Nutrition
Accountability in Nutrition: Who holds Ghana’s leaders responsible?
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.
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.
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.
Feature Article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition Project
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Nutrition
Low birth weight in Ghana: Why too many babies are starting life at a disadvantage

Every baby deserves a healthy start. But in Ghana, too many children are being born already behind, too small, too fragile, and at far greater risk than their peers. Low birth weight, defined as weighing less than 2.5 kilograms at birth, affects an estimated one in seven newborns in this country.
That is a significant proportion of children beginning life at a disadvantage, often due to preventable causes.
Children born with low birth weight face a steeply uphill journey from their very first breath. They are more susceptible to birth asphyxia, infections, hypothermia, and respiratory complications.
They are more likely to die in their first month of life. Those who survive face higher risks of stunting, impaired cognitive development, and a greater likelihood of developing non-communicable diseases including type two diabetes, hypertension, and heart disease later in life.
Low birth weight does not just harm the child today. It shapes their health for decades.
The most powerful determinant of a baby’s birth weight is what the mother eats, and how healthy she is before and during pregnancy. Research in Ghana has consistently shown that maternal anaemia, poor dietary diversity, and inadequate antenatal care are all strongly linked to low birth weight.
A study in Cape Coast found that mothers with low dietary diversity during pregnancy were significantly more likely to deliver low birth weight babies. In Northern Ghana, maternal anaemia in both the first and third trimesters of pregnancy increased the risk of low birth weight. What a woman eats is what her baby weighs.
Education matters too. Mothers with secondary or higher education have been found to be less likely to deliver a low-birth-weight baby, a difference attributed to better nutrition knowledge, improved antenatal care attendance, and healthier health-seeking behaviour overall.
This points clearly to the need for a whole-of-society response, not just a clinical one.
Ghana has made some progress on low birth weight, but the burden remains unacceptably high and in some parts of the country, it is worsening. Other important risk factors must not be overlooked.
Adolescent pregnancy, which remains prevalent in several regions, is strongly associated with low birth weight because young mothers are often still growing and competing with the fetus for nutrients.
Malaria infection during pregnancy, particularly in endemic areas of Ghana, damages the placenta and restricts nutrient transfer, further increasing the likelihood of a low-birth-weight baby.
These risk factors compound the effects of poor maternal nutrition and limited antenatal care. Leaders in government, health facilities, and communities must prioritise maternal nutrition before, during, and after pregnancy.
Reducing low birth weight is not complicated. It requires feeding mothers well, supporting them through antenatal care, ensuring access to iron-folic acid supplementation and malaria prevention during pregnancy, and treating their health as a national priority, not an afterthought.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
Nutrition
Benefits of eating cabbage

Cabbage may not be the most attractive vegetable, but it is full of nutritional benefits that keeps the body strong and healthy.
This common leafy green vegetable comes in a range of colours, shapes and sizes that you can use for soups, salads, sandwiches and more. It can be eaten raw or stir-fried.
-Fights inflammation
Cabbages contains anthocyanins, which are naturally occurring antioxidants. A research showed that people who eat cabbages have lower inflammation levels than those who do not eat.
– Keeps one strong
Vitamin C, also known as ascorbic acid, does a lot of work for the body. It helps make collagen and boosts the immune system. It also helps your body absorb iron from plant-based foods.
– Improves digestion
Cabbages contain phytosterols (plant sterols) and insoluble fibre. These help keeps the digestive system healthy and bowel movements regular. It fuels the good bacteria in your gut that protects your immune system.
– Protects your heart
The anthocyanins found in cabbage helps with more than inflammation. Research suggests they add to the health benefits of cabbage by reducing your risk of heart disease.
Scientists have found 36 different kinds of anthocyanins in cabbage, which could make it an excellent option for cardiovascular health.
– Lowers your blood pressure
Potassium is a mineral and electrolyte that helps your body control blood pressure. This could help lower your blood pressure, reducing your risk for heart disease.
-Lowers cholesterol
Cabbage contains two substances — fibre and phytosterols (plant sterols) — that compete with cholesterol to be absorbed by your digestive system. They wind up reducing your bad cholesterol levels and improving your health.
– Maintains bone health and healthy blood clotting
Vitamin K is essential to our well-being. Without it, you’d be at risk of developing bone conditions like osteoporosis, and your blood would not be able to clot properly. According to research, eating cabbage everyday keeps our bones strong and blood cells clotting well. -clevelandclinic.org
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