Nutrition
The Right to Nutrition: Turning Ghana’s policy commitments into real access for vulnerable families
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Ghana has made strong commitments to protecting the health and wellbeing of its citizens. The Constitution affirms the state’s responsibility to safeguard public health, and the country has endorsed international agreements recognizing the right to adequate food and nutrition.
National policies also acknowledge malnutrition as a major challenge and outline interventions designed to address it. Yet for many vulnerable families, the reality remains very different. An estimated 68,517 children with severe acute malnutrition face a mortality risk nine times higher than that of well-nourished children, while only 15 per cent receive the treatment their government has approved as essential medicine. The gap between rights on paper and access in practice defines the challenge facing vulnerable families.
When rights are effectively implemented, systems exist to ensure access regardless of income or location. Ghana’s immunisation program is a good example. Children receive vaccines through routine services across the country because financing mechanisms guarantee supply and remove cost barriers. Similarly, many pregnant women
access antenatal services through the National Health Insurance Scheme. Nutrition interventions, however, do not yet benefit from the same level of system support.
For a mother in a rural community whose child develops severe malnutrition, the availability of treatment often depends on factors beyond her control. Does a donor-supported program operate in her district? Are supplies currently available at the health facility, or have funding gaps caused stockouts? Even though national policy recognises the treatment, the health system may not consistently provide it.
The same challenge affects maternal nutrition. Multiple Micronutrient Supplements are recognised in policy and supported by convincing evidence. Studies show they can reduce low birth weight and preterm birth while addressing a broader range of micronutrient deficiencies. Yet pilot programs currently reach only a small proportion of pregnant women nationwide.
When access depends on project locations rather than national systems, inequities deepen. Wealthier households may find ways to obtain supplements or travel to better-resourced facilities. Poor families, particularly in rural areas, rely entirely on public services. When those services operate on a limited scale, poverty becomes a determining factor in who receives care.
Closing this gap requires strengthening the mechanisms that translate policy commitments into real services. Integrating nutrition interventions such as RUTF and Multiple Micronutrient Supplements into the National Health Insurance Scheme could provide that mechanism. With a large share of mothers and children already enrolled, NHIS offers an existing platform capable of expanding access nationwide.
This is fundamentally a question of equity and justice. Ghana has demonstrated the capacity to deliver universal coverage for some health interventions. The right to vaccination does not depend on household income because financing systems ensure supply and remove cost barriers. The right to antenatal consultation is similarly protected through NHIS. There is no technical or ethical justification for treating nutrition rights differently. If severe malnutrition treatment and comprehensive maternal supplementation are essential for health, they deserve the same financing commitment as other essential services.
Rights become meaningful when they guarantee access. Ensuring that every child and every pregnant woman can obtain proven nutrition interventions is not only a health priority, but also a step toward making Ghana’s policy commitments a reality.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
Nutrition
When floodwaters rise, nutrition and food safety should not be ignored

The recent floods across parts of Ghana have disrupted lives, displaced families, and damaged homes and livelihoods. While rescue efforts and rebuilding understandably take centre stage, another urgent issue deserves equal attention, nutrition and food safety, both during the flood and long after the water recedes.
Floods contaminate water sources, destroy crops, interrupt food supplies, and increase the spread of foodborne disease. These challenges place young children, pregnant and breastfeeding women, older adults, and people living with chronic illness at far greater risk of malnutrition. The scale of this threat is not hypothetical: in June 2025 alone, floods displaced nearly 90,000 people across seven regions, according to Ghana’s National Disaster Management Organisation (NADMO). Past flood-drought cycles show why displacement of this kind matters for nutrition following a similar disaster in Ghana’s three northern regions, the World Food Programme documented chronic malnutrition among children ranging from 34 to 48 per cent, alongside acute malnutrition of 8 to 12 percent, in the hardest-hit areas. As Ghana faces more frequent extreme weather events, protecting nutrition must become a core part of disaster preparedness, not an afterthought.
Floods affect more than food availability
Floodwaters wash away farms, destroy stored food, and make it difficult for farmers and traders to move produce to market. As supplies shrink, prices of nutritious foods such as fruits, vegetables, fish, and eggs increase. For households already stretched by the rising cost of living, that often means choosing cheaper, less nutritious food just to feel full. Over time, diets narrow, and the risk of vitamin and mineral deficiencies grows.
The hidden danger: unsafe food
Floodwater is rarely clean. It carries sewage, chemicals, animal waste, and other contaminants into homes, farms, and food stores. Eating food that has touched floodwater, or drinking unsafe water, can trigger diarrhoea, cholera, typhoid, and other infections, illnesses that block nutrient absorption and cause rapid weight loss, especially in children. The danger doesn’t end when the water goes down; improperly stored or damaged food can still make people sick weeks later.
What every household can do
- Drink only safe or treated water where supplies have been affected.
- Wash fruits and vegetables thoroughly with clean water.
- Discard any food that has been exposed to floodwater, even if it looks fine.
- Cook food thoroughly and never eat spoiled food.
- Keep breastfeeding infants: breast milk remains the safest source of nutrition in an emergency.
- Seek medical care promptly if a child develops persistent diarrhoea or shows signs of dehydration.
Recovery needs more than a full stomach
Emergency food aid tends to focus on energy-dense staples like rice and maize. Important, yes but not enough on their own. Recovering families also need protein, healthy fats, vitamins, and minerals, especially the most vulnerable groups. A nutrition-smart response includes fortified foods, beans and other legumes, safe drinking water and fresh produce where possible.
Recovery shouldn’t stop at food distribution, either. Communities need help rebuilding farms, markets, and livelihoods so families can go back to sourcing diverse, nutritious food on their own, not depending indefinitely on aid.
A call for leadership
Floods will keep testing Ghana’s resilience. The first call is to find innovative ways to reduce the impact of the floods. The response, however, has to go beyond emergency relief to actively protect nutrition and food safety through safe water provision, food safety education, trained health workers who can spot malnutrition early, and recovery programmes that help farmers get growing again quickly.
When communities are protected from hunger, disease, and poor nutrition at every stage of a disaster, they don’t just survive floods, they recover from them faster and stronger.
Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project
Nutrition
How to prepare sausage rolls

Ingredients
-2 onion sliced
– One pack of sausage
– 2 tablespoonful of salt
-1 tablespoonful of nutmeg
-One tin of milk
– 2 large eggs
– 2 kilograms of flour
Method
-Pre-heat oven to keep it warm
-Put saucepan on the fire and heat oil
-Add onions and cook until soft and golden brown and spread out on a plate to cool
-Add onions, nutmeg and sausage and mix together
– Roll the pastry out into a big rectangle as thick as a pound coin and cut it length ways into two long, even rectangles
-Roll mixture into sausage shapes with your hands and lay along the centre of each rectangle
-Mix the egg and milk and brush the pastry with the mixture, then fold one side of the pastry over, wrapping the filling inside. Press down with your fingers or the edge of a spoon to seal the joint
Cut the long rolls into the sizes you want and space them out on a baking tray. Brush with the rest of the egg wash and bake in the pre-heated oven for 25 minutes or until puffed, golden and cooked through
By Linda Abrefi Wadie




