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Nutrition

Folate and B12 deficiency in Ghanaian Women: The hidden nutrition crisis

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The hidden nutrion crises

When nutrition challenges among Ghanaian women are discussed, anaemia and obesity often dominate the conversation.

 These are real and serious concerns. But there are two other deficiencies, folate and vitamin B12, quietly causing harm to women and their unborn children. They are less visible, less talked about, and yet their impact begins early, often before a woman even knows she is pregnant.

Some studies suggest that about 68 per cent of women may have low vitamin B12 levels, folate deficiency affects a significant share of women of childbearing age, and many women do not meet recommended dietary intake levels for these nutrients.

Diet plays a major role. In many households, meals are largely carbohydrate-based, with limited intake of animal-source foods and micronutrient-rich options. Over time, this can lead to multiple nutrient deficiencies including iron, folate, and vitamin B12, occurring together. Low intake of iron, vitamin B12, and folate together puts women at heightened risk of giving birth to low birth weight babies or, in the worst cases, stillbirths.

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These gaps often go unnoticed because they do not always show immediate symptoms, but their consequences can be serious.

Folate is essential for the healthy formation of a baby’s neural tube, the structure that develops into the brain and spinal cord, in the very first weeks of pregnancy, often before a woman even knows she is pregnant. When folate levels are insufficient during this critical window, the risk of neural tube defects rises significantly. These are severe birth conditions, many of which are fatal or cause lifelong disability. Vitamin B12 deficiency compounds this risk further, as the two nutrients work together in the body’s most fundamental cell processes.

Despite their importance, folate and vitamin B12 deficiencies receive limited attention in public health messaging and programmes.

 Women need to know about these nutrients before they become pregnant, not after. This requires preconception nutrition counselling, targeted supplementation programmes, fortification of staple foods, and education campaigns that reach women in communities, markets, and health facilities.

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 Ghana has had a mandatory wheat flour fortification policy with iron and folic acid since 2007, but enforcement and coverage remain inconsistent, and the policy does not address vitamin B12. Expanding fortification to include B12 and strengthening compliance monitoring would be important steps forward.

Leaders across health, education, and agriculture must place these ‘hidden’ deficiencies on the national nutrition agenda, because the damage they cause is anything but hidden to the families who experience it.

Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project

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Nutrition

When floodwaters rise, nutrition and food safety should not be ignored

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Disacard food with of contamination

The recent floods across parts of Ghana have disrupted lives, displaced families, and damaged homes and livelihoods. While rescue efforts and rebuilding understandably take centre stage, another urgent issue deserves equal attention, nutrition and food safety, both during the flood and long after the water recedes.

Floods contaminate water sources, destroy crops, interrupt food supplies, and increase the spread of foodborne disease. These challenges place young children, pregnant and breastfeeding women, older adults, and people living with chronic illness at far greater risk of malnutrition. The scale of this threat is not hypothetical: in June 2025 alone, floods displaced nearly 90,000 people across seven regions, according to Ghana’s National Disaster Management Organisation (NADMO). Past flood-drought cycles show why displacement of this kind matters for nutrition following a similar disaster in Ghana’s three northern regions, the World Food Programme documented chronic malnutrition among children ranging from 34 to 48 per cent, alongside acute malnutrition of 8 to 12 percent, in the hardest-hit areas. As Ghana faces more frequent extreme weather events, protecting nutrition must become a core part of disaster preparedness, not an afterthought.

Floods affect more than food availability

Floodwaters wash away farms, destroy stored food, and make it difficult for farmers and traders to move produce to market. As supplies shrink, prices of nutritious foods such as fruits, vegetables, fish, and eggs increase. For households already stretched by the rising cost of living, that often means choosing cheaper, less nutritious food just to feel full. Over time, diets narrow, and the risk of vitamin and mineral deficiencies grows.

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The hidden danger: unsafe food

Floodwater is rarely clean. It carries sewage, chemicals, animal waste, and other contaminants into homes, farms, and food stores. Eating food that has touched floodwater, or drinking unsafe water, can trigger diarrhoea, cholera, typhoid, and other infections, illnesses that block nutrient absorption and cause rapid weight loss, especially in children. The danger doesn’t end when the water goes down; improperly stored or damaged food can still make people sick weeks later.

What every household can do

  • Drink only safe or treated water where supplies have been affected.
  • Wash fruits and vegetables thoroughly with clean water.
  • Discard any food that has been exposed to floodwater, even if it looks fine.
  • Cook food thoroughly and never eat spoiled food.
  • Keep breastfeeding infants: breast milk remains the safest source of nutrition in an emergency.
  • Seek medical care promptly if a child develops persistent diarrhoea or shows signs of dehydration.

Recovery needs more than a full stomach

Emergency food aid tends to focus on energy-dense staples like rice and maize. Important, yes but not enough on their own. Recovering families also need protein, healthy fats, vitamins, and minerals, especially the most vulnerable groups. A nutrition-smart response includes fortified foods, beans and other legumes, safe drinking water and fresh produce where possible.

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Recovery shouldn’t stop at food distribution, either. Communities need help rebuilding farms, markets, and livelihoods so families can go back to sourcing diverse, nutritious food on their own, not depending indefinitely on aid.

A call for leadership

Floods will keep testing Ghana’s resilience. The first call is to find innovative ways to reduce the impact of the floods. The response, however, has to go beyond emergency relief to actively protect nutrition and food safety through safe water provision, food safety education, trained health workers who can spot malnutrition early, and recovery programmes that help farmers get growing again quickly.

When communities are protected from hunger, disease, and poor nutrition at every stage of a disaster, they don’t just survive floods, they recover from them faster and stronger.

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Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project 

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Nutrition

How to prepare sausage rolls

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Sausage rolls

Ingredients  

-2 onion sliced

– One pack of sausage

– 2 tablespoonful of salt

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-1 tablespoonful of nutmeg

-One tin of milk

– 2 large eggs

– 2 kilograms of flour

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Method

-Pre-heat oven to keep it warm

-Put saucepan on the fire and heat oil

-Add onions and cook until soft and golden brown and spread out on a plate to cool

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-Add onions, nutmeg and sausage and mix together

– Roll the pastry out into a big rectangle as thick as a pound coin and cut it length ways into two long, even rectangles

-Roll mixture into sausage shapes with your hands and lay along the centre of each rectangle

-Mix the egg and milk and brush the pastry with the mixture, then fold one side of the pastry over, wrapping the filling inside. Press down with your fingers or the edge of a spoon to seal the joint

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Cut the long rolls into the sizes you want and space them out on a baking tray. Brush with the rest of the egg wash and bake in the pre-heated oven for 25 minutes or until puffed, golden and cooked through

By Linda Abrefi Wadie

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