Global estimates show over half a billion people go hungry (FAO, 2020) and close to 2 billion people are either obese or overweight with another 2 billion of the world’s population suffering from micronutrient deficiencies (Micha et al., 2020, Fresco et al., 2017). Inarguably, the world faces significant malnutrition problem (including micro- and macro-nutrient deficiencies, obesity, and diet related non-communicable diseases). This is evident in a recent analysis pointing out that effort in achieving the Global Nutrition Targets is likely to be missed. The observed malnutrition threat is accompanied by climate change, which is influencing food production and consumption trends, and thereby leading to undernutrition and affecting overall development. In addition, there are growing incomes, accelerated urbanization, and expanding middle classes which are also causing significant changes in consumer behaviour and nutritional choices, necessitating both public and private expenditures for better food market integration. As a result, there is a pressing need to examine our food systems to guarantee food and nutrition security and to advance sustainable development. It is likely that the COVID-19 impact may further exacerbates the worsening food insecurity and nutritional status of the most vulnerable groups including women, children and adolescents, refugees and displaced people, smallholders in rural areas, and the urban poor.

This report is produced from the proceedings of the Inception workshop on “Strengthening National Capacities and Policies for Food Systems analysis and Transformation in Ghana” project held on Wednesday, 2nd August 2023 at Alisa Hotel, Accra. The workshop aimed to provide a comprehensive overview of the project and outlined its objectives, and timeline, alongside a review of the current landscape of the Ghana’s Food Systems Transformation. It brought together various stakeholders and institutions in the Ghanaian food systems. The workshop facilitated valuable discussions among participants to gather insights and inputs for the project's advancement (see attached list of participants). Three distinct presentations – project overview, project deliverables and timelines, and food systems diagnostics and tools as well as trade-offs and opportunities – were made at the workshop.

This is an open access title available under the terms of a CC BY-NC 4.0 International licence. It is free to read at Oxford Academic and offered as a free PDF download from OUP and selected open access locations. The current structure of the global food system is increasingly recognized as unsustainable. In addition to the environmental impacts of agricultural production, unequal patterns of food access and availability are contributing to non-communicable diseases in middle- and high-income countries and inadequate caloric intake and dietary diversity among the world's poorest. To this end, there have been a growing number of academic and policy initiatives aimed at advancing food system transformation, including the 2021 UN Food Systems Summit, the Sustainable Development Goals (SDGs), and several UN Climate conferences. Yet, the policy pathways for achieving a transformed food system are highly contested, and the enabling conditions for implementation are frequently absent. Furthermore, a broad range of polarizing factors affect decisions over the food system at domestic and international levels - from debates over values and (mis)information, to concerns over food self-sufficiency, corporate influence, and human rights. This volume explicitly analyses the political economy dynamics of food system transformation with contributors who span several disciplines, including economics, ecology, geography, nutrition, political science, and public policy. The chapters collectively address the range of interests, institutions, and power in the food system, the diversity of coalitions that form around food policy issues and the tactics they employ, the ways in which policies can be designed and sequenced to overcome opposition to reform, and processes of policy adaptation and learning. Drawing on original surveys, interviews, empirical modelling, and case studies from China, the European Union, Germany, Mexico, South Asia, sub-Saharan Africa, and the United States, the book touches on issues as wide ranging as repurposing agricultural subsidies, agricultural trade, biotechnology innovations, red meat consumption, sugar-sweetened beverage taxes, and much more.

Like other countries in the sub-region particularly West African economies, Ghana is grappling with multiple burdens of malnutrition which is accompanied by climate change that influence food production and consumption trends, and thereby leading to undernutrition and affecting overall development. In addition, growing incomes, accelerated urbanization, and expanding middle classes are also causing significant changes in consumer behavior and nutritional choices, necessitating both public and private expenditures for better food market integration. While food insecurity, and undernutrition (e.g. stunting, micronutrient deficiencies) persist, obesity and diet-related non-communicable diseases are rising rapidly. General nutrition situation and identification of the highest priority nutrition problems. Various estimates of nutritional status of Ghanaian children under aged 5 years show that 19% were stunted, 5% were wasted, and 11% were underweight. In 2018, the Multiple Indicator Cluster Survey (MICS) showed nearly similar rates of stunting (18%), wasting (7%) and underweight (13%), suggesting that stunting prevalence improved only marginally during the last 5-6 years, whereas child wasting and underweight worsened during the period. Other significant problems of undernutrition in Ghana include a high prevalence anemia in children 6-59 months (55%), adolescent girls (48%) and women of reproductive age (42%). From the foregoing, the high priority nutrition challenges in Ghana, include “stunting and wasting in children under 5 years of age; anemia in children 6-59 months of age, adolescent girls, and women of reproductive age; but also, overweight and obesity in school-age children and younger adolescents; and overweight and obesity in women of reproductive age (15-49 y of age). Report of the Demographic and Health Surveys show a significant rising trend in adult obesity – from 10% in 1993 to 40% in 2015 (GSS et al., 2015). Also, the Ghanaian food environments (particularly in the urban areas) is currently characterized by cheap highly-processed foods, with nutrient-dense foods such fruits and vegetables lacking in meals because it is unaffordable (Laar, 2021).

This publication presents an in-depth analysis of the food system in Ghana with the dual purpose of providing an overview of the current situation, and identifying opportunities for leveraging the role of small and medium-sized enterprises for nutrition-sensitive food systems. The data collected and the results of the analysis enhance the understanding of some of the challenges that, in the Ghanaian context, contribute to determining diet-related issues; more importantly, the analysis identifies opportunities and entry points for improving diets by overcoming some of the challenges faced by small and medium-sized enterprises. The information provided could be of support not only for further analyses, but also for planning interventions and designing policies to improve nutrition in Ghana and in other contexts.

Ghana’s agricultural sector plays a vital role in income generation, foreign exchange earnings, employment, and food security for over 70 percent of its people. Despite the significant role of the crop production sector, limited attention has been given to maximizing its potential to address food insecurity and malnutrition. For that reason, FAO, in collaboration with World Vision, has produced this guidance note on mainstreaming nutrition into the crop production sector using a food systems approach. This guidance note aims to inform national-level policymakers and key participants in the food system on the issues and opportunities relating to Ghana’s fruit and vegetable value chain, with a particular focus on smallholder households.

Women and youth-led agri-enterprises (WYE) (which may also be operating as family businesses) in agricultural value chains have been identified as catalysts for rural transformation given their potential for creating employment and stimulating value addition both on and off-farm. Given that agriculture and food systems are likely to remain the key generators of employment in Ghana over the coming decades, and that 80% of all activities in the midstream of food value chain are undertaken by SMEs in Africa. It is very much necessary to generate the evidence to support the argument that family, women and youth-led agribusinesses have a key role to play in the rural transformation pathway underway in Ghana.