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Nutrition

 Malnutrition as a leadership challenge

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A malnourished child

Malnutrition persists in Ghana not because solutions are unknown, but because leadership has not consistently elevated nutrition as a national priority. Despite the availability of evidence-based interventions, malnutrition remains under-addressed in policy implementation and financing decisions. This gap reflects a broader leadership challenge that must be urgently addressed.

Nutrition outcomes are shaped by decisions across multiple sectors: health, agriculture, education, sanitation, and social protection. Without strong political leadership to coordinate these sectors, efforts remain fragmented and impact is limited. Policies exist, but implementation is often weak due to competing priorities and insufficient accountability.

High-level leadership is essential to place nutrition at the centre of development planning. This includes ensuring adequate budget allocations, setting measurable targets, and monitoring progress at the highest levels of government. Parliament has a critical role to play in holding institutions accountable for nutrition outcomes, just as it does for economic performance.

International experience is instructive. Countries that have significantly reduced malnutrition have done so through sustained political commitment, often led by heads of government or senior ministers. Nutrition was treated as a development accelerator rather than a welfare issue.

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In Ghana, leadership for nutrition must be strengthened at both national and sub-national levels. District assemblies, in particular, are pivotal in translating policy into action, yet they often lack the authority or resources to prioritize nutrition effectively.

Malnutrition undermines human capital development and constrains economic growth. Leaders must recognise that failing to address it carries long-term costs for the nation. Political leadership that champions nutrition will not only save lives but also strengthen Ghana’s development trajectory.

Ending malnutrition is achievable, but only if leaders take ownership of the challenge. Nutrition must be seen not as a sectoral concern but as a national development priority that demands decisive and sustained leadership.

Key Policy Recommendations: The Office of the President should establish a High-Level Nutrition Coordination Council, chaired by the Vice President, bringing together Ministers from Health, Agriculture, Education, Gender, and Local Government to meet quarterly and drive cross-sectoral action. The Ministry of Finance must mandate that at least 5 per cent of each sector ministry’s budget includes nutrition-sensitive interventions with measurable targets. Parliament should create a bi-partisan Nutrition Caucus to champion nutrition legislation and hold the Executive accountable through annual review sessions. District Chief Executives (DCEs) should be given performance contracts that include nutrition outcome indicators, with nutrition coordinators appointed at all 261 district assemblies. The National Development Planning Commission (NDPC) must integrate nutrition targets into the next Medium-Term Development Plan with clear accountability frameworks linking national commitments to district-level delivery.

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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

Ghana’s National Nutrition Council: The governance body we need now

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National Nutrion Council
National Nutrion Council

Ghana has nutrition policies. Ghana has nutrition targets. Ghana has nutrition programmes spread across multiple ministries and dozens of implementing partners.

 What Ghana does not have is a single, empowered body responsible for leading, coordinating, and holding all this together. That is the gap a National Nutrition Council would fill, and stakeholders are calling for one now.

The case for a council

At a stakeholder engagement convened under the Nourish Ghana project in 2025, participants proposed the establishment of a National Nutrition Council to provide effective leadership and a governance framework for addressing malnutrition in Ghana. The meeting, which brought together policymakers, development partners, civil society organisations, and the media, highlighted a fundamental problem: nutrition responsibilities are fragmented across various ministries. Without a dedicated coordination body, efforts are duplicated, accountability is diffuse, and nutrition consistently loses out when budgets are tight.

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The proposal echoes a model used in several countries that have made the fastest progress against malnutrition. Nigeria’s National Council on Nutrition, for example, recently pledged $107 million at the 2025 N4G Summit, a level of coordinated ambition that Ghana has struggled to match.

Ghana does have existing coordination structures worth acknowledging. The Scaling Up Nutrition Cross-Sectoral Planning Group (CSPG), established in 2012, was set up to harmonise planning, implementation, and monitoring of nutrition actions across sectors. It has produced real gains. But the challenge has been institutionalising those gains beyond project cycles, and analysts have called for an elevated national coordination body with presidential oversight to ensure genuine cross-sector accountability. A National Nutrition Council would go further, providing the dedicated financing and convening authority that the CSPG, as currently structured, does not have.

What a Council would do

A National Nutrition Council would provide political oversight and coordination across all sectors involved in nutrition, health, agriculture, education, social protection, and finance. It would track Ghana’s nutrition commitments, hold ministries accountable for delivery, and ensure that nutrition budgets are protected and spent effectively. Most importantly, it would give nutrition a permanent seat at the table where national development decisions are made.

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The Time Is Now

Ghana made 10 commitments at the 2025 N4G Paris Summit. Translating those commitments into results requires a governance structure that does not currently exist. Establishing a National Nutrition Council is not a bureaucratic exercise. It is the institutional foundation without which Ghana’s nutrition ambitions will remain promises on paper. Leaders must act on this proposal without delay.

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

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Nutrition

Ginger bread

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Delicious ginger bread
Delicious ginger bread

-350grammes of plain flour

-2 tablespoonfuls of baking powder

-2 tablespoonfuls of grinded ginger

-1 tablespoonful of grinded cinnamon

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-1/2 tablespoonful of grinded cloves (optional)

-1/2 tablespoonful of nutmeg

-Salt

– 1/2 cup of unsalted butter, softened

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-1 cup of dark brown sugar

-2 large eggs

-1/2 cup of golden syrup

-1 tablespoonful of vanilla extract

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-Sprinkles, edible glitter, or small sweets

Preparation

-Begin by preheating the oven to 180 degrees Celsius and lining a baking tray with greaseproof paper.

-In a large bowl, sift together the plain flour, baking powder, ginger, cinnamon, cloves, nutmeg, and salt. Stir well and set aside.

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-In another bowl, use an electric whisk or a wooden spoon to cream the softened butter and dark brown sugar until the mixture is light and fluffy. (This step helps incorporate air into the dough, giving your gingerbread a lovely texture).

-Beat eggs into the butter and sugar mixture, then mix in the golden syrup and vanilla extract. (Stir until the mixture is fully combined).

-Gradually add the dry ingredients to the wet mixture, stirring gently until a dough forms. The dough should be soft but not sticky.

-Wrap the dough in cling film and chill it in the fridge for at least 30 minutes. Chilling the dough makes it easier to roll and ensures that the shapes hold their form during baking.

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-On a lightly floured surface, roll out the dough to a thickness of about 5mm (1/4 inch). Place the cut-out shapes on the prepared baking tray, leaving a little space between each one.

-Bake the gingerbread in the preheated oven for 10–12 minutes, or until the edges begin to darken slightly. Keep a close eye on them to avoid over-baking.

– Get creative with sprinkles, edible glitter, or small sweets to make your gingerbread truly unique.

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