A rapid review of key policies and programs linked with nutrition and health in Ghana

Abstract

As part of the process by the government of Ghana to develop food-based dietary guidelines, a review of policies and programs was commissioned. The review aimed to identify and describe the policy environment, with a focus on identifying the type of existing policies, priorities, and programs  related to nutrition and health between 2010 and 2020. The review also tracked the evolution of changes in policies and programs over the same  period. Using a systematic rapid scoping review approach, policy and program documents were identified and classified according to relevant  nutritionspecific and nutrition-sensensitive sectors, including health, agriculture and food, human development, social protection, and trade. Data  from included documents were extracted using an excel extraction tool. The extracted data including policies, programs, objectives, coverage of the  policies/programs, intended outcomes, target groups, and agencies responsible for implementing these policies and programs. More than 70  government documents, plus other reports and literature sources describing government policy and programs with relevance for nutrition were  identified. Most of these policies and programs were not designed to directly address malnutrition. This is because, the policies and programs  neither referenced nutrition objectives, nor nutrition outcomes. However, the existing policies and programs had aspects that can be leveraged  (either through redesign or implementation) to contribute to improved nutrition outcomes. A key challenge in the nutrition programming landscape  is the nonexistence of a comprehensive and costed national nutrition strategic plan to accompany the national nutrition policy. The key  nutrition priorities of the Government of Ghana and its partners, as expressed in the documents reviewed included infant and young child feeding,  stunting reduction, anemia, and food security. There were key nutritionrelated issues which have not been prioritized, although current local and  global evidence as well as stakeholder opinion suggests these have already become, or are rapidly becoming important priorities. These include  overweight and obesity, dietrelated chronic diseases, nutrition of school-age children, and nutrition of the elderly. These nutrition issues, if not  appropriately addressed, will continue to exact significant human health, economic, and social costs for Ghana. There is need for a comprehensive  nutrition strategy that leverages opportunities across multiple sectors to improve nutrition for today and for the future.