Nutrition
Leadership, accountability, and the urgent need to prioritise nutrition outcomes
The persistence of malnutrition in Ghana raises important questions about leadership and accountability in nutrition governance. While technical expertise and donor support are available, progress remains uneven due to weak accountability mechanisms and limited political prioritisation.
Effective leadership for nutrition requires more than policy statements. It demands clear targets, sustained financing, and transparent monitoring systems.
Nutrition outcomes must be tracked and publicly reported, allowing citizens to assess government performance.
Accountability must extend across all levels of government. National leadership sets the tone, but district and regional authorities are responsible for implementation.
Strengthening leadership capacity at these levels is essential to ensure that national commitments translate into tangible results.
The media and civil society play a critical role in sustaining advocacy and demanding accountability.
By keeping nutrition on the public agenda, they help ensure that commitments are not forgotten once policy documents are launched.
Ghana’s development ambitions, including middle-income growth and human capital development, cannot be achieved while malnutrition persists.
Nutrition outcomes should be treated as indicators of governance effectiveness, alongside economic growth and infrastructure delivery.
Leadership that prioritises nutrition sends a powerful signal about national values and priorities. It demonstrates a commitment to equity, child survival, and long-term prosperity.
The fight against malnutrition is ultimately a test of leadership. Ghana has the knowledge, resources, and capacity to succeed. What is needed now is the political will to act decisively and hold institutions accountable for results.
Key policy recommendations: The Ghana Statistical Service should establish a National Nutrition Dashboard, publishing real-time data on stunting, wasting, and micronutrient deficiencies by district and region, updated quarterly and accessible to the public.
Parliament’s Public Accounts Committee (PAC) must conduct annual nutrition expenditure reviews, tracking budget allocations versus actual spending across all MDAs.
The Office of the President should institute an Annual National Nutrition Summit where Ministers and DCEs present progress reports, with independent evaluation by civil society organizations.
The National Commission for Civic Education (NCCE) should launch a “Nutrition Accountability Campaign” educating citizens on nutrition as a governance issue and how to demand action from elected officials. Media houses should be supported to develop specialized nutrition reporting units that investigate and expose gaps in service delivery.
Finally, the Auditor-General’s office should include nutrition programme audits in its annual work plan, examining value-for-money and impact of nutrition investments with findings presented to Parliament.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
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Ghana has nutrition policies. Ghana has nutrition targets. Ghana has nutrition programmes spread across multiple ministries and dozens of implementing partners.
What Ghana does not have is a single, empowered body responsible for leading, coordinating, and holding all this together. That is the gap a National Nutrition Council would fill, and stakeholders are calling for one now.
The case for a council
At a stakeholder engagement convened under the Nourish Ghana project in 2025, participants proposed the establishment of a National Nutrition Council to provide effective leadership and a governance framework for addressing malnutrition in Ghana. The meeting, which brought together policymakers, development partners, civil society organisations, and the media, highlighted a fundamental problem: nutrition responsibilities are fragmented across various ministries. Without a dedicated coordination body, efforts are duplicated, accountability is diffuse, and nutrition consistently loses out when budgets are tight.
The proposal echoes a model used in several countries that have made the fastest progress against malnutrition. Nigeria’s National Council on Nutrition, for example, recently pledged $107 million at the 2025 N4G Summit, a level of coordinated ambition that Ghana has struggled to match.
Ghana does have existing coordination structures worth acknowledging. The Scaling Up Nutrition Cross-Sectoral Planning Group (CSPG), established in 2012, was set up to harmonise planning, implementation, and monitoring of nutrition actions across sectors. It has produced real gains. But the challenge has been institutionalising those gains beyond project cycles, and analysts have called for an elevated national coordination body with presidential oversight to ensure genuine cross-sector accountability. A National Nutrition Council would go further, providing the dedicated financing and convening authority that the CSPG, as currently structured, does not have.
What a Council would do
A National Nutrition Council would provide political oversight and coordination across all sectors involved in nutrition, health, agriculture, education, social protection, and finance. It would track Ghana’s nutrition commitments, hold ministries accountable for delivery, and ensure that nutrition budgets are protected and spent effectively. Most importantly, it would give nutrition a permanent seat at the table where national development decisions are made.
The Time Is Now
Ghana made 10 commitments at the 2025 N4G Paris Summit. Translating those commitments into results requires a governance structure that does not currently exist. Establishing a National Nutrition Council is not a bureaucratic exercise. It is the institutional foundation without which Ghana’s nutrition ambitions will remain promises on paper. Leaders must act on this proposal without delay.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
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