Nutrition
Ghana’s bold nutrition for growth commitment: From promises to action
At the 2025 Nutrition for Growth (N4G) Summit in Paris, Ghana made bold and ambitious commitments to improve the nutritional well-being of its citizens, particularly women and children. These targets if fully implemented have the potential to transform health outcomes, reduce preventable deaths, and unlock national development gains.
Among the commitments announced, Ghana pledged to:
Halve the rate of stunting among children under five.
Reduce anemia in women of reproductive age by 50 per cent.
Cut low birth weight cases by 30 per cent.
Increase exclusive breastfeeding rates to 70 per cent.
Integrate multiple micronutrient supplements (MMS) into antenatal care.
These goals are in line with World Health Assembly nutrition targets and represent a significant step toward addressing the country’s persistent burden of malnutrition. Currently, one in five Ghanaian children is stunted, and nearly half of women of reproductive age suffer from anemia; a situation that weakens productivity, undermines child development, and strains the health system.
Why these commitments matter
Nutrition is not only a health issue; it is an economic and development imperative. Studies have shown that countries lose up to 3 per cent of GDP annually due to malnutrition, while every cedi invested in nutrition generates multiple returns through improved productivity, education, and reduced healthcare costs.
By committing to these targets, Ghana is signaling political will. But political will must translate into action. Civil society organizations (CSOs), the media, and communities all have a role to play in holding government accountable and ensuring that nutrition remains a national priority.
Turning commitments into reality
While the commitments are commendable, the real test lies in implementation. To move from promises to results, Ghana must:
Back commitments with financing. Nutrition interventions must be prioritized in the national budget, with clear allocations and accountability mechanisms.
Strengthen health systems. Integrating micronutrient supplementation and scaling up antenatal care services will require capacity building and supply chain improvements.
Engage parliament and policymakers. Sustained advocacy is needed to ensure nutrition commitments do not get lost in competing political priorities.
Mobilize communities and the media. Public awareness and behavioral change campaigns through churches, schools, and radio can drive adoption of healthy practices such as exclusive breastfeeding.
Track progress transparently. Independent monitoring of stunting, anemia, and low birth weight rates is crucial for evaluating impact.
The commitments made in Paris are not just statistics, they represent brighter futures for Ghanaian children, healthier mothers, and a stronger, more productive nation. Now is the time to turn words into action.
Ghana’s decision to uncap the National Health Insurance Levy in 2025 marks an important shift in health financing. By removing limits on how much revenue the National Health Insurance Scheme (NHIS) can receive, government has created room to strengthen and expand essential health services.
This change comes at a crucial time for maternal and child nutrition, where effective solutions already exist but are yet to reach everyone who needs them.
Two such interventions are Ready-to-Use Therapeutic Food (RUTF) for children with severe acute malnutrition and Multiple Micronutrient Supplements (MMS) for pregnant women. Both are included in Ghana’s Essential Medicines List and Standard Treatment Guidelines, confirming their safety and effectiveness. Yet neither is currently covered under NHIS, leaving access dependent largely on donor-supported programmes.
The consequences are visible. An estimated 68,517 children in Ghana need treatment for severe acute malnutrition, but only about 15 per cent receive RUTF. For pregnant women, iron–folic acid supplements remain the standard, even though they address only two of the 15 essential micronutrients required during pregnancy. As a result, maternal anaemia remains widespread, affecting between 37 and 63 per cent of pregnant women depending on the trimester.
What makes this moment different is that Ghana already has the systems needed to deliver these services at scale. NHIS enrollment among mothers of children under five stands at about 84 per cent. National guidelines for the use of RUTF and MMS are finalised and in use, and more than 600 health workers have been trained on updated protocols. Supply chain structures are in place. The missing link has been sustainable, predictable financing.
Cost should not be a barrier. A full course of MMS costs about USD 2.50 per pregnancy and has been shown to reduce low birth weight by 12 per cent and preterm births by 11 per cent. This represents a small share of current spending on undernutrition. RUTF, while more resource-intensive, reduces the need for expensive hospital admissions by enabling effective community-based care, with recovery rates of 75 to 90 per cent. Ongoing Health Technology Assessments will provide Ghana-specific evidence to guide NHIS reimbursement decisions.
Including RUTF and MMS in the NHIS benefits package would change how nutrition services are delivered. Coverage would no longer depend on where donor programmes operate. Families would be protected from out-of-pocket costs, and services would be delivered as part of routine maternal and child healthcare. Importantly, data on coverage and outcomes would flow through national systems, strengthening monitoring, accountability, and planning.
Ghana has committed to achieving 80 per cent coverage of essential health services by 2030 under its Universal Health Coverage agenda. Nutrition is central to this goal, as it underpins child survival, maternal health, and long-term human development. The uncapping of the National Health Insurance Levy offers a rare chance to close long-standing nutrition financing gaps using domestic resources.
The opportunity is clear. The systems are ready. The evidence is established. What remains is a deliberate policy choice to use this expanded fiscal space to ensure that lifesaving nutrition services reach mothers and children across the country, consistently, equitably, and sustainably. The levy uncapping opens the door; leadership must walk through it.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
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