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Why RUTF must be added to the NHIS; A call for national action

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Poor diet damages children’s health

Despite RUTF’s proven ability to save lives, access to it in Ghana remains inconsistent. Many caregivers face long travel distances to treatment centres, only to be told that supplies have run out. Others rely on community health workers who do their best but struggle with stock shortages. The core challenge is simple: RUTF in Ghana depends heavily on donors, and when global priorities shift or funding gaps emerge, children suffer.

RUTF’s which stands for Ready-to-Use Therapeutic Food is a high-energy, micronutrient-rich food paste designed to treat severe acute malnutrition in children. This raises an important question: why is a life-saving product, essential to child survival, not covered under the National Health Insurance Scheme (NHIS)?

Including RUTF in NHIS would mark a monumental shift in how Ghana approaches child health. Firstly, it would ensure that access to RUTF becomes a national obligation, not an act of charity. Severe acute malnutrition is a medical condition, just like malaria, pneumonia, or diabetes, and must be treated as such. With RUTF included in the NHIS medicines list, families would be guaranteed treatment without depending on unpredictable donor supplies.

Secondly, integrating RUTF into NHIS is cost-effective. Untreated malnutrition leads to complications such as severe infections, developmental delays, and prolonged hospital admissions, all of which are far more expensive for the health system than early intervention. Investing in RUTF through NHIS would reduce long-term healthcare costs while strengthening Ghana’s commitment to the Sustainable Development Goals, particularly SDG 2 and SDG 3.

Thirdly, including RUTF in the scheme would help eliminate inequities. Currently, access varies by region. Children in remote or hard-to-reach communities often suffer the most. When RUTF is made universally available, every child is guaranteed treatment when they need it.

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Additionally, NHIS coverage of RUTF would help streamline procurement systems, improve supply chain consistency and strengthen accountability mechanisms, a gap that currently undermines national nutrition efforts.

At its core, this is an issue of fairness, governance, and national responsibility. If Ghana truly prioritises child survival, then RUTF must be placed where it belongs, that is, within the NHIS as an essential, guaranteed treatment.

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

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Nutrition

Wheat ‘angwa mo’ recipe

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Wheat

Ingredients 

-Oil

-1 large onion

-2 cups of rice

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-Salt

-2 cups of wheat 

Preparation

-In a medium saucepan, heat oil over medium-low heat 

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-Add the onion and cook, stirring frequently, until soft and turns golden brown 

-Wash rice and wheat and put into pan. Sauté for two to three minutes, until toasty and fragrant

-Add water and salt and allow to boil.

– Reduce heat to low and allow to simmer for 10 to 15 minutes until rice is tender and the water is absorbed. 

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-Taste the rice/wheat; if it is still a bit firm, add a few more tablespoons of water and cook a few more minutes.

-When the rice/wheat is ready, take it off the fire and serve hot

Benefits of wheat 

–Improves digestion: High levels of insoluble fibre- wheat promotes regular bowel movements, prevent constipation, and support a healthy gut microbiome. 

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-Supports heart health: Whole-grain wheat helps lower LDL (bad) cholesterol, reduces blood pressure, and decreases the risk of stroke and heart disease.

-Aids weight management: Complex carbohydrates and dense fibre slow digestion, increase feelings of fullness, and help prevent sharp blood sugar spikes. 

-Lowers type 2 diabetes risk: Steady glucose release and minerals like magnesium improve insulin sensitivity. 

– Provides essential vitamins and minerals:  Wheat supplies B vitamins, iron, magnesium, phosphorus, zinc, and selenium, which help build bones and boost immune function. 

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–Delivers Antioxidants: Compounds like phenolic acids, ferulic acid, and lutein protect cells from oxidative stress and support eye health.

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Nutrition

Asaana (caramelised corn drink)

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Local drink, Asana

Ingredients

-4 cups of crushed corn

-1 cup of sugar

Method:

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-Soak crushed corn for two or more days to ferment

-Boil the fermented corn for about 20-30 minutes until foamy substance is dried up

-Pour sugar in a saucepan and heat until almost burnt

-Strain water from the boiled corn and pour in the saucepan containing sugar

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-Use a strainer to strain the chaff

-Allow to cool and store in refrigerator

– Serve with milk

By Linda Abrefi Wadie

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