The rise and fall of universal salt iodization in Vietnam: Lessons learned for designing sustainable food fortification programs with a public health impact

Food and Nutrition Bulletin

Volumn 36, Issue 4, 2015, Pages 441-454

  Codling, Karen ^a   Quang, Nguyen Vinh ^b   Phong, Le ^b   Phuong, Do Hong ^c   Quang, Nguyen Dinh ^b   Bégin, France ^c   Mathisen, Roger ^c  

^a Public Nutrition Solutions   (Thailand)

^b Dept of Biochem   (Viet Nam)

^c UNICEF   (United States)

Author keywords

Food fortification; Iodine deficiency disorders (IDD); Mandatory salt iodization; Universal salt iodization (USI); Vietnam

Indexed keywords

ABNORMALITY; FOOD MARKET; FOOD PROCESSING; HEALTH IMPACT; HEALTH POLICY; IODINE; LEGISLATION; NUTRITIONAL STATUS; PUBLIC HEALTH; QUALITATIVE ANALYSIS; QUESTIONNAIRE SURVEY; SALT; STAKEHOLDER; SUSTAINABILITY;

VIET NAM;

IODINE; IODIZED SALT; SALT INTAKE;

ADMINISTRATION AND DOSAGE; DEFICIENCY; FEMALE; FORTIFIED FOOD; GOVERNMENT; HISTORY; HUMAN; LAW; PROGRAM EVALUATION; PUBLIC HEALTH; SALT INTAKE; URINE; VIET NAM;

FEMALE; FOOD, FORTIFIED; GOVERNMENT PROGRAMS; HISTORY, 20TH CENTURY; HISTORY, 21ST CENTURY; HUMANS; IODINE; LEGISLATION, FOOD; PROGRAM EVALUATION; PUBLIC HEALTH; SODIUM CHLORIDE, DIETARY; VIETNAM;

EID: 84986537094     PISSN: 03795721     EISSN: 15648265     Source Type: Journal    
DOI: 10.1177/0379572115616039     Document Type: Article

References (34)

1. World Health Organization and Food and Agriculture Organization of the United Nations. Vitamin and Mineral Requirements in Human Nutrition, 2nd ed. Geneva: WHO; 2004. Web site. http:// whqlibdoc.who.int/publications/2004/9241546123.pdf. Updated October 29, 2015. Accessed December 1, 2014.
2. World Health Organization, United Nations Children’s Fund, International Council for the Control of Iodine Deficiency Disorders. Assessment of Iodine Deficiency Disorders and Monitoring Their Elimination: A Guide for Program Managers, 3rd ed. Geneva: WHO; 2007. Web site. http://bit.ly/ 1vbkCpH. Updated October 29, 2015. Accessed December 1, 2014.
3. World Health Organization and United Nations Children’s Fund. World Summit for Children— Mid Decade Goal: Iodine Deficiency Disorders. Geneva: UNICEF-WHO Joint Committee on Health Policy; 1994. Web site. http://www.ceecis.org/iodine/01_global/01_pl/01_01_1994_summit.pdf. Updated 29, October 2015. Accessed December 1, 2014.
4. United Nations Children’s Fund. State of the World’s Children 2014: Every Child Counts. UNICEF. 2013. Web site. http://data.unicef.org/ nutrition/iodine.html. Accessed September 14, 2015.
5. Andersson M, Karumbunathan V, Zimmermann M. Global iodine status in 2011 and trends over the past decade. J Nutr. 2012;142(4):744-750.
6. Eastman C, Codling K, Cavalli-Sforza T, Fahy B. Findings of the UNICEF, WHO, ICCIDD Inter-Agency Team on IDD Control Project in Viet Nam. 2004 (internal agency report; unpublished).
7. Directive No. 24-BYT/CT issued by the MOH in 1981 on IDDC activities. Web site. http://thuvien phapluat.vn/van-ban/The-thao-Y-te/Chi-thi-24- BYT-CT-cong-tac-phong-chong-buou-co/44544/ noi-dung.aspx. Accessed September 14, 2015.
8. Viet Nam National assessment report on current status of iodine deficiency. Hospital of Endocrinology, Hanoi. 1994.
9. Viet Nam government decision 481-TTG-1994 on mobilization for an universal use of iodised salt. Web site. http://vanban.luatminhkhue.vn/xemvb/ 33303/quyet-dinh-481-ttg.aspx. Updated September 2015. Accessed September 14, 2014.
10. Prime Minister of Viet Nam. Decision No. 481/ TTg of the Prime Minister dated September 1994 on organizing and calling upon all people to buy and use iodized salt. 1994. Web site. http://bit.ly/1vBbAlS. Updated October 29, 2015. Accessed December 1, 2014.
11. Government of Viet Nam. Decree No. 19/1999/ ND-CP dated April 10, 1999 on the Production and Supply of Iodized Salt for Human Consumption. 1999. Web site. http://bit.ly/1FHBx4w. Updated October 29, 2015. Accessed December 1, 2014.
12. Government of Viet Nam (1998) Government Decree No 20/1998/ND-CP dated 31 March 1998 on developing commerce in mountain areas, offshore islands, and ethnic minority regions. 1998. Web site. http://www.unicef.org/vietnam/resources_21654.html. Updated October 29, 2015. Accessed December 1, 2014.
13. Hospital of Endocrinology, Viet Nam. Household based survey on the use of iodized salt and salty condiments in reproductive aged women in Viet Nam 2005-2006.
14. National IDD Surveys of the Hospital of Endocrinology, Viet Nam. 2000.
15. Hospital of Endocrinology. Report on Iodine Deficiency Disorder Preventative Activities in Viet Nam. 2012.
16. Binh TV, Uoc HK, Duong PH. Initial survey about situation of usage of salty spices in some regions in Mekong River Delta. In: Some scientific studies from national project done by the National Hospital of Endocrinology, 1969-2004, National Hospital of Endocrinology. Hanoi: Medical Publishing House; 2004.
17. Kim PT, Ha TTN, Yet HT, Huong PTT. Survey on salt consumption in two provinces of Yen Bai and Ha Tay. In: The Proceeding of Scientific Workshop. Hanoi: National Institute of Nutrition; 1992.
18. Chanthilath B, Chavasit V, Chareonkiatkul S, Judprasong K. Iodine stability and sensory quality of fermented fish and fish sauce produced with the use of iodated salt. Food Nutr Bull. 2009;30(2): 183-188.
19. General Statistics Office. Viet Nam Multiple Indicator Cluster Survey 2010-2011: Monitoring the situation of children and women. http://www.un.org.vn/en/publications/cat_view/126-unpublications- by-agency/94-unicef-publications.html. Accessed October 29, 2015.
20. Zimmerman M. The effects of iodine deficiency in pregnancy and infancy. Paediatr Perinat Epidemiol. 2012;26(suppl 1):108-117.
21. Hospital of Endocrinology, Viet Nam. KAP Report on Iodine Utilization in Southern Provinces, Iodine Deficiency Status 3 Years after Completion of National Target Project on Goiter Prevention, 2008.
22. Dong Thap Health Department. Knowledge, attitude, and practice (KAP) survey on iodized salt in Dong Thap province in 2009.
23. Fisher J, Tran T, Biggs B, et al. Iodine status in late pregnancy and psychosocial determinants of iodized salt use in rural northern Viet Nam. Bull World Health Organ. 2011;89(11):813-820.
24. Government Decision number 102/2009/QD/TTg dated August 7, 2009.
25. Government of Viet Nam. Decree No. 163/2005/ ND-CP dated 29 December 2005 on Production and Supply of Iodized Salt for Human Consumption. Web site. http://www.unicef.org/vietnam/ resources_21654.html. Updated October 29, 2015. Accessed December 1, 2014.
26. International Council for the Control of Iodine Deficiency Disorders/Iodine Global Network/ United Nations Children’s Fund/World Health Organization. Status of the National Iodine Deficiency Control Program in Viet Nam: Assessing its past achievements, current status, challenges and opportunities. Joint mission report, May 2012.
27. Yadav K, Chakrabarty A, Rah JH, et al. The national coalition for Sustained Optimal Iodine intake (NSOI): a case study of a successful experience from India. Asia Pac J Clin Nutr. 2014; 23(suppl 1):s38-s45
28. Horton S, Mannar V, Wesley A. Micronutrient Fortification (Iron and Salt Iodization) Copenhagen Consensus Best Practice Paper 2008. Web site. http://bit.ly/1CyiAFl. Updated October 29, 2015. Accessed December 1, 2014.
29. World Health Organization. Guideline: fortification of food-grade salt with iodine for the prevention and control of iodine deficiency disorders. 2014. Web site. http://www.who.int/nutrition/pub lications/guidelines/fortification_foodgrade_saltwithiodine/en. Accessed September 6, 2015.
30. Congress of the Philippines. An Act establishing the Philippine food fortification program and for other purposes. Republic Act No. 8976. 2000. Web site. http://www.fda.gov.ph/attachments/article/ 29049/RA%208976_IRR.pdf. Accessed October 29, 2015.
31. United Nations Children’s Fund/EAPRO. Review of National Legislation for Universal Salt Iodization: South Asia and East Asia and the Pacific. 2013. Web site. http://uni.cf/1vJKRT4. Updated October 29, 2015. Accessed December 1, 2014.
32. World Health Organization. Salt Reduction and Iodine Fortification Strategies in Public Health: Report of a joint technical meeting convened by the World Health Organization and The George Institute for Global Health in collaboration with the International Council for the Control of Iodine Deficiency Disorders Global Network, Australia March 2013. 2014. Web site. http://bit.ly/1v4vikV. Updated October 29, 2015. Accessed December 1, 2014.
33. van den Wijngaart A, Bégin F, Codling K, Randall P, Johnson QW. Regulatory monitoring systems of fortified salt and wheat flour in selected ASEAN countries. Food Nutr Bull. 2013;34(2): s102-s111
34. United Nations Children’s Fund. Sustainable Elimination of Iodine Deficiency. 2008. Web site. http://www.unicef.org/publications/index_44271.htm. Accessed October 29, 2015.