Nutrition
Why RUTF must be added to the NHIS; A call for national action
Despite RUTF’s proven ability to save lives, access to it in Ghana remains inconsistent. Many caregivers face long travel distances to treatment centres, only to be told that supplies have run out. Others rely on community health workers who do their best but struggle with stock shortages. The core challenge is simple: RUTF in Ghana depends heavily on donors, and when global priorities shift or funding gaps emerge, children suffer.
RUTF’s which stands for Ready-to-Use Therapeutic Food is a high-energy, micronutrient-rich food paste designed to treat severe acute malnutrition in children. This raises an important question: why is a life-saving product, essential to child survival, not covered under the National Health Insurance Scheme (NHIS)?
Including RUTF in NHIS would mark a monumental shift in how Ghana approaches child health. Firstly, it would ensure that access to RUTF becomes a national obligation, not an act of charity. Severe acute malnutrition is a medical condition, just like malaria, pneumonia, or diabetes, and must be treated as such. With RUTF included in the NHIS medicines list, families would be guaranteed treatment without depending on unpredictable donor supplies.
Secondly, integrating RUTF into NHIS is cost-effective. Untreated malnutrition leads to complications such as severe infections, developmental delays, and prolonged hospital admissions, all of which are far more expensive for the health system than early intervention. Investing in RUTF through NHIS would reduce long-term healthcare costs while strengthening Ghana’s commitment to the Sustainable Development Goals, particularly SDG 2 and SDG 3.
Thirdly, including RUTF in the scheme would help eliminate inequities. Currently, access varies by region. Children in remote or hard-to-reach communities often suffer the most. When RUTF is made universally available, every child is guaranteed treatment when they need it.
Additionally, NHIS coverage of RUTF would help streamline procurement systems, improve supply chain consistency and strengthen accountability mechanisms, a gap that currently undermines national nutrition efforts.
At its core, this is an issue of fairness, governance, and national responsibility. If Ghana truly prioritises child survival, then RUTF must be placed where it belongs, that is, within the NHIS as an essential, guaranteed treatment.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
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Nutrition
Healthy diets are not just personal choices: Ghana must fix the food environmentBy Marilyn Gadogbe
Ghanaian families are increasingly consuming unhealthy foods because the environment makes them the easiest and cheapest choice. From sugary drinks and pastries in schools to instant noodles at home, daily diets are pushing the nation toward hypertension, diabetes, and other diet-related diseases.
Key points:
- Choice is limited: People often pick energy-dense, processed foods not out of carelessness but because they are affordable, convenient, and heavily marketed.
- Health risks: Ultra-processed snacks are becoming common in urban homes, contributing to rising chronic diseases and a growing public health burden.
- Policy vs. personal responsibility: Individual choices matter most when supported by a healthy environment. Policies can enable responsible decisions, just as traffic laws support safe driving.
Proposed 5-Point Action Plan for Ghana:
- Front-of-pack warning labels: FDA & MoH to mandate clear labels on high-sugar or high-salt products.
- Marketing restrictions: FDA to limit advertising of unhealthy foods to children, especially near schools.
- School food standards: GES & School Feeding Programme to prioritize nutrient-dense local foods and limit sugary drinks.
- Sugar levy: MoF & MoH to tax sugar-sweetened beverages and use revenue to subsidize fresh fruits and vegetables in low-income areas.
- Strengthen local food systems: MoFA & Local Assemblies to invest in fresh food access, storage, and market infrastructure.
Conclusion:
A healthier Ghana requires designing a supportive food environment through policy. Diet-related diseases are not just personal choices—they reflect the system people live in. Without structural change, preventable illnesses will continue to burden the nation.
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Yake Yake is a traditional Ghanaian dish from the Volta Region made from steamed, grated cassava. It is similar to Attieke but typically steamed in a different, more rustic, or water-free style.
Ingredients
- 4 tubes of cassava
- Salt to taste
Preparation
- Peel the cassava tubers, remove the fibrous inner core, and wash thoroughly.
- Grate the cassava using a blender or grater until it is fine and grainy.
- Place the grated cassava into a muslin or cheesecloth and squeeze out as much water as possible.
- Pass the dried, squeezed cassava through a strainer to separate coarse chunks, ensuring a fine, powdery texture.
- Line a steamer (or a pot with a perforated insert) with a cheesecloth. Pour the cassava flakes into the cloth, forming a dome shape.
- Steam for about 3–4 minutes until fluffy.
- Turn the Yake Yake out onto a plate. It should appear as a soft, cake-like dome.
- Pair with tilapia, hot pepper, and sliced onions for a complete, authentic Ghanaian meal.
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