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Nutrition

Integrating RUTF Into NHIS: Strengthening Health Systems and Protecting Ghana’s Future

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Malnutrition remains one of the most significant barriers to Ghana’s long-term development. While its effects are most visible in childhood illness and mortality, its consequences extend far beyond the health sector, affecting education outcomes, labor productivity, and economic growth.

Severe Acute Malnutrition (SAM), in particular, demands urgent policy attention due to its direct link to preventable child deaths. At the center of the solution lies Ready-to-Use Therapeutic Food (RUTF) and the need for its inclusion in the National Health Insurance Scheme (NHIS).

NHIS has played a critical role in expanding access to healthcare by reducing out-of-pocket expenditures and improving utilization of services. However, the exclusion of RUTF exposes a structural weakness in the system.

 When families cannot access treatment for SAM through NHIS, the burden of care shifts back to households already struggling with poverty and food insecurity.

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RUTF is not a luxury commodity; it is an essential medicine for malnutrition. Its formulation allows children to be treated at home, reducing hospitalization costs and improving adherence. Evidence from Ghana and other countries shows that community-based management of acute malnutrition is both effective and scalable when adequately financed.

Failure to integrate RUTF into NHIS creates inefficiencies across the health system. Facilities cannot plan effectively, health workers face ethical dilemmas, and monitoring of outcomes becomes fragmented. By contrast, NHIS coverage would allow for standardized protocols, better data collection, and improved quality of care.

Importantly, integrating RUTF into NHIS would reduce Ghana’s dependence on donor funding for a core child survival intervention.

While development partners play a valuable role, reliance on external funding for essential services poses sustainability risks. National ownership through NHIS financing would ensure continuity of care and long-term impact.

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The economic case is equally compelling. Studies consistently show that investments in nutrition yield some of the highest returns in development, often exceeding returns from infrastructure projects. Children who receive timely treatment for malnutrition are more likely to complete school, earn higher incomes, and contribute to national growth.

As Ghana advances its Universal Health Coverage agenda, it is imperative that nutrition interventions are fully integrated into health financing decisions.

Leaving RUTF outside NHIS sends the message that malnutrition is a peripheral issue rather than a core determinant of health and development.

Policymakers have the opportunity to correct this imbalance. Integrating RUTF into NHIS would strengthen the health system, protect vulnerable children, and safeguard Ghana’s future workforce. It is a policy decision grounded in evidence, equity, and national interest.

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Key Policy Recommendations: The Ministry of Health and NHIA should immediately commission a costing study to integrate RUTF into the NHIS benefits package by 2027. Parliament’s Health Committee should prioritize oversight of this integration, with quarterly progress reports.

The National Health Insurance Authority must allocate 2-3% of its annual budget to nutrition interventions, including RUTF coverage for all diagnosed SAM cases. District health directorates should establish standardized RUTF distribution protocols, with digital tracking systems to monitor utilization and outcomes.

Finally, the Ghana Health Service should launch a nationwide training programme for health workers on community-based management of acute malnutrition, ensuring quality service delivery from hospital to household level.

Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project

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Nutrition

Salt, Sugar and Oil: The three ingredients we need to watch

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Too much of salt and sugar unhealthy

Salt, sugar and cooking oil are ordinary parts of many Ghanaian diets. None needs to be treated as an enemy. The concern arises when they are consumed in excessive amounts, often without us realising how much we are actually eating.

The key is not necessarily to eliminate them, but to understand how much we consume, how often we consume them and where they appear in our diets.

Salt contains sodium, an essential nutrient that the body needs. However, consuming too much sodium can raise blood pressure and increase the risk of cardiovascular disease. The World Health Organization recommends that adults consume less than 2,000 mg of sodium per day, equivalent to less than five grams of salt.

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Much of the sodium in our diets may come not only from the salt shaker but also from processed and packaged foods, seasoning products, condiments and heavily salted meals.

One simple step is to taste food before automatically adding extra salt. Using herbs, spices, onions, garlic, ginger, peppers and other flavourful ingredients can help meals remain enjoyable without relying entirely on salt.

For people who regularly use packaged seasoning products, checking the label where one is available can also help identify products that contain higher amounts of sodium.

Sugar presents a different but related challenge. Sugary drinks, sweetened tea, confectionery and many processed foods can add substantial amounts of free sugar to the diet.

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Drinks deserve particular attention because they can be consumed quickly and may contain considerable amounts of sugar without creating the same feeling of fullness as a meal.

Water is therefore one of the simplest alternatives. Unsweetened drinks can also help people reduce their intake of added sugar. WHO recommends limiting free sugars to less than 10 per cent of total daily energy intake, with further benefits when intake is reduced to below five per cent.

This does not mean that every sweet food has to disappear from the household. It means paying attention to frequency, portion size and everyday habits.

The body needs dietary fat. Fats provide energy and help the body absorb certain vitamins. However, fats are energy-dense, meaning that relatively small amounts contain substantial amounts of energy.

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Deep-fried foods can therefore contribute significantly to overall energy intake, particularly when eaten frequently. Fried foods do not automatically become “bad” foods, but frequency, portion size and cooking methods matter.

A useful strategy is moderation. A household does not necessarily need to stop using cooking oil; it can simply avoid using more than necessary and vary cooking methods where practical.

For families, small changes can add up. Using less salt when cooking, reducing added sugar in drinks, choosing water more often and limiting frequent deep-fried meals are practical steps that do not require an expensive diet.

Nutrition is rarely about one ingredient ruining a meal. It is about patterns.

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A little salt, sugar or oil does not define whether a person’s diet is healthy. The bigger questions are how much is consumed, how often it is consumed and what the rest of the diet looks like.

Feature Article by Women, Media and Change

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Nutrition

Health benefits of Tumeric

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Tumeric powder

Turmeric (Curcuma longa), the vibrant, golden-yellow spice derived from the rhizomes of a plant belonging to the ginger family, has been a cornerstone of traditional culinary and medicinal practices. The benefits of turmeric are as follows:

-Anti-inflammatory and antioxidant defenses

At the cellular level, tumeric acts as a potent shield against two fundamental drivers of chronic disease: chronic inflammation and oxidative stress. Low-grade, systemic inflammation is linked to many major health conditions. Tumeric mitigates this by blocking major inflammatory molecules, such as tumor necrosis factor-alpha and interleukin-6, helping to arrest the inflammatory cascade at its source.

– Supports joints, heart, and brain

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The systemic relief offered by turmeric is perhaps most visibly felt in joint health. For individuals suffering from osteoarthritis, tumeric drastically reduces joint discomfort and stiffness by dampening inflammatory markers within joint tissues.

-Metabolic and visceral regulation:

Turmeric acts as an effective metabolic regulator, particularly in blood sugar management. Research shows that tumeric enhances insulin sensitivity and lowers blood glucose levels by curbing hepatic glucose synthesis and activating cellular.

-Digestion: Turmeric directly aids digestion and visceral detoxification. It stimulates the gallbladder to produce and secrete bile, an essential fluid required to properly emulsify and break down dietary fats.

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-Liver detoxification: The liver benefits directly from eating turmeric. Turmeric protects vulnerable liver cells from chemical and environmental damage while upregulating the cellular enzymes responsible for clearing metabolic waste and toxins from the human body. -Health.com

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