Nutrition
The NHIS Opportunity: Leveraging Ghana’s uncapped health levy for nutrition services
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Ghana’s decision to uncap the National Health Insurance Levy in 2025 marks an important shift in health financing. By removing limits on how much revenue the National Health Insurance Scheme (NHIS) can receive, government has created room to strengthen and expand essential health services.
This change comes at a crucial time for maternal and child nutrition, where effective solutions already exist but are yet to reach everyone who needs them.
Two such interventions are Ready-to-Use Therapeutic Food (RUTF) for children with severe acute malnutrition and Multiple Micronutrient Supplements (MMS) for pregnant women. Both are included in Ghana’s Essential Medicines List and Standard Treatment Guidelines, confirming their safety and effectiveness. Yet neither is currently covered under NHIS, leaving access dependent largely on donor-supported programmes.
The consequences are visible. An estimated 68,517 children in Ghana need treatment for severe acute malnutrition, but only about 15 per cent receive RUTF. For pregnant women, iron–folic acid supplements remain the standard, even though they address only two of the 15 essential micronutrients required during pregnancy. As a result, maternal anaemia remains widespread, affecting between 37 and 63 per cent of pregnant women depending on the trimester.
What makes this moment different is that Ghana already has the systems needed to deliver these services at scale. NHIS enrollment among mothers of children under five stands at about 84 per cent. National guidelines for the use of RUTF and MMS are finalised and in use, and more than 600 health workers have been trained on updated protocols. Supply chain structures are in place. The missing link has been sustainable, predictable financing.
Cost should not be a barrier. A full course of MMS costs about USD 2.50 per pregnancy and has been shown to reduce low birth weight by 12 per cent and preterm births by 11 per cent. This represents a small share of current spending on undernutrition. RUTF, while more resource-intensive, reduces the need for expensive hospital admissions by enabling effective community-based care, with recovery rates of 75 to 90 per cent. Ongoing Health Technology Assessments will provide Ghana-specific evidence to guide NHIS reimbursement decisions.
Including RUTF and MMS in the NHIS benefits package would change how nutrition services are delivered. Coverage would no longer depend on where donor programmes operate. Families would be protected from out-of-pocket costs, and services would be delivered as part of routine maternal and child healthcare. Importantly, data on coverage and outcomes would flow through national systems, strengthening monitoring, accountability, and planning.
Ghana has committed to achieving 80 per cent coverage of essential health services by 2030 under its Universal Health Coverage agenda. Nutrition is central to this goal, as it underpins child survival, maternal health, and long-term human development. The uncapping of the National Health Insurance Levy offers a rare chance to close long-standing nutrition financing gaps using domestic resources.
The opportunity is clear. The systems are ready. The evidence is established. What remains is a deliberate policy choice to use this expanded fiscal space to ensure that lifesaving nutrition services reach mothers and children across the country, consistently, equitably, and sustainably. The levy uncapping opens the door; leadership must walk through it.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
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Nutrition
Seasonal fruits: Ghana’s cheapest super foods are already in our markets

Walk through any market in Ghana during fruit season and one thing is unmistakable: nature has been generous. Mangoes, pineapples, oranges, watermelon, pawpaw, bananas, and avocados sit in abundance, often at their most affordable prices of the year.
And yet many families still eat far less fruit than they should even as non-communicable diseases like hypertension, diabetes, and obesity continue to rise nationally. Encouraging more seasonal fruit in everyday diets is one of the simplest, most cost-effective nutrition wins available to Ghana.
Nature’s nutrient package
Fruits deliver the vitamins, minerals, fibre, and antioxidants that the body needs to function well. Vitamin C strengthens immunity and helps the body absorb iron. Potassium supports healthy blood pressure. Fibre aids digestion and helps regulate blood sugar. For children, fruit fuels healthy growth and development. For adults, regular fruit intake is linked to lower risk of heart disease, stroke, and certain cancers, all while staying naturally low in sodium and free of added sugar, unlike most processed snacks.
Why eating in season just makes sense
Seasonal fruit is fresher, tastier, cheaper, and at its nutritional peak, all at once. Buying in season saves households money, supports local farmers, and reduces post-harvest losses across the supply chain. Small habits compound: a banana at breakfast, watermelon as an afternoon snack, a slice of pawpaw after dinner. None of it dramatic, all of it adding up.
The competition from processed foods
Despite this local abundance, sugary drinks, biscuits, and processed snacks are steadily winning market share, especially with children and adolescents. Aggressive marketing and convenience have made them the easier choice, even though they’re typically high in sugar, salt, and unhealthy fat and low in real nutrition. Swapping just one processed snack a day for a piece of fresh fruit is a small change that pays off over time.
Making the healthy choice the easy choice
Fixing this is not just about telling people to eat better. It is about shaping the environment around them. Schools can build fruit into feeding programmes. Workplaces can offer healthier snacks at meetings. Markets and supermarkets can give locally grown fruit better visibility and shelf space. Local authorities can support vendors with better storage to cut spoilage. And nutrition education should spotlight Ghana’s own fruits, not just imported alternatives.
Seasonal fruit is one of Ghana’s greatest and most underused nutritional assets. Sometimes the best solution to a nutrition problem isn’t a new product. It’s already growing in our own communities.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
Nutrition
Chilli crab

Crab is one of the most popular seafood delicacies with a lot of nutritional benefits. It boost the immune system, increase cognition and protect the heart.
Ingredients
-1 whole cooked crab
-2 tablespoonful of olive oil
-3 garlic cloves, very finely chopped
-1 ginger, very finely chopped
-3 red chillies, 2 very finely chopped, 1 sliced
-4 tablespoonfuls of tomato ketchup
-2 tablespoonfuls of soy sauce
-Handful coriander leaves, roughly chopped
-2 spring onions, sliced
Preparation
-Remove the claws and shell of crabs. Then cut the body into four pieces and crack the claws and the legs.
-Marinate the crab with onion, ginger, and seasonings.
-Heat the oil and sizzle the garlic, ginger and chopped chilies for one minutes or until fragrant.
-Add the ketchup, soy, and 100ml water, and stir to combine
-Add the crab, turn up the heat and stir-fry for three-five minutes
-Spice your food with the coriander leaves, spring onions, and sliced chili.
-Arrange the crab on a serving dish, pour the sauce from the pan and serve with rice or fried yam. -Pulse.gh





