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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.

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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.

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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

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Nutrition

Healthy eating doesn’t have to be expensive

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A Ghanaian local dish

One of the most persistent myths about nutrition is that eating well is a luxury reserved for higher incomes. That healthy means imported, packaged, and pricey. The reality in Ghana tells a very different story.

Good nutrition starts with local food

Ghana is rich in nutrient-dense foods that are grown here and sold in markets every day: beans, cowpeas, groundnuts, kontonmire, alefu, okra, garden eggs, tomatoes, oranges, mangoes, pawpaw, millet, sorghum, yam, cocoyam, and small fish. Together, they supply the protein, vitamins, minerals, healthy fats, and fibre the body needs to grow, stay strong, and fend off chronic disease.

Many traditional Ghanaian meals are already nutritionally balanced by design. Beans with ripe plantain. Kontomire stew with boiled yam. Tuo zaafi with ayoyo and beans. Meal for meal, these often outperform processed convenience food and cost less doing it. Healthy eating rarely requires exotic ingredients; it starts with foods that have always been part of the culture.

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So why does healthy eating still feel expensive?

Rising food prices, transport costs, and post-harvest losses all chip away at affordability. Fresh fruit, vegetables, fish, and eggs can get pricier at certain times of year, while heavily marketed processed foods stay cheap and everywhere. Busy schedules push people toward packaged convenience food that’s quick to prepare but often loaded with salt, sugar, and unhealthy fat. The lesson here: healthy eating isn’t only a personal choice. It is shaped by the food environment people live in.

Small changes, real savings

Families don’t need a diet overhaul overnight. A few consistent habits go a long way:

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  • Plan meals before shopping to buy only what’s needed and cut food waste.
  • Buy fruits and vegetables in season, when prices are lowest.
  • Add beans or other legumes to meals a few times a week as an affordable protein source.
  • Swap sugary drinks for water and fresh fruit offering better nutrition at no extra cost.

A shared responsibility

Households can only do so much on their own. Governments, local authorities, and the private sector need to make the healthy choice the easy choice, too. That means investing in irrigation, storage, and transport to stabilise prices; supporting farmers to keep fresh produce flowing year-round; and building nutrition education and healthier food options into schools, workplaces, and public institutions.

Good nutrition should never be treated as a luxury. It’s the foundation of good health, learning, and productivity. When nutritious local food is within reach of every household, Ghana moves closer to a healthier, more productive future for everyone.

Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project

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Nutrition

Homemade spring roll

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Delicious spring roll

Ingredients

-6 tablespoonfuls of plain flour

-3 tablespoonfuls of margarine

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-5 tablespoonfuls of mixed vegetable

-2 large onions (chopped)

-3 medium-sized chicken breast (chopped)

-Egg white as binding agent

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-Salt

-Maggie cube

-Black pepper

-Oil for deep frying

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Preparation

Pour plain flour into a mixing bowl

-Add salt to taste

-Add margarine and vegetable oil and mix well

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-Add cold water to make a soft dough

– Allow dough to rest and prepare the stuffing

– Put your saucepan on the hub and add about a tablespoonful of oil

– Add the onion and fry for about a minute

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– Add the chopped chicken breast

-Allow to cook through for about five minutes whiles turning intermittently

-Add the mixed veggies and allow on for another five minutes. Add a little water to make it saucy

-Add a little gravy powder/ flour to keep it more like gravy sauce and allow the sauce to cool

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– Take the dough and with the rolling pin on the board surface, roll the dough till it becomes flat and light and cut the dough into good sizes

– Use egg white as a sticking agent and with the pastry brush, brush the egg white over the pastry.

-Put in the fillings on the individual doughs and fold them nicely, making sure all ends are nicely tucked in.

-Egg wash the rolls

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-Deep fry the rolls in hot frying oil, so they don’t become soggy.

 Remove when golden brown and serve with Shito or sauce.

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