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

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.
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.
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.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
Nutrition
How to prepare sausage rolls

Ingredients
-2 onion sliced
– One pack of sausage
– 2 tablespoonful of salt
-1 tablespoonful of nutmeg
-One tin of milk
– 2 large eggs
– 2 kilograms of flour
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
-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
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




