Nutrition
From Hospital to Home: The RUTF revolution in child malnutrition treatment
- /home/u249204778/domains/spectator.com.gh/public_html/wp-content/plugins/mvp-social-buttons/mvp-social-buttons.php on line 27
Warning: Trying to access array offset on false in /home/u249204778/domains/spectator.com.gh/public_html/wp-content/plugins/mvp-social-buttons/mvp-social-buttons.php on line 27
&description=From Hospital to Home: The RUTF revolution in child malnutrition treatment', 'pinterestShare', 'width=750,height=350'); return false;" title="Pin This Post">
- Share
- Tweet /home/u249204778/domains/spectator.com.gh/public_html/wp-content/plugins/mvp-social-buttons/mvp-social-buttons.php on line 72
Warning: Trying to access array offset on false in /home/u249204778/domains/spectator.com.gh/public_html/wp-content/plugins/mvp-social-buttons/mvp-social-buttons.php on line 72
&description=From Hospital to Home: The RUTF revolution in child malnutrition treatment', 'pinterestShare', 'width=750,height=350'); return false;" title="Pin This Post">
FOR decades, treating severely malnourished children meant weeks or months of hospitalization. Families were forced to choose between staying with and caring for a sick child in a distant facility and keeping their farms, businesses, and households running.
Hospital wards are filled with vulnerable children who often face higher risks of hospital-acquired infections. The financial burden is overwhelming for poor households while health systems struggle with overcrowded wards and limited bed capacity. The introduction of Ready-to-Use Therapeutic Food (RUTF) fundamentally changed this reality.
RUTF is a nutrient-dense, peanut-based food that requires no water, cooking, or refrigeration. Developed in the 1990s, it made it possible for most clinically stable children with uncomplicated severe acute malnutrition to be treated at home through community-based programs after initial stabilization.
Instead of weeks or months in hospital, children could recover in their own homes with regular follow-up at nearby health facilities. This shift from inpatient to outpatient care represents one of the most important advances in child nutrition treatment.
Evidence from community-based management programs consistently shows high recovery rates, typically between 75 and 90 percent, with mortality kept below internationally accepted thresholds.
Children gain weight steadily, treatment usually lasts six to ten weeks, and outcomes meet or exceed global standards, often at far lower cost than prolonged hospitalization.
For families, the benefits are immediate and practical. Mothers no longer need to abandon other children or sources of income to remain in hospital for long periods. Weekly clinic visits replace extended admissions. Children stay in familiar environments with family care, and households avoid the costs of transport, hospital fees, and lost earnings. For many families living in poverty, this difference determines whether treatment is feasible at all.
Health systems also gain. Hospital beds are freed for children with medical complications who genuinely require inpatient care. Health workers can focus limited resources where they are most needed.
Community-based management allows significantly more children to be treated with the same resources compared to hospital admissions. As a result, this approach has been adopted across many countries facing high malnutrition burdens.
Ghana has embraced this evidence-based approach. RUTF is included in the Essential Medicines List and approved in Standard Treatment Guidelines. Healthcare workers across 20 districts have been trained in community-based management protocols. National guidelines are finalized and disseminated. The technical foundation and implementation capacity exists.
Yet access remains limited. An estimated 68,517 children in Ghana suffer from severe acute malnutrition each year, but only a small proportion receive treatment. The main barrier is not knowledge or infrastructure, it is financing.
Current reliance on donor funding creates predictable problems. Supply disruptions occur when funding cycles end. Geographic coverage depends on where donors choose to work rather than where malnutrition rates are highest. Health facilities are unable to develop effective plans without assurance of the availability of RUTF in the coming months or years.
Families in some districts access treatment while others with identical needs face empty shelves. This fragmented approach prevents Ghana from achieving the 80 to 90 percent coverage possible with adequate, sustainable financing.
Including RUTF in the National Health Insurance Scheme would address this gap. Ghana already has an established delivery platform through NHIS, with a large proportion of mothers and young children enrolled. Integrating RUTF into the benefits package would ensure that every child with severe acute malnutrition can access lifesaving treatment at home, regardless of location or household income. The move from hospital-based to community-based care proved that better approaches are possible. Sustainable, domestic financing would ensure that these better approaches reach every child who needs them.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
Join our WhatsApp Channel now!
https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27

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




