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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

Low birth weight in Ghana: Why too many babies are starting life at a disadvantage

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Every baby deserves a healthy start. But in Ghana, too many children are being born already behind, too small, too fragile, and at far greater risk than their peers. Low birth weight, defined as weighing less than 2.5 kilograms at birth, affects an estimated one  in seven newborns in this country.

That is a significant proportion of children beginning life at a disadvantage, often due to preventable causes.

Children born with low birth weight face a steeply uphill journey from their very first breath. They are more susceptible to birth asphyxia, infections, hypothermia, and respiratory complications.

They are more likely to die in their first month of life. Those who survive face higher risks of stunting, impaired cognitive development, and a greater likelihood of developing non-communicable diseases including type two diabetes, hypertension, and heart disease later in life.

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Low birth weight does not just harm the child today. It shapes their health for decades.

The most powerful determinant of a baby’s birth weight is what the mother eats, and how healthy she is before and during pregnancy. Research in Ghana has consistently shown that maternal anaemia, poor dietary diversity, and inadequate antenatal care are all strongly linked to low birth weight.

A study in Cape Coast found that mothers with low dietary diversity during pregnancy were significantly more likely to deliver low birth weight babies. In Northern Ghana, maternal anaemia in both the first and third trimesters of pregnancy increased the risk of low birth weight. What a woman eats is what her baby weighs.

Education matters too. Mothers with secondary or higher education have been found to be less likely to deliver a low-birth-weight baby, a difference attributed to better nutrition knowledge, improved antenatal care attendance, and healthier health-seeking behaviour overall.

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This points clearly to the need for a whole-of-society response, not just a clinical one.

Ghana has made some progress on low birth weight, but the burden remains unacceptably high and in some parts of the country, it is worsening. Other important risk factors must not be overlooked.

Adolescent pregnancy, which remains prevalent in several regions, is strongly associated with low birth weight because young mothers are often still growing and competing with the fetus for nutrients.

Malaria infection during pregnancy, particularly in endemic areas of Ghana, damages the placenta and restricts nutrient transfer, further increasing the likelihood of a low-birth-weight baby.

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These risk factors compound the effects of poor maternal nutrition and limited antenatal care. Leaders in government, health facilities, and communities must prioritise maternal nutrition before, during, and after pregnancy.

Reducing low birth weight is not complicated. It requires feeding mothers well, supporting them through antenatal care, ensuring access to iron-folic acid supplementation and malaria prevention during pregnancy, and treating their health as a national priority, not an afterthought.

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

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Nutrition

Benefits of eating cabbage

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Cabbage may not be the most attractive vegetable, but it is full of nutritional benefits that keeps the body strong and healthy.

This common leafy green vegetable comes in a range of colours, shapes and sizes that you can use for soups, salads, sandwiches and more.  It can be eaten raw or stir-fried.

-Fights inflammation

Cabbages contains anthocyanins, which are naturally occurring antioxidants. A research showed that people who eat cabbages have lower inflammation levels than those who do not eat.

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– Keeps one strong

Vitamin C, also known as ascorbic acid, does a lot of work for the body. It helps make collagen and boosts the immune system. It also helps your body absorb iron from plant-based foods.

– Improves digestion

Cabbages contain phytosterols (plant sterols) and insoluble fibre. These help keeps the digestive system healthy and bowel movements regular. It fuels the good bacteria in your gut that protects your immune system.

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– Protects your heart

The anthocyanins found in cabbage helps with more than inflammation. Research suggests they add to the health benefits of cabbage by reducing your risk of heart disease.

Scientists have found 36 different kinds of anthocyanins in cabbage, which could make it an excellent option for cardiovascular health.

– Lowers your blood pressure

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Potassium is a mineral and electrolyte that helps your body control blood pressure. This could help lower your blood pressure, reducing your risk for heart disease.

-Lowers cholesterol

Cabbage contains two substances — fibre and phytosterols (plant sterols) — that compete with cholesterol to be absorbed by your digestive system. They wind up reducing your bad cholesterol levels and improving your health.

– Maintains bone health and healthy blood clotting

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Vitamin K is essential to our well-being. Without it, you’d be at risk of developing bone conditions like osteoporosis, and your blood would not be able to clot properly. According to research, eating cabbage everyday keeps our bones strong and blood cells clotting well.  -clevelandclinic.org

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