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Nutrition

 Accountability in Nutrition: Who holds Ghana’s leaders responsible?

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 Ghana’s fight against malnutri­tion is undermined not by a lack of knowledge, but by lack of accountability.

Nutrition experts and policymak­ers alike know what works: exclusive breastfeeding, micronutrient supple­mentation, food fortification, school feeding programs, and nutrition-sen­sitive agriculture.

Yet, programs stall, targets are missed, and resources are under­funded with little consequence for those responsible.

Who is responsible when exclu­sive breastfeeding stagnates below global targets? Who answers for the fact that nearly half of Ghanaian women suffer from anaemia despite repeated pledges to improve ma­ternal nutrition? Who explains why stunting rates remain at 18 percent when the target was 15percent by 2025? Who ensures that Nutrition for Growth (N4G) commitments made at the international stage are translat­ed into local budgets and services? Who accounts for nutrition budgets that fall short of the 2-3 percent al­location recommended for effective programming? Etc.

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Accountability must be made non-negotiable. Parliament must de­mand annual nutrition accountability reports from the Ministry of Health, the Ministry of Agriculture, and the National Development Planning Com­mission (NDPC), tracking not only policy promises but also tangible outcomes.

The NDPC, as the apex planning body, must take the lead in mon­itoring nutrition indicators across all sectors and ensuring that dis­trict-level plans integrate nutrition targets.

Civil society must step up, using evidence and data to spotlight the gaps between rhetoric and reality. Tools such as nutrition scorecards and citizen report cards can empow­er communities to track progress and demand answers. Media outlets must treat nutrition as a governance issue, not just a health story buried in lifestyle pages.

District assemblies, as the front­line implementers of nutrition pro­grammes, must be held accountable for translating national policies into community-level action. They should report regularly on the status of school feeding programmes, com­munity-based management of acute malnutrition (CMAM) services and local food security initiatives.

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The public also has a role to play. Citizens must demand better inter­ventions that addresses their nutri­tional needs, by asking their repre­sentatives what concrete steps have been taken to improve nutrition in their communities. Communities can use vox pops, community radio, and grassroots dialogues to hold lead­ers accountable. The Food Systems Transformation and Nutrition Secu­rity (FSTNS) Cross-Sectoral Planning Group (CSPG), led by the National Development Planning Commission (NDPC), which serves as Multi-Sec­toral Platform for Food Security and Nutrition should serve as a coordina­tion hub where stakeholders review progress and identify bottlenecks in real time.

International partners must not shy away from asking tough ques­tions about financing gaps and delayed reforms. Accountability should have teeth, public hearings for nutrition budget performance, independent audits of feeding pro­grammes and performance-based funding mechanisms that reward results, not just promises.

Countries like Rwanda have shown that strong political commitment backed by rigorous accountability mechanisms can dramatically reduce malnutrition rates. Ghana can learn from such examples, adapting suc­cessful models to our own context.

Without accountability, nutrition will remain a political talking point instead of a development reality. Ghana cannot afford empty commit­ments. Our children deserve measur­able results, and our leaders must be held responsible for delivering them.

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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

The First 1,000 Days: Why Ghana’s investment in maternal and child nutrition matters for human capital development

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Children need special attention

From the start of pregnancy to a child’s second birthday, the first 1,000 days, represents the most important window for human development. Good nutrition shapes the foundation.

During this short window, the body and brain grow at a pace that will never be repeated. When nutrition is inadequate, the damage to physical growth and cognitive development is often permanent. No later investment in education or healthcare can fully reverse these losses. Ghana’s future workforce and economic progress depend on getting nutrition right during this critical period.

Science is clear. A baby’s brain develops rapidly during pregnancy and early childhood, forming the foundation for all future learning and health. Adequate nutrients during pregnancy support the formation of neural connections that underpin learning, memory, and emotional regulation. When pregnant women lack essential nutrients, their babies begin life at a disadvantage. When young children experience severe malnutrition, they miss critical growth periods that do not return.

Ghana faces serious challenges during this critical window. An estimated 68,517 children suffer from severe acute malnutrition. Between 37 and 63 percent of pregnant women are anemic, with iron deficiency particularly common in late pregnancy. These problems translate directly into diminished potential. Malnourished children perform worse in school, earn less as adults, and face higher risks of chronic diseases. The economic losses multiply across generations.

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Research worldwide shows that nutrition investments during the first 1,000 days deliver exceptional returns. Well-nourished children learn better, perform better academically, and become more productive adults. Countries that invest in early nutrition experience faster economic growth through stronger, more productive workforces.

Ghana already has effective solutions. Multiple Micronutrient Supplements for pregnant women reduce the risk of low birth weight and preterm birth, while Ready-to-Use Therapeutic Food enables high recovery rates for children with severe acute malnutrition. Both are approved in Ghana’s health guidelines. The problem is not lack of knowledge but lack of access. Coverage remains limited because financing depends heavily on donor support rather than sustainable domestic systems.

Integrating these nutrition interventions into the National Health Insurance Scheme would help close this gap. With a large proportion of mothers and young children already enrolled, NHIS provides a platform for nationwide reach. Recent reforms to health financing further strengthen the case for prioritising essential nutrition services within the scheme.

Ghana’s development agenda emphasizes industrialisation, innovation, and economic transformation. Achieving these goals requires a workforce capable of learning, problem-solving, and sustained productivity. Human capital development, however, does not begin at universities or training centers. It begins before birth.

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The first 1,000 days offer no second chances. Each year of delay means another group of children enter adulthood carrying preventable disadvantages. Investing in nutrition during this critical window is not only a health priority; it is a foundational investment in Ghana’s economic future.

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

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Nutrition

Importance of Fruits During Ramadan

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Some fruits for sale

Ramadan, the ninth month of the Islamic lunar (Hijri) calendar, is a period of fasting, reflection, and spiritual growth. A vital part of observing Ramadan is Iftar—the evening meal with which Muslims break their daily fast at sunset. Fruits play an essential role in Iftar, providing nutrition, hydration, and energy after long hours of fasting.

Here are some of the most recommended fruits to include in your Ramadan meals:

Dates

Dates are traditionally used to break the fast. They are rich in sugar, fibre, potassium, vitamins, and minerals, helping to restore energy quickly after fasting.

Watermelon

Watermelon is highly consumed for hydration, as it is composed mostly of water. It can be enjoyed in slices or blended into refreshing smoothies.

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Bananas

Bananas are an excellent source of potassium, which helps maintain fluid balance and reduce thirst. They also provide natural energy to keep you going after fasting.

Apples

Apples are fibre-rich and nutritious, promoting heart health, aiding weight management, and improving digestion.

Cucumber

Cucumber is one of the best hydrating fruits, composed of water and fibre, which aids digestion while revitalising the body.

Pawpaw (Papaya)

Pawpaw is low in calories and sugar, rich in fibre, and promotes healthy digestion, hair, and skin. It is a nutritious addition to any Iftar meal.

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Including a variety of these fruits during Ramadan not only helps replenish lost nutrients but also supports overall health, digestion, and hydration throughout the fasting period.

By Linda Abrefi Wadie

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