The overarching key point in the strategy for preventing child malnutrition is a preventive approach, implementing nutritional improvement across the life cycle, reflected in the following points:

Improving adolescent nutrition and maternal nutrition before pregnancy and during pregnancy.is the essential content of "preventive nutrition" to reduce the rate of stunting. This is a very important approach. International organizations call on countries to have systematic educational campaigns for young women. Health education, nutrition, sex education and prevention of early pregnancy, unwanted pregnancy need to be integrated and included in schools. Many countries in the world and in the region have maintained school nutrition programs. This program can include a lunch project subsidized by the Government, along with medical care, vaccination, hygiene and micronutrient supplementation such as iron supplements for female students. These activities in our country are only taking place on a pilot scale. Women before becoming pregnant need to pay more attention to nutrition including eating, preventing infectious diseases, worms, and need to be educated about nutrition, understanding of food, understanding of child rearing. Nutritional care for pregnant women including weight gain monitoring, nutrition counseling, prenatal check-ups, vaccination, iron/folic supplementation and improved sanitation are basic activities that are never outdated and always of interest in every community. Nutrition programs need to be integrated with safe motherhood programs in providing care to adolescent and reproductive-age women. Strengthen nutrition content in all health care activities (both treatment and prevention) for adolescent, pre-pregnancy and pregnant women combined with family planning services. Community-based models need to be developed to increase the potential for the above subjects. 3. Improve the quality and coverage of child nutrition care activities to reduce stunting in the early years. Focus on early care from birth for all children. The key point here is to exclusively breastfeed for the first 6 months and continue breastfeeding for 18 to 24 months. From the 6th month, implement appropriate complementary feeding, improve the quality of complementary feeding (enough protein, lipid) and supplement micronutrients for children. The World Health Organization has just published the "Global Strategy for Child Feeding". The recent completion of the child feeding strategy applied to Vietnam and approved by the Government is an important content for nutrition work in Vietnam. This strategy includes educational issues, providing accurate information on child feeding, supporting skills, advising on on-site feeding, developing a program of cheap, ready-to-eat complementary foods and supplementing micronutrients. To effectively implement child care activities in rural areas, there needs to be a widespread system of nurseries and kindergartens. This is a huge but fundamental step in improving child nutrition.Experience from many countries that have achieved rapid reductions in malnutrition rates shows that a good day-care center system is important in community-based care activities, thereby improving the quality of care at home. It is necessary to implement a comprehensive package of nutritional care activities for mothers and children in the community.

Increase investment in activities to improve household food security and reduce poverty. This requires the active participation of the agricultural sector, agricultural extension activities, loans and marketing at small and medium scale, production support of cooperatives and rural economic models. Improving household food security needs to be linked to community development activities with the attention of the State and the support of social organizations.

Close inter-sectoral coordination, continuing to mobilize community participation and high commitment of the Government in preventing child malnutrition. In fact, inter-sectoral coordination in the past has been limited. The hunger eradication and poverty reduction program has received attention from the State, but the output of improving nutrition for the people has not been fully emphasized. The coordination between the health, agriculture and education sectors has not met expectations to effectively implement activities to prevent child malnutrition. The solutions of the National Nutrition Strategy need to be implemented actively, with investment and attention from the State.

Monitoring, supervision and evaluation should be carried out well. First of all, it is necessary to strengthen the information system on food insecurity, improve the quality of using this information in policy making and investment in projects and programs to improve household food security for high-risk groups and high-risk areas. The nutrition monitoring system of the Institute of Nutrition needs to be upgraded in terms of equipment, funding and analytical capacity to be able to provide objective information not only on the annual malnutrition rate representing each province but also information on the situation of malnutrition prevention activities as well as analysis of the current status of malnutrition factors according to specific areas. The height-for-age malnutrition index should be considered an essential indicator that needs to be monitored in the community. In short, our country is internationally assessed to have had a fairly impressive reduction in malnutrition in recent years. However, the reduction in the rate of malnutrition above does not indicate the ability to sustain and maintain. The rate of stunting is still high and there are many differences between regions. Many essential interventions have not been properly invested in, and implementation activities are still lacking in synchronization. The question is how to improve the nutritional quality of Vietnamese people in the coming time? The approach that many people agree with today is "prevention approach", implementing nutritional improvement according to the life cycle, first of all focusing more on nutritional care and health for adolescents, women before pregnancy, during pregnancy will be the foundation for sustainable reduction of malnutrition in our country.