Nutrition
Over 30 years of lifesaving therapeutic food: Why millions of children still need help

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For the past thirty years, Ready-to-Use Therapeutic Food (RUTF) has transformed the treatment of severe acute malnutrition in children. Before its introduction in the late 1990s, children suffering from severe wasting often required prolonged hospital stays, intensive medical care, and constant supervision. Today, many of these children can recover safely at home or within their communities under the guidance of trained health workers. This innovation has saved millions of lives across more than 70 countries and changed the global response to child malnutrition.
Severe acute malnutrition, also known as severe wasting, is one of the deadliest forms of malnutrition. It weakens the immune system, slows growth and development, and increases a child’s risk of death significantly. Common illnesses such as diarrhoea, pneumonia, and malaria become far more dangerous when children are malnourished. Globally, undernutrition is linked to nearly half of all deaths among children under five years, with the highest risk among children under the age of two In Ghana alone, an estimated 68,517 children are affected by severe acute malnutrition, according to the 2022 Ghana Demographic and Health Survey.
RUTF has proven to be one of the most effective tools in treating severe wasting, and is central to the Community-based Management of Acute Malnutrition (CMAM) framework — the globally endorsed model for delivering SAM treatment at the community level, outside of hospital settings The peanut-based paste is fortified with essential vitamins and minerals and requires no refrigeration, water, or cooking, making it practical for low-resource settings. When treatment begins early and supplies are consistently available, recovery rates range between 75 and 90 percent, at an estimated treatment cost of approximately USD 45 to 60 per child making RUTF one of the most cost-effective interventions in global health. Children often recover within six to ten weeks, regaining strength and healthy weight rapidly.
Despite these successes, access to treatment remains critically low. Globally, fewer than one in four children who need therapeutic food are able to receive it. The challenge today is no longer about whether treatment works; the evidence is clear. The real challenge is financing and consistent supply.
Many countries, including Ghana, have already taken important steps. RUTF is included in Ghana’s Essential Medicines List and Standard Treatment Guidelines, and hundreds of health workers have been trained to manage severe acute malnutrition within communities, including through Ghana’s Community-based Health Planning and Services (CHPS) compound network. However, procurement of therapeutic food still relies heavily on donor support, making supplies vulnerable to funding cuts and disruptions. As a result, some districts have access to treatment while others do not, even when malnutrition rates are equally high.
Addressing child malnutrition requires stronger political commitment and sustainable financing. Integrating RUTF into national health financing systems, including the National Health Insurance Scheme, could help ensure that children receive timely treatment regardless of where they live. Achieving this would require establishing clear RUTF reimbursement protocols within the NHIS claims framework, alongside dedicated national budget allocations for therapeutic food procurement. The infrastructure and knowledge already exist. What is needed now is sustained investment and prioritization.
Three decades of therapeutic food have shown that severe acute malnutrition is highly treatable. No child should die from a condition that can be managed with proven, lifesaving nutrition support. The progress made is significant, but the revolution remains incomplete until every child who needs treatment can access it.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project.
Nutrition
Benefits of vegetables

Vegetables are important part of our daily food. They are foods that provide the body with many nutrients needed to stay healthy and strong. Examples of vegetables include cabbage, carrots, tomatoes, spinach, garden eggs, okra, cucumber, lettuce, green pepper and onions. Vegetables can be eaten in many different ways, such as in soups, stews, salads and sauces. Eating vegetables regularly can improve our health and help protect us from many diseases.
One of the main benefits of vegetables is that they give the body important vitamins and minerals. Different vegetables contain different nutrients. For example, carrots contain vitamin A, which is important for healthy eyes and good vision. Green vegetables such as spinach contain useful vitamins and minerals that help the body grow and function properly. Tomatoes and peppers also contain vitamins that support the body. This is why eating different types of vegetables is better than eating only one type.
Vegetables also help to strengthen the immune system. The immune system protects the body from infections and diseases. Some vegetables contain vitamin C and other nutrients that help the body fight illness. Eating vegetables as part of a balanced diet can therefore help the body maintain a strong natural defence system. However, vegetables are not a medicine and should be combined with other healthy foods and good health habits.
Another important benefit of vegetables is that they help the digestive system. Many vegetables contain fibre. Fibre helps food move properly through the digestive system and can help prevent constipation. It also supports a healthy stomach and bowel. People who eat enough fibre may have an easier time passing stool. Drinking enough water along with eating fibre-rich foods is also important for good digestion.
Vegetables can also help people maintain a healthy weight. Most vegetables contain a lot of water and fibre and are not very high in calories. This means that they can make a person feel full without adding too many calories to a meal. For example, adding cabbage, carrots, lettuce or cucumber to a meal can make the meal more filling. Choosing vegetables instead of eating too many highly processed foods can support healthy eating.
Eating vegetables may also help protect the heart. Some vegetables contain potassium, fibre and other nutrients that support heart health. A diet that includes plenty of vegetables, fruits, whole grains and other healthy foods can help reduce the risk of some health problems. Vegetables can also be useful for people who want to reduce the amount of unhealthy foods in their diet.
Vegetables are also important for children and young people because their bodies are still growing. Children need enough nutrients for healthy growth, strong bones, good eyesight and proper development. Parents and caregivers should therefore encourage children to eat vegetables from an early age. Making vegetables attractive and including them in meals that children enjoy can help them develop healthy eating habits.
Vegetables can also contribute to healthy skin. Some vegetables contain vitamins and other natural substances that support the health of the skin. For example, vegetables rich in vitamin C can support the body’s production of collagen, which is important for the skin. Eating vegetables, drinking enough water and maintaining good personal hygiene can all contribute to overall health and appearance.
Another benefit is that vegetables can provide the body with antioxidants. Antioxidants help protect the body’s cells from damage caused by harmful substances known as free radicals. Many colourful vegetables contain these protective substances. This is one reason health experts often encourage people to eat vegetables of different colours, including green, red, yellow and orange vegetables.
Vegetables can also improve the quality of our meals. They add colour, taste and variety to food. A meal containing vegetables can be more attractive and enjoyable than a meal made up of only one or two types of food. Vegetables can be added to rice, yam, plantain, beans, pasta, soups and stews. This makes it easy for people to include them in their normal meals.
In conclusion, vegetables provide many benefits to humans. They give the body vitamins, minerals, fibre and other useful nutrients. They support good digestion, help the immune system, contribute to healthy weight, support heart health and can help protect the body from some diseases.
WHO- “Healthy diet” Jan 26
Nutrition
Boiled yam with chicken and vegetable stew

Ingredients
- -1 medium tuber of yam
- -500 grammes of chicken
- -3 large tomatoes
- – 2 large onion
- -1 green pepper
- -2 carrots
- -1 small cabbage
- -1 handful of green beans
- -2 cloves of garlic
- -1 small piece of ginger
- -2 tablespoons vegetable oil
- -1 teaspoonful of curry powder
- -1 teaspoonful of dried thyme
- -Salt to taste
- -Water
Method
-Wash, peel and cut the yam into medium-sized pieces.
– Put the yam in a saucepan, add water and a little salt, and boil until tender.
– Wash and cut the chicken into suitable pieces. Season with salt, garlic, ginger and curry powder
-Heat a small amount of vegetable oil in a saucepan and lightly brown the chicken.
-Blend or chop the tomatoes, onion, garlic, ginger and green pepper.
– Add the blended mixture to the chicken and allow it to cook for about 10 minutes.
-Wash and chop the carrots, cabbage and green beans into small pieces.
-Add the vegetables to the stew and cook for another 5–7 minutes, ensuring they do not become overly soft.
-Add the seasoning cube and adjust the salt to taste.
-Allow the stew to simmer until the chicken is thoroughly cooked and the sauce has thickened.
– Drain the boiled yam and serve hot with the vegetable chicken stew.
By Desmond Aidoo




