Nutrition
From donor dependence to national ownership: Ghana’s path to sustainable child nutrition
An estimated 68,517 children in Ghana currently suffer from Severe Acute Malnutrition, yet only about 15 percent receive treatment. This gap is not due to a lack of effective solutions, but to limited and unstable access driven by fragmented, donor-dependent financing. As Ghana advances toward universal health coverage and economic self-reliance, ensuring sustainable and equitable child nutrition services requires urgent policy action.
Ready-to-Use Therapeutic Food (RUTF) and Multiple Micronutrient Supplements (MMS) are proven, cost-effective interventions. RUTF achieves recovery rates of 75–90 percent among children with severe acute malnutrition, while MMS reduces low birth weight and preterm birth. Both interventions are included in Ghana’s Essential Medicines List and Standard Treatment Guidelines. National protocols are finalised and disseminated, and over 600 health workers have been trained. In short, Ghana has laid the policy and technical groundwork.
Despite this readiness, access remains constrained by reliance on donor funding. Time-bound financing leads to supply disruptions, uneven geographic coverage, and weak long-term planning. Service availability often reflects donor priorities rather than population need.
Most critically, national ownership is undermined when lifesaving child nutrition interventions depend on external support. Donor dependence also limits system integration. Nutrition services delivered through projects remain peripheral to routine care. Health facilities cannot fully integrate RUTF and MMS into standard maternal and child health services without predictable supply. Data systems, quality assurance, and accountability mechanisms remain fragmented, preventing these interventions from reaching scale and impact.
Integrating RUTF and MMS into the National Health Insurance Scheme (NHIS) offers a clear pathway to sustainable national ownership. With 84 percent of mothers of children under five already enrolled, NHIS provides an existing platform for rapid and equitable scale-up. The 2025 uncapping of the National Health Insurance Levy further strengthens the financing base. NHIS inclusion would remove out-of-pocket costs for vulnerable families, standardise service delivery nationwide, and embed nutrition care within routine health services.
The cost implications are manageable. MMS costs approximately USD 2.50 per pregnancy for a full course, representing a small fraction of current undernutrition spending. Timely community-based RUTF treatment also reduces costly hospital admissions for complicated and severe malnutrition. Ongoing Health Technology Assessments will provide Ghana-specific evidence to guide reimbursement decisions.
Domestic financing brings broader benefits. It ensures stronger government accountability, improved data reporting, better quality assurance, and long-term planning beyond donor cycles. Most importantly, it affirms that the survival and wellbeing of Ghanaian children are national responsibilities.
The policy decision before Ghana’s leadership is clear. The clinical evidence supports RUTF and MMS. The regulatory framework is established. The implementation capacity exists through trained health workers and operational guidelines. The financing mechanism is available through NHIS with its recently expanded revenue base. What remains is the political committment to prioritise sustainable nutrition financing as part of Ghana’s Universal Health Coverage roadmap and broader development agenda.
Donor support has been valuable in establishing these interventions and building implementation capacity. The transition to domestic financing should be viewed not as disengagement but as graduating to full national ownership. Development partners can continue supporting technical assistance, capacity building, and innovation while Ghana secures sustaining coverage at scale.
The gap between 15 percent coverage and the 80 to 90 percent achievable with adequate financing represents thousands of preventable child deaths and compromised maternal health outcomes annually. Closing this gap through NHIS integration of RUTF and MMS is not merely a technical health financing decision. It is a statement of national values and priorities, affirming that every Ghanaian child deserves access to lifesaving nutrition treatment regardless of circumstance. It is a foundation for sustainable human capital development.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project.
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Chicken avocado salad is a fresh, nutritious meal that combines tender grilled chicken with creamy avocado and crisp vegetables.
It’s rich in protein, healthy fats, vitamins, and fiber, making it an excellent choice for lunch or a light dinner. The simple lemon dressing enhances the natural flavors without overpowering them.
Ingredients
- 2 boneless, skinless chicken breasts
- 2 ripe avocados, diced
- 4 cups mixed salad greens (lettuce or spinach)
- 1 cup cherry tomatoes,
- 1 cucumber, sliced
- ½ small red onion, thinly sliced
- ¼ cup fresh parsley, chopped (optional)
- 2 tablespoons olive oil
- 1 tablespoon lemon or lime juice
- Salt and black pepper, to taste
Preparation
-Season the chicken breasts with salt and black pepper, then grill or pan-fry over medium heat for 6–8 minutes per side, or until fully cooked.
-Allow the chicken to rest for a few minutes before slicing.
-In a large salad bowl, combine the mixed greens, cherry tomatoes, cucumber, red onion, and chopped herbs.
-Gently add the diced avocado to the salad to avoid mashing it.
-In a small bowl, whisk together the olive oil, lemon or lime juice (if using), salt, and black pepper to make the dressing.
-Add the sliced chicken to the salad, drizzle with the dressing, and toss gently until everything is evenly coated.
-Serve immediately as a healthy main course, or pair it with crusty bread or whole-grain crackers for a more filling meal.
Avocado is an incredibly healthy addition to our diet, offering a rich blend of essential nutrients, heart-friendly fats, and fibre that support overall well-being.
Avocado is not merely a trendy fruit; it is a nutrient-packed powerhouse that can transform your breakfast into a healthy and satisfying meal.
From enhancing your energy levels to supporting overall well-being, here are eight detailed benefits of incorporating avocado into your morning routine:
-Rich in essential nutrients
Avocados are a treasure trove of vital vitamins and minerals. They are an excellent source of potassium, which supports muscle function and helps regulate blood pressure. Additionally, they contain vitamin K, crucial for blood clotting and bone health, vitamin E, a potent antioxidant, and B vitamins, which are essential for energy production and brain health.
– Promotes heart health
Avocados are abundant in heart-healthy monounsaturated fats, which can help lower levels of harmful LDL cholesterol while increasing beneficial HDL cholesterol. Regular consumption of these healthy fats as part of a balanced diet may reduce the risk of heart disease and improve overall cardiovascular health.
– Provides sustained energy
Unlike sugary breakfast options that can lead to an energy slump later in the day, avocados provide a steady source of energy. Their combination of slow-digesting healthy fats and dietary fibre keeps you feeling full and energised throughout the morning, making them an ideal choice for busy days.
-Aids in weight management
Despite their relatively high caloric content, the healthy fats and fibre in avocados can promote a feeling of fullness, helping to reduce overall calorie intake. This makes them an excellent option for those seeking to manage their weight without resorting to restrictive diets.
-Supports Digestive Health
Avocados are rich in dietary fibre, which plays a crucial role in maintaining a healthy digestive system. Fibre promotes regular bowel movements, prevents constipation, and supports the growth of beneficial gut bacteria, contributing to overall digestive wellness.
– Improves Skin Health
The healthy fats, vitamin E, and antioxidants found in avocados are highly beneficial for skin health. These nutrients help to nourish and hydrate the skin from within, protect against damage caused by free radicals, and promote a natural, radiant complexion.
– Boosts Cognitive Function
The monounsaturated fats in avocados, along with their high folate content, support brain health. These nutrients are associated with improved cognitive function and may reduce the risk of neurodegenerative diseases such as Alzheimer’s. Including avocado in your diet can help keep your mind sharp and focused.
– Highly Versatile and Delicious
Avocados are incredibly versatile and can complement a wide range of breakfast dishes. Their creamy texture and mild, buttery flavour make them an ideal addition to sweet and savoury meals alike. Pulse.gh
