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Nutrition

Leadership, accountability, and the urgent need to prioritise nutrition outcomes

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The persistence of malnutrition in Ghana raises important questions about leadership and accountability in nutrition governance. While technical expertise and donor support are available, progress remains uneven due to weak accountability mechanisms and limited political prioritisation.

Effective leadership for nutrition requires more than policy statements. It demands clear targets, sustained financing, and transparent monitoring systems.

 Nutrition outcomes must be tracked and publicly reported, allowing citizens to assess government performance.

Accountability must extend across all levels of government. National leadership sets the tone, but district and regional authorities are responsible for implementation.

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Strengthening leadership capacity at these levels is essential to ensure that national commitments translate into tangible results.

The media and civil society play a critical role in sustaining advocacy and demanding accountability.

 By keeping nutrition on the public agenda, they help ensure that commitments are not forgotten once policy documents are launched.

Ghana’s development ambitions, including middle-income growth and human capital development, cannot be achieved while malnutrition persists.

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Nutrition outcomes should be treated as indicators of governance effectiveness, alongside economic growth and infrastructure delivery.

Leadership that prioritises nutrition sends a powerful signal about national values and priorities. It demonstrates a commitment to equity, child survival, and long-term prosperity.

The fight against malnutrition is ultimately a test of leadership. Ghana has the knowledge, resources, and capacity to succeed. What is needed now is the political will to act decisively and hold institutions accountable for results.

Key policy recommendations: The Ghana Statistical Service should establish a National Nutrition Dashboard, publishing real-time data on stunting, wasting, and micronutrient deficiencies by district and region, updated quarterly and accessible to the public.

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Parliament’s Public Accounts Committee (PAC) must conduct annual nutrition expenditure reviews, tracking budget allocations versus actual spending across all MDAs.

The Office of the President should institute an Annual National Nutrition Summit where Ministers and DCEs present progress reports, with independent evaluation by civil society organizations.

The National Commission for Civic Education (NCCE) should launch a “Nutrition Accountability Campaign” educating citizens on nutrition as a governance issue and how to demand action from elected officials. Media houses should be supported to develop specialized nutrition reporting units that investigate and expose gaps in service delivery.

Finally, the Auditor-General’s office should include nutrition programme audits in its annual work plan, examining value-for-money and impact of nutrition investments with findings presented to Parliament.

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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

Palava sauce and plantain

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Plantain with palava sauce

Ingredients

-Cocoyam leaves (Nkontomire)

-Palm oil

-Ripped Plantain

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-2 Large smoked salmon

-1 cowhide (wele)

-1 cup of Egusi

– Momoni

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-3 fresh eggs

-2 large onions

-2 large tomatoes

-Pepper

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-Ginger

-Garlic

Method

-Wash cocoyam leaves thoroughly under running water

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-Cut cocoyam leaves into stripes and wash for the second time

-Blend tomatoes, onion, pepper, ginger, and garlic together

-Put sauce pan on fire and heat palm oil

-Add blended ingredients and allow to cook for about 5 minutes

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– Wash salmon, wele and cut into cubes and add to stew

-Add salt

-Add eggs to egusi in a bowl to form paste and add it to stew

-Add to stew and allow to simmer for seven minutes

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-Add cocoyam leaves to stew and allow it to cook for sometime

-Wash, peel plantain and cut into shapes

-Cook for some time (Pour water out and serve with stew)

By Linda Abrefi Wadie

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Nutrition

Food waste is a nutrition problem too

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Every year, Ghana produces thousands of tonnes of nutritious food but a significant share of it never reaches a plate. Fruit spoils before it’s sold. Vegetables rot in transit. Grains are ruined by poor storage. Conversations about nutrition often focus on growing more food but reducing what’s lost or wasted after harvest may be one of the fastest ways to improve food security and nutrition, without farming a single extra acre.

The cost of losing nutritious food

Fresh fruit and vegetables spoil the fastest, and without adequate storage, cooling, or transport, farmers are often forced to sell at rock-bottom prices or watch their harvest go to waste. That squeezes farmers’ incomes and shrinks the supply of nutritious food reaching local markets. As supply falls, prices rise, pushing healthy food further out of reach for the low-income households that need it most.

Nutrition begins beyond the farm gate

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Cutting post-harvest losses means more nutritious food reaches families without needing more farmland or higher yields. When tomatoes, mangoes, and leafy greens are preserved through better storage, drying, or processing, they stay available and affordable for longer. Better handling also protects nutritional quality itself, so the vitamins and minerals in food aren’t lost before it ever reaches a consumer.

Supporting farmers supports nutrition

Many farmers still lack access to storage facilities, cold chains, processing equipment, and reliable transport. Strengthening these systems is a win on both ends: farmers earn more from what they grow, and households gain more affordable access to nutritious food. Local processing, such as turning surplus fruit into juices, dried fruit, or purees, can extend shelf life and cut waste even further.

What needs to change?

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Reducing food loss takes coordinated action:

•         Government: invest in rural roads, storage infrastructure, irrigation, and agricultural extension services.

•         Private sector: expand cold storage, food processing, and distribution networks.

•         Research institutions: keep developing better post-harvest preservation technology.

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•         Consumers: plan meals, store food properly, and make safe use of leftovers.

Looking ahead

As Ghana works to tackle malnutrition in all its forms, cutting food loss deserves a place at the top of the agenda. Growing more food matters, but making sure the food already grown actually reaches families, safely and affordably, matters just as much.

Every basket of tomatoes saved, every crate of mangoes preserved, and every bag of grain protected from spoilage adds up to better nutrition, stronger livelihoods, and a more resilient food system for the future.

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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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