Nutrition
Over 30 years of lifesaving therapeutic food: Why millions of children still need help
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.
Soya beans is a highly nutritious plant-based food with several health benefits:
-Rich source of protein
-Contains all nine essential amino acids, making it a complete protein.
-Helpful for vegetarians and vegans as an alternative to animal protein.
-Supports muscle growth and repair.
– Heart Health
-Helps lower cholesterol levels
-Contains healthy unsaturated fats and fibre that support cardiovascular health
-Can be part of a heart-friendly diet
-Bone health
-Provides calcium (in fortified soy products), magnesium, and protein
-Soy isoflavones may help maintain bone density, especially in postmenopausal women
– May help manage menopausal symptoms
-Contains natural compounds called isoflavones (phytoestrogens)
-Some women experience reduced hot flashes and other menopausal symptoms with soy consumption
-Supports weight management
-High protein and fibre content can increase fullness and reduce hunger
-May help with maintaining a healthy weight
-Good for blood sugar control
-Has a low glycemic index
-Protein and fibre can help stabilise blood sugar levels
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.
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.
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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