Nutrition
Folate and B12 deficiency in Ghanaian Women: The hidden nutrition crisis
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.
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.
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
Mother’s Day is a celebration to honour mothers and individuals in the society. To commemorate the day tomorrow, The Spectator nutritional page today offers to prepare a sumptuous Guinea fowl meal with an accompanying snack to celebrate our mothers.
Ingredients
-2 cups of cooked rice
-Oil
-2 pounds of Guinea fowl
-1/2 tablespoonful of grinded ginger
-1/4 teaspoon salt
-1/2 onion
1 cup frozen peas
-3 large carrots
-3 eggs
-3 tablespoonful of soy sauce
-2 tablespoonful of diced green onions
Preparation
-Cut guinea fowl into bite-sized pieces. Add ginger, salt, and garlic and allow it cook for about 2 minutes.
-Fry guinea fowl until it turns golden brown.
-Put a saucepan of fire and add a tablespoonful of oil.
-Stir in diced onion, garlic, and peas and carrots and other vegetables.
-Add rice and stir to coat. Stir occasionally until rice is warmed through.
-Add soy sauce to the rice and stir well
-Remove from heat and serve.
By Linda Abrefi Wadie
The familiar curl of smoke from a mosquito coil may seem like a small comfort against buzzing pests, but behind that comfort lies a hidden danger.
According to Dr Lawrencia Osae-Nyarko of the Public Health Research Unit at CSIR-WRI, the smoke carries synthetic chemicals that once inhaled, can irritate lungs, trigger adverse reactions, and silently worsen the health of vulnerable groups-children, pregnant women, and the elderly.
Her remarks framed discussions at the second stakeholder meeting of the Clean Air Fund (CAF) project, spearheaded by the Presbyterian Relief Services and Development (PRESED) in collaboration with CAF, on Tuesday.
The gathering assembled community leaders, facilitators, and experts to review recent data collection and chart a way forward in tackling air pollution and e-waste challenges.
According to Dr Osae-Nyarko, the smoke from the mosquito coils and other material burn to ward of mosquito or other insects rather exposes users to a number of dangerous substances that slowly create problems.
“In Ghana’s urban slums, where cramped living spaces often lack proper ventilation, the risks are magnified,” she warned.
“What people breathe in daily is not just mosquito coil smoke; it is a cocktail of pollutants from waste burning, traffic fumes, and household emissions. These exposures compound vulnerabilities and deepen health injustices,” she added.
Dr Osae-Nyarko, also an Advisory Member of PRESED, stressed that advocacy must highlight the disproportionate impact of pollution on marginalised groups.
She underscored the importance of involving children early: “When children learn about air pollution, they not only protect themselves but also become powerful messengers. Through artwork and storytelling, they can express the dangers and inspire change.”
International studies echo these concerns. Research in China and Malaysia found that burning a single mosquito coil indoors can release fine particulate matter equivalent to 75–137 cigarettes, along with carcinogens such as formaldehyde and bis (chloromethyl)ether (BCME)—both linked to lung cancer.
One study published in Environmental Health Perspectives reported that formaldehyde emissions from a single coil equaled those from 51 cigarettes, while the particulate matter load was comparable to heavy indoor smoking.
For children, pregnant women, and the elderly, these exposures are especially severe. Frequent use in poorly ventilated homes magnifies the danger, leading to respiratory irritation, asthma flare-ups, and long-term cancer risks.
The meeting agenda included an overview of the data collection process, key findings, and the formation of action groups to champion specific objectives. A newly developed training manual will guide facilitators and community members in communicating both the science and the lived realities of pollution.
Her advice was practical yet urgent: “If mosquito coils must be used, ensure proper ventilation. But more importantly, communities need safer alternatives and collective advocacy to demand cleaner air. This is not just about comfort—it is about survival.”
The call to action extended beyond households. Mr Emmanuel Nyarko Ankama, Coordinator for PRESED, urged Assemblies to enforce the registration of waste collectors, especially operators of ‘Aboboya’ tricycles.
“The fact is they can dump waste anywhere, which ends up being burnt and contributes to air pollution,” he cautioned.
Mr Joseph Oberesekun Kiddy-Kodua, Environmental Officer at the Kumasi Metropolitan Assembly (KMA), reinforced the point: “By Ghana’s waste management policy, every waste collection company should be registered by the Assembly. Otherwise, it is an illegal activity.”
“As the project advances, the message is clear: everyday practices—from burning coils to disposing of waste—must be re-examined. With children, elders, and mothers at the heart of the struggle, the fight for clean air is as much about justice as it is about health,” noted Mr Ankama.
From Kingsley E. Hope, Kumasi
