of the Japanese fund for tackling malnutrition in Vietnam. So the problem is the, the gaps between the mountainous and the lowland area, the gaps between the majority and the minority. So I think I already mentioned that the rate is even, I mean, the difference is 40, almost 40% in northern upland to only 10% in lowland, in low lowland areas. And in lowland, even now, the issues of child obesity has been becoming a problem. I mean, like in big cities in Hanoi and Ho Chi Minh City, so the double burden of malnutrition is really an issue. So I think in the coming time, the approach from the government should be focused, I mean have the different interventions and to be more focused on addressing the gap at the same time addressing the malnutrition among children. Uh, in the mountainous, uh, and, and ethnic minority, but also to think about addressing obesity for children in the big cities, which is the, which the rate is, uh, I mean, uh, higher and, and higher. So the lesson from this project, as I mentioned, is very, can be applicable, and Vietnam has starting, as Dr. Hua mentioned, included the lesson learned from the project into the action plan on tackling malnutrition and child stunting in ethnic minorities and also Included in the national targeted program on the socioeconomic development for ethnic minority. So health and nutrition is one component of this. So, uh, as a conclusion, I think we really hope that nutrition is the uh need across collaboration, nutrition needs. I mean, the intersectional collaborations and uh joint hand from all different uh stakeholders, development partners, and your support, but also the efforts from the country itself, from the people themselves in, in, in Vietnam and in those areas. So, we continue to work with this agenda, it's not the end, uh, so we, we hope that we will keep I mean, uh, maintaining the success of the project, keep maintaining this work and to expand it further to tackling the, the issues, the chronic issues in Vietnam. Uh, I also noticed that there are some questions that have been uh really addressed. So maybe after this meeting, uh, our team will answer by email and also to share the presentations with the, the wider participants. Thank you very much. Thank you very much. Brun, uh, any, uh, final words from you, please? Thank you. Yes, um, so from our perspective, uh, one from different projects, we see that radio stunting is really take time, it's really a challenge. because of several reasons we been before, so I think one of the reasons was to get attention from all stakeholder. Uh, even if it was like way after that, uh, some year and even at the end, we can go like that, OK, we achieved good result. But then this was a time for the end. So the, now we ensure the integration of stunting irrigator into the land by the local, but we also wish that in, in the other area, the similar action can be also taken by the local government. Uh, so that's one of the issues we also learn and we also now working with in the other project, uh, we have by our resources and, um, nutrition, I think, uh, last, last month we had a friendship with the, um. National Institute of Nutrition, and we, we, we discussed and we see that there are several smaller location like uh some village, some commune in one, in one district, one province. We need really to spend more resources. At the moment, the, the kind of equal investment maybe it is not enough, but we, we do need much more resources needed for those areas. And, and, and sometimes it's quite hard because in one district, in one province, maybe there are only 5 communes, and it's uh in, in, in, in this type of situation, uh we need to have another way so this can really be a good example how we incorporate, which is the health and the Agriculture, but can also be the other actor to really boost the action in uh in the day to day uh by the local government but also by the other stakeholder. So, so again for Safe Children, we learned from this project, we also discuss with their stakeholder and even bring with them more way of working and more initiative. Thank you. Thank you very much. Uh, in closing, uh, uh, uh, the conversation, uh, first of all, I would like to, uh, thank the representatives, uh, from the Ministry of Finance, uh, Tanabean, uh, uh, uh, and, uh, uh, Yamamoto-san, uh, and then, uh, uh, Shirasasan andyokai-san from the Japanese Office staying on, uh, uh, and, uh. Uh, joining us, uh, this, uh, conversation, uh, throughout the session. Thank you very much. Uh, also, uh, we had, uh, more than 50 people watching this seminar, uh, you know, from all over Japan, uh, from different sectors, uh, civil society, academia, and the private sector and government agencies. Thank you very much for, uh, watching the seminar, uh, today. I'd like to, uh, uh, conclude this, uh, seminar. Um, we, we organize so many interesting online seminars, uh, so please, uh, check our website, uh, for further information. Uh, with that, uh, stay safe, stay healthy, uh, have a wonderful weekend. Thank you very much, and then see you next time. Thank you. Thank you very much. Thank you. Goodbye. Thank you and bye bye. And.

showAllTranscripts

no

duration

PT1H33M12S

scene7File

worldbank/20220624-World-Bank-JSDF-Dialogue1

scene7Domain

scene7FileAvs

worldbank/20220624-World-Bank-JSDF-Dialogue1-AVS

title

20220624 World Bank JSDF Dialogue1

description

20220624 World Bank JSDF Dialogue1

showTimestampAndTranscript

no