Nutrition
The NHIS Opportunity: Leveraging Ghana’s uncapped health levy for nutrition services
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
Healthy diets are not just personal choices: Ghana must fix the food environmentBy Marilyn Gadogbe
Ghanaian families are increasingly consuming unhealthy foods because the environment makes them the easiest and cheapest choice. From sugary drinks and pastries in schools to instant noodles at home, daily diets are pushing the nation toward hypertension, diabetes, and other diet-related diseases.
Key points:
- Choice is limited: People often pick energy-dense, processed foods not out of carelessness but because they are affordable, convenient, and heavily marketed.
- Health risks: Ultra-processed snacks are becoming common in urban homes, contributing to rising chronic diseases and a growing public health burden.
- Policy vs. personal responsibility: Individual choices matter most when supported by a healthy environment. Policies can enable responsible decisions, just as traffic laws support safe driving.
Proposed 5-Point Action Plan for Ghana:
- Front-of-pack warning labels: FDA & MoH to mandate clear labels on high-sugar or high-salt products.
- Marketing restrictions: FDA to limit advertising of unhealthy foods to children, especially near schools.
- School food standards: GES & School Feeding Programme to prioritize nutrient-dense local foods and limit sugary drinks.
- Sugar levy: MoF & MoH to tax sugar-sweetened beverages and use revenue to subsidize fresh fruits and vegetables in low-income areas.
- Strengthen local food systems: MoFA & Local Assemblies to invest in fresh food access, storage, and market infrastructure.
Conclusion:
A healthier Ghana requires designing a supportive food environment through policy. Diet-related diseases are not just personal choices—they reflect the system people live in. Without structural change, preventable illnesses will continue to burden the nation.
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Yake Yake is a traditional Ghanaian dish from the Volta Region made from steamed, grated cassava. It is similar to Attieke but typically steamed in a different, more rustic, or water-free style.
Ingredients
- 4 tubes of cassava
- Salt to taste
Preparation
- Peel the cassava tubers, remove the fibrous inner core, and wash thoroughly.
- Grate the cassava using a blender or grater until it is fine and grainy.
- Place the grated cassava into a muslin or cheesecloth and squeeze out as much water as possible.
- Pass the dried, squeezed cassava through a strainer to separate coarse chunks, ensuring a fine, powdery texture.
- Line a steamer (or a pot with a perforated insert) with a cheesecloth. Pour the cassava flakes into the cloth, forming a dome shape.
- Steam for about 3–4 minutes until fluffy.
- Turn the Yake Yake out onto a plate. It should appear as a soft, cake-like dome.
- Pair with tilapia, hot pepper, and sliced onions for a complete, authentic Ghanaian meal.
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