Features
Time poverty, the nutrition crisis: How long working hours are reshaping diets of Ghanaian families

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In many Ghanaian households today, the workday no longer ends at 5 p.m. In busy Ghanaian cities such as Accra and Kumasi, parents experience traffic-clogged streets. Traders and market women rise before dawn, health workers are on rotating shifts, and informal-sector workers juggle multiple jobs, thus, long work hours have become the norm rather than the exception. While these extended hours may help to keep some families financially afloat, they are also quietly changing dietary patterns in ways that threaten the health of both parents and their children.
Ghana cannot lecture families into healthy eating while work and commuting steal the time needed to cook, we must treat time poverty as a nutrition risk and design policy around it. A recent study published in the Journal of Development Effectiveness confirms what many Ghanaian parents already feel that when time is scarce, nutrition is the first sacrifice.
Also, in the Greater Accra Region, researchers from Feminist Economics have highlighted that long working hours and long commutes are pushing families, especially women away from traditional, nutritious diets toward convenience foods that are cheap, fast, and unhealthy. This shift is contributing to under nutrition in children and the rising rate overweight, obesity, and diet-related chronic diseases among adults and adolescents.
Parents who work long hours have little time available to themselves. Meal planning, food preparation, and shared family meals may be reduced at home due to exhaustion. As a result, households increasingly rely on ultra-processed foods, fried foods, sugary beverages, and refined carbohydrates. These foods are energy-dense but nutrient-poor, lacking essential micronutrients such as iron, zinc, vitamin A, and folic acid, nutrients critical for child growth and cognitive development.
Children are especially vulnerable. When parents are time constrained, children’s diets are shaped by caregivers, older siblings, or their own food choices. Breakfast may be skipped entirely, lunch money may often be spent on pastries, sweetened drinks, instant noodles, or fried snacks sold near schools and dinner, when it happens, may be eaten late at night and consist of leftovers or fast food. Over time, these patterns increase the risk of stunting, micronutrient deficiencies, and obesity.
For parents themselves, the health consequences are equally troubling. Long work hours are associated with irregular eating patterns and heavy reliance on fast foods. Combined with physical inactivity and chronic stress, these dietary habits increase the risk of hypertension, type 2 diabetes, and cardiovascular diseases and conditions that are already rising rapidly in Ghana.
Some may argue that the issue is not working hours but personal responsibility. After all, healthy Ghanaian foods such as “kontomire” stew, beans, millet porridge, vegetables, fruits, still exist and are still popular diets. But this argument overlooks structural reality. A parent who spends three hours commuting and 10 hours working has limited capacity to shop daily and cook from scratch. In this context, food choices are shaped less by preference and more by time constraints, labour conditions, and urban design.
Others may point out that long working hours are unavoidable in a developing economy, particularly in the informal sector where social protections are weak. That may be true, but accepting long hours as inevitable does not mean ignoring their health consequences. Public health policy must adapt to these realities rather than pretend they do not exist.
So what then must be done? Addressing this issue requires coordinated action across sectors. The Ministry of Health and Ghana Health Service should recognise time poverty as a determinant of diet and promote workplace nutrition standards, including protected meal breaks. Employers, education authorities, and local assemblies must strengthen healthy food environments in workplaces and schools while incentivizing vendors to provide more nutritious options. Transport and urban planning authorities should also reduce commuting time, as time savings can support healthier household dietary practices.
Ghana cannot afford to treat dietary patterns as a purely private matter. When parents’ long work hours distort what families eat, the consequences ripple across generations, affecting child growth, adult productivity, and the future burden on the health system. If we are serious about improving nutrition and health, we must look beyond the plate and confront the working conditions that shape what ends up on it. The health of Ghana’s parents and children depends on it.
By Grace Fia
Features
Understanding women’s emotionsProofreadUnderstanding women’s emotionsProofread
The emotional lives of women are deep and complex. They are shaped by biology, the brain, and how women interact with the world around them. While everyone feels emotions, science shows unique patterns in how women process and express them.
1. How the brain and body work
Emotions are not just feelings in the mind. They are physical processes controlled by the brain and body:
Connected brain halves: Studies show that women often have strong connections between the left and right sides of the brain. This helps women link logic with intuition and feelings very quickly.
Strong memories: The brain’s emotional centre helps women remember emotional events with vivid detail. This builds strong gut feelings and helps women learn from past experiences.
Hormone changes: Hormones like estrogen and progesterone change throughout the month. Estrogen can boost good moods and energy, while progesterone can cause calmness or quiet reflection. These shifts are natural physical responses.
2. Empathy and connection
Women often show high levels of empathy and social skill:
Mirror neurons: People have brain cells called mirror neurons that let us feel what others feel. Research suggests these networks help women deeply sense and understand the emotions of people around them.
The “Tend-and-Befriend” Response: When stressed, men often react with fight or flight. Women often use a “tend-and-befriend” response. Driven by bonding hormones, women are wired to care for others and seek support from friends and community during hard times.
3. Society and expectations
Society also shapes how women express their feelings:
Different rules: Girls are often taught to be nurturing and expressive. However, society sometimes judges women harshly if they show anger or act too assertive at work. This forces women to balance their true feelings with outside expectations.
Emotional labor: Women often carry the weight of keeping families and workplaces happy. While this builds strong bonds, it can also lead to tiredness if they do not take time for themselves.
4. Resilience and Intuition
These biological and social factors give women great emotional strength:
The Power of Sharing: Many women are good at processing sadness, joy, and love by talking with others. This helps them heal and grow.
Listening to intuition: “Woman’s intuition” is real. It is not magic; it is the brain quickly putting together past experiences, physical clues, and deep observations into a clear gut feeling.
Conclusion
Women’s emotions are a powerful and sophisticated system. They are driven by brain science, body chemistry, and deep empathy. Understanding these systems helps us see the vital role women play in building strong relationships and communities.
By Robert Ekow Grimmond-Thompson
Features
Confronting newborn abandonment in Ghana: When a cry for help is heard in a dustbin – Part 2

The root causes: It is never just one reason
My years of counselling at CPAC show me abandonment is rarely an act of malice. It is the tragic endpoint of seven overwhelming distresses:
1. Severe maternal mental illness —The hidden emergency
a) Clinical Postpartum Depression (PPD): This is far beyond “baby blues.” It is a severe mood disorder that can appear weeks to months after birth. Due to a massive drop in hormones, extreme sleep deprivation, and emotional exhaustion, the mother feels deep sadness, worthlessness, and complete emotional numbness towards her baby. Picture: A new mother sits by her bed all day, staring blankly. Her baby cries for hours, but she cannot lift her hands to carry the baby. She whispers, “This baby would be better off without me.” She does not hate the baby; she feels she has completely failed as a mother.
b) Peripartum Psychosis (Postpartum Psychosis): This is a psychiatric emergency. Rare but extremely dangerous, appearing suddenly within the first 2-3 weeks after delivery. The mother completely loses touch with reality. She hears commanding voices telling her to abandon the baby, or believes the baby is possessed by an evil spirit or is a “spirit child” who will bring a curse. Picture: A mother genuinely believes she heard a voice saying, “Leave this child at the crossroads at midnight or your family will die.” She abandons the baby not out of hatred, but because her broken mind believes she is obeying a higher spiritual order to save her family.
c) Pre-existing untreated Schizophrenia: This is a chronic, severe mental disorder that existed before the pregnancy. The stress of pregnancy and labour shatters her fragile coping. She suffers from paranoid delusions — believing people want to poison her and the baby — flat affect (zero facial expression), and grossly disorganised thinking, making it impossible to plan how to feed or clean a baby. Picture: A young woman whose family called her illness “spiritual attack” instead of taking her for medication wanders away after delivery, completely forgetting she even gave birth, leaving the infant behind.
2. Extreme socio-economic deprivation: For many girls in some parts of Ghana such as Kasoa, Madina, or Bekwai, poverty is not a statistic; it is a daily panic. No money for antenatal care, no money for hospital delivery, no money for baby diapers or formula. When a mother cannot feed herself, the thought of feeding another mouth feels impossible. Some mothers say, “I left her where someone richer would find her, because I could not watch her starve to death in my hands.” It is a distorted act of survival.
3. Intense societal stigma and shame: In Ghana, pregnancy outside marriage, teenage pregnancy, or pregnancy from rape can bring extreme family rejection. The girl is called “spoilt,” beaten, banned from church, or sacked from school. The fear of bringing shame to the family name is heavier than the fear of police. So she hides the pregnancy for 9 months, delivers alone, and abandons in secret to protect her family’s “honour.”
4. Paternal abandonment — The Man Who Ran Away: Behind almost every abandoned baby is a man who vanished. He says, “It is not mine,” or “Abort it,” and switches off his phone. The mother is left utterly isolated — no emotional, financial, or social support. She is criminalised alone, but the abandonment started with him. Psychological research shows paternal denial is one of the strongest predictors of maternal panic and newborn abandonment.
5. Substance abuse disorders: Alcohol, tramadol, and other drug addiction impair the brain’s executive functioning — the ability to plan, judge consequences, and process emotions. A mother struggling with addiction may give birth in a highly intoxicated or withdrawal state, unable to comprehend the needs of the newborn, leading to neglect and eventual abandonment.
6. The spirit child cultural phenomenon and superstition: In some remote pockets of Northern Ghana and even in few parts of Central and Ashanti regions, public health research shows babies born with congenital deformities, severe disabilities, or whose mothers die in childbirth are branded as “spirit children” or cursed. In extreme instances, families, under cultural pressure, mandate that such babies be exposed or abandoned at shrines or bushes. This is not mental illness, but a harmful cultural belief system that still kills.
The invisible wounds
On the baby: Risk of death from hypothermia, sepsis, and infection. Survivors suffer Anaclitic Depression and Failure to Thrive due to lack of touch. As adults, they battle Reactive Attachment Disorder, chronic mistrust, and identity crisis — “Why did my mother leave me in a dustbin?”
On the mother: Lifelong hidden grief, intense guilt, chronic PTSD, depression, and elevated suicide risk. A prison cell does not heal this.
On the nation: Overburdened orphanages like Osu Children’s Home, draining health budgets, and overworked Social Welfare officers.
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