Nutrition
Malnutrition costs Ghana billions. Why is it not treated as an economic emergency?
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Ghana’s economic conversations often focus on fiscal policy, investment, and productivity. But there is a cost that rarely enters these conversations.
The crippling, compounding cost of malnutrition. According to the Cost of Hunger in Africa (COHA) study, a landmark analysis conducted jointly by the African Union, the UN Economic Commission for Africa, WFP, and UNICEF, malnutrition drains an estimated 6.4 per cent from Ghana’s GDP every year. That is not a nutrition statistic. That is a national economic crisis hiding in plain sight.
What malnutrition actually costs
Malnutrition costs Ghana in ways that are both direct and deeply structural. Stunted children underperform in school, earn less as adults, and are more likely to raise malnourished children of their own, perpetuating a cycle that spans generations. Anaemic women are less productive in the workplace. Malnourished mothers give birth to low-birth-weight babies who face higher rates of illness, hospitalisation, and death. Diet-related diseases like diabetes, hypertension, and heart disease are rising fast, placing a mounting burden on Ghana’s health system and workforce.
The cost of inaction on malnutrition globally is estimated at $41 trillion over the next decade, according to the World Bank’s Investment Framework for Nutrition 2024. a figure that far outweighs the $13 billion annually needed to scale up proven nutrition interventions. For Ghana, the 6.4 per cent of GDP figure represents billions of cedis lost each year through reduced productivity, increased healthcare costs, and compromised human capital.
A problem that pays to solve
The economic case for investing in nutrition is overwhelming. Every dollar invested in nutrition returns an estimated $16 to the local economy. Scaling up proven nutrition interventions such as breastfeeding support, micronutrient supplementation, school feeding, treatment of acute malnutrition, is not charity. It is one of the highest-return investments a government can make.
Ghana’s commitment at the 2025 N4G Paris Summit to spend $6 million annually on nutrition commodities is a start. But $6 million against a problem that costs the economy billions each year is a fraction of what is needed. Ghana’s finance and planning ministries must be brought into the nutrition conversation, not just the health ministry.
A 6.4 per cent GDP loss would trigger emergency cabinet meetings if it came from any other sector. Malnutrition demands the same urgency. Ghana must stop treating nutrition as a health programme and start treating it as the economic and development priority it truly is.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
Ingredients
-Cocoyam leaves (Nkontomire)
-Palm oil
-Ripped Plantain
-2 Large smoked salmon
-1 cowhide (wele)
-1 cup of Egusi
– Momoni
-3 fresh eggs
-2 large onions
-2 large tomatoes
-Pepper
-Ginger
-Garlic
Method
-Wash cocoyam leaves thoroughly under running water
-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
– 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
-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
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
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?
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.
• 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.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
