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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

When floodwaters rise, nutrition and food safety should not be ignored

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Disacard food with of contamination

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.

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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.

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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.

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

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Nutrition

How to prepare sausage rolls

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Sausage rolls

Ingredients  

-2 onion sliced

– One pack of sausage

– 2 tablespoonful of salt

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-1 tablespoonful of nutmeg

-One tin of milk

– 2 large eggs

– 2 kilograms of flour

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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

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-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

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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

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