On the banks of the River Pra, Ama, a mother of three, points to the murky water flowing past her village. “We used to drink from this river. We used to fish here,” she says. “Now, even our crops die when we use it to water them.” Ama’s children rarely eat fish anymore, and vegetables from her once-fertile farm are scarce. Their daily meals now consist mostly of cassava and a little palm oil which is filling, but far from nutritious.

Ama’s story is not unique. Across Ghana’s mining communities, illegal small-scale mining, or galamsey, is robbing families of the very resources they need to eat well and stay healthy. The focus of public debate has often been on the destroyed forests, poisoned rivers, and billions lost in gold revenue. But beneath the surface lies a quieter tragedy: a nutrition crisis with lasting consequences for Ghana’s children.

With rivers poisoned by mercury and cyanide, farming and fishing have collapsed in many galamsey zones. Families that once relied on fish as a key source of protein now go without. Crops watered with polluted streams fail to thrive, while fertile cocoa and vegetable farms have been dug up and abandoned. With food production disrupted, prices climb, and poor households are forced to rely on cheap, starchy meals with little nutritional value.

The impact is already showing. Health workers in mining areas report higher cases of child stunting, anaemia among women, and underweight children compared to farming districts. Pregnant women face greater risks during childbirth, while children raised on nutrient-poor diets struggle with growth, learning, and long-term productivity.

The problem stretches far beyond the mining pits. When rivers like the Pra, Ankobra, and Offin are polluted, irrigation systems and fisheries downstream are also destroyed, threatening food supplies in entire regions. In the long run, galamsey doesn’t just damage land, it undermines Ghana’s fight against hunger, malnutrition, and poverty.

If Ghana is serious about protecting its people, tackling galamsey cannot be seen only as an environmental or economic battle. It must also be seen as a public health and nutrition emergency. Safeguarding rivers and farmland means safeguarding the right of every child to eat a balanced diet and grow to their full potential.

Ama’s children, and thousands like them, deserve more than poisoned water and barren fields. They deserve safe food, clean water, and a future free from malnutrition. Ending galamsey is not just about saving the land; it is about saving Ghana’s nutritional future and the next generation.

We call on government to deploy multi-sector response teams that include health and agriculture officials, establish mobile nutrition clinics in affected areas, and mandate nutrition impact assessments for all mining permits. We urge traditional authorities and assemblies to enforce local bylaws and support community-led river monitoring systems.

We challenge citizens to demand quarterly transparency reports on galamsey enforcement and nutrition indicators from their MPs and district assemblies and we encourage the media to continue investigating the financial networks behind illegal mining. Ghana has the laws and resources, what’s missing is the political courage to enforce them. Ama’s village, and countless others like it, cannot wait any longer.

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

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 Ghana’s fight against malnutri­tion is undermined not by a lack of knowledge, but by lack of accountability.

Nutrition experts and policymak­ers alike know what works: exclusive breastfeeding, micronutrient supple­mentation, food fortification, school feeding programs, and nutrition-sen­sitive agriculture.

Yet, programs stall, targets are missed, and resources are under­funded with little consequence for those responsible.

Who is responsible when exclu­sive breastfeeding stagnates below global targets? Who answers for the fact that nearly half of Ghanaian women suffer from anaemia despite repeated pledges to improve ma­ternal nutrition? Who explains why stunting rates remain at 18 percent when the target was 15percent by 2025? Who ensures that Nutrition for Growth (N4G) commitments made at the international stage are translat­ed into local budgets and services? Who accounts for nutrition budgets that fall short of the 2-3 percent al­location recommended for effective programming? Etc.

Accountability must be made non-negotiable. Parliament must de­mand annual nutrition accountability reports from the Ministry of Health, the Ministry of Agriculture, and the National Development Planning Com­mission (NDPC), tracking not only policy promises but also tangible outcomes.

The NDPC, as the apex planning body, must take the lead in mon­itoring nutrition indicators across all sectors and ensuring that dis­trict-level plans integrate nutrition targets.

Civil society must step up, using evidence and data to spotlight the gaps between rhetoric and reality. Tools such as nutrition scorecards and citizen report cards can empow­er communities to track progress and demand answers. Media outlets must treat nutrition as a governance issue, not just a health story buried in lifestyle pages.

District assemblies, as the front­line implementers of nutrition pro­grammes, must be held accountable for translating national policies into community-level action. They should report regularly on the status of school feeding programmes, com­munity-based management of acute malnutrition (CMAM) services and local food security initiatives.

The public also has a role to play. Citizens must demand better inter­ventions that addresses their nutri­tional needs, by asking their repre­sentatives what concrete steps have been taken to improve nutrition in their communities. Communities can use vox pops, community radio, and grassroots dialogues to hold lead­ers accountable. The Food Systems Transformation and Nutrition Secu­rity (FSTNS) Cross-Sectoral Planning Group (CSPG), led by the National Development Planning Commission (NDPC), which serves as Multi-Sec­toral Platform for Food Security and Nutrition should serve as a coordina­tion hub where stakeholders review progress and identify bottlenecks in real time.

International partners must not shy away from asking tough ques­tions about financing gaps and delayed reforms. Accountability should have teeth, public hearings for nutrition budget performance, independent audits of feeding pro­grammes and performance-based funding mechanisms that reward results, not just promises.

Countries like Rwanda have shown that strong political commitment backed by rigorous accountability mechanisms can dramatically reduce malnutrition rates. Ghana can learn from such examples, adapting suc­cessful models to our own context.

Without accountability, nutrition will remain a political talking point instead of a development reality. Ghana cannot afford empty commit­ments. Our children deserve measur­able results, and our leaders must be held responsible for delivering them.

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

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