[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-109192-en":3,"doc-seo-109192-105":31,"detail-sidebar-cat-0-en-105":97},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},109192,962075006959,"Anda","https://ap-avatar.wpscdn.com/avatar/e0002397efbe92a78e?_k=1776741047341049297",8,"Research & Report","Determinants of Child Malnutrition in the Lao PDR - Policy Note","Policy note analyzing why child malnutrition, especially stunting, remains persistently high in the Lao PDR. It links limited progress to disruptions during COVID-19 and ongoing economic constraints, despite earlier improvements. The note identifies determinants ranging from antenatal care and skilled birth attendance to dietary diversity, caregiver education, household wealth, sanitation, and household child composition, and highlights ethnic and geographic disparities. It also outlines policy implications to reduce stunting and protect human potential.","Disc losure Authorized  \nPolicy Note  \nPub lic Disclosure Authorized Pub lic Disclosure Authorized Pub lic Disclosure Authorized Public  \nDeterminants of Child Malnutrition in the Lao PDR  \n Policy Note  \nDeterminants of Child Malnutrition in the Lao PDR  \n© 2024 International Bank for Reconstruction and Development / The World Bank 1818 H Street NW, Washington, DC 20433  \nTelephone: 202-473-1000; [Internet: www.worldbank.org](Internet: www.worldbank.org)[ ](Internet: www.worldbank.org)Some rights reserved.  \nThis work is a product of the staff of the World Bank with external contributions. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of the World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries.  \nNothing herein shall constitute or be considered a limitation upon or waiver of the privileges and immunities of the World Bank, all of which are specifically reserved.  \nRights and Permissions  \nThis work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO) [http:// creativecommons](http:// creativecommons). org/licenses/by/3.0/igo. Under the Creative Commons Attribution license, you are free to copy, distribute, transmit, and adapt this work, including for commercial purposes, under the following conditions:  \nAttribution—Please cite the work as follows: World Bank. 2024. Determinants of Child Malnutrition in the Lao PDR.  \nWashington, DC: World Bank. License: Creative Commons Attribution CC BY 3.0 IGO  \nTranslations—If you create a translation of this work, please add the following disclaimer along with the attribution: This translation was not created by the World Bank and should not be considered an official World Bank translation. the World Bankshall not be liable for any content or error in this translation.  \nAdaptations—If you create an adaptation of this work, please add the following disclaimer along with the attribution: This is an adaptation of an original work by the World Bank. Views and opinions expressed in the adaptation are the sole responsibility of the author or authors of the adaptation and are not endorsed by the World Bank.  \nThird-party content—The World Bank does not necessarily own each component of the content contained within the work. The World Bank therefore does not warrant that the use of any third-party owned individual component or part contained in the work will not infringe on the rights of those third parties. The risk of claims resulting from such infringement rests solely with you. If you wish to re-use a component of the work, it is your responsibility to determine whether permission is needed for that re-use and to obtain permission from the copyright owner. Examples of components can include, but are not limited to, tables, figures, or images.  \nAll queries on rights and licenses should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC 20433, USA; e-mail: [pubrights@worldbank.org](pubrights@worldbank.org).  \nAcknowledgments  \nThis policy note was prepared by Sutirtha Sinha Roy and Tanida Arayavechkit. The authors wish to thank Alexander Kremer, Rinku Murgai, Ali Winoto Subandoro, Obert Pimhidzai, and Jutta Krahn for their valuable feedback and guidance.  \nCover design: Janet Pontin, Layout: Paul Bloxham, Photo: World Bank © Bart Verweij  \nPolicy Note Determinants of Child Malnutrition in the Lao PDR iii   \nContents  \nKey Messages  ..................................................................... iv  \n1 . Introduction and Background  ..................................................... 1  \n2 . Determinant","cbCaibeaTs6gj397","https://ap.wps.com/l/cbCaibeaTs6gj397","pdf",1852345,5,1,29,"English","en",105,"# Key Messages\n# 1. Introduction and Background\n# 2. Determinants of Child Malnutrition\n# 3. Disparities in Stunting Between Ethnic Groups\n# 4. Policy Implications\n# Appendix\n# References","[{\"question\":\"Why has stunting progress stalled in the Lao PDR?\",\"answer\":\"Stunting remains stubbornly high, with progress stalling amid COVID-19 and associated economic difficulties. The rate stopped improving after declining from 44% in 2011 to 33% in 2017.\"},{\"question\":\"What household and service factors influence child stunting?\",\"answer\":\"Key determinants include completion of four antenatal care visits, use of skilled birth attendants, child dietary diversity, caretaker age and education, household economic status, household number of children aged 0–4, and village-level improved sanitation coverage.\"},{\"question\":\"How do disparities in stunting vary across ethnic groups and regions?\",\"answer\":\"Children are more likely to experience malnutrition if they belong to an ethnic community and live in northern provinces. The policy note also specifically examines stunting disparities between ethnic groups.\"},{\"question\":\"What dietary patterns are associated with lower stunting?\",\"answer\":\"Consumption of meat, dairy, and eggs is linked to lower stunting. Limited protein intake may contribute to higher stunting among poorer households, and earlier cessation of feeding milk and dairy is observed in some wealthier households.\"}]","Determinants of Child Malnutrition in the Lao PDR - Policy Note | PDF",1784477715,73,{"code":4,"msg":32,"data":33},"ok",{"site_id":25,"language":24,"slug":34,"title":13,"keywords":35,"description":14,"schema_data":36,"social_meta":92,"head_meta":94,"extra_data":96,"updated_unix":29},"determinants-of-child-malnutrition-in-the-lao-pdr-policy-note","",{"@graph":37,"@context":91},[38,55,70],{"@type":39,"itemListElement":40},"BreadcrumbList",[41,45,49,52],{"item":42,"name":43,"@type":44,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":46,"name":47,"@type":44,"position":48},"https://docshare.wps.com/document/","Document",2,{"item":50,"name":12,"@type":44,"position":51},"https://docshare.wps.com/document/research-report/",3,{"item":53,"name":13,"@type":44,"position":54},"https://docshare.wps.com/document/determinants-of-child-malnutrition-in-the-lao-pdr-policy-note/109192/",4,{"url":53,"name":13,"@type":56,"author":57,"headline":13,"publisher":59,"fileFormat":62,"inLanguage":24,"description":14,"dateModified":63,"datePublished":64,"encodingFormat":62,"isAccessibleForFree":65,"interactionStatistic":66},"DigitalDocument",{"name":9,"@type":58},"Person",{"url":42,"name":60,"@type":61},"DocShare","Organization","application/pdf","2026-07-29","2026-07-19",true,{"@type":67,"interactionType":68,"userInteractionCount":20},"InteractionCounter",{"@type":69},"ViewAction",{"@type":71,"mainEntity":72},"FAQPage",[73,79,83,87],{"name":74,"@type":75,"acceptedAnswer":76},"Why has stunting progress stalled in the Lao PDR?","Question",{"text":77,"@type":78},"Stunting remains stubbornly high, with progress stalling amid COVID-19 and associated economic difficulties. The rate stopped improving after declining from 44% in 2011 to 33% in 2017.","Answer",{"name":80,"@type":75,"acceptedAnswer":81},"What household and service factors influence child stunting?",{"text":82,"@type":78},"Key determinants include completion of four antenatal care visits, use of skilled birth attendants, child dietary diversity, caretaker age and education, household economic status, household number of children aged 0–4, and village-level improved sanitation coverage.",{"name":84,"@type":75,"acceptedAnswer":85},"How do disparities in stunting vary across ethnic groups and regions?",{"text":86,"@type":78},"Children are more likely to experience malnutrition if they belong to an ethnic community and live in northern provinces. The policy note also specifically examines stunting disparities between ethnic groups.",{"name":88,"@type":75,"acceptedAnswer":89},"What dietary patterns are associated with lower stunting?",{"text":90,"@type":78},"Consumption of meat, dairy, and eggs is linked to lower stunting. Limited protein intake may contribute to higher stunting among poorer households, and earlier cessation of feeding milk and dairy is observed in some wealthier households.","https://schema.org",{"og:url":53,"og:type":93,"og:title":13,"og:site_name":60,"og:description":14},"article",{"robots":95,"canonical":53},"index,follow",{"doc_id":7,"site_id":25},{"code":4,"msg":5,"data":98},[99,103,107,111,115,120,125,128,133,136,140],{"id":21,"doc_module":4,"doc_module_name":47,"category_name":100,"show_sort_weight":101,"slug":102},"Story & Novel",90,"story-novel",{"id":48,"doc_module":4,"doc_module_name":47,"category_name":104,"show_sort_weight":105,"slug":106},"Literature",80,"literature",{"id":54,"doc_module":4,"doc_module_name":47,"category_name":108,"show_sort_weight":109,"slug":110},"Exam",70,"exam",{"id":20,"doc_module":4,"doc_module_name":47,"category_name":112,"show_sort_weight":113,"slug":114},"Comic",60,"comic",{"id":116,"doc_module":4,"doc_module_name":47,"category_name":117,"show_sort_weight":118,"slug":119},6,"Technology",50,"technology",{"id":121,"doc_module":4,"doc_module_name":47,"category_name":122,"show_sort_weight":123,"slug":124},7,"Healthcare",40,"healthcare",{"id":11,"doc_module":4,"doc_module_name":47,"category_name":12,"show_sort_weight":126,"slug":127},30,"research-report",{"id":129,"doc_module":4,"doc_module_name":47,"category_name":130,"show_sort_weight":131,"slug":132},9,"Religion & Spirituality",20,"religion-spirituality",{"id":131,"doc_module":4,"doc_module_name":47,"category_name":134,"show_sort_weight":131,"slug":135},"World Cup","world-cup",{"id":137,"doc_module":4,"doc_module_name":47,"category_name":138,"show_sort_weight":137,"slug":139},10,"Lifestyle","lifestyle",{"id":141,"doc_module":4,"doc_module_name":47,"category_name":142,"show_sort_weight":20,"slug":143},19,"General","general"]