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