Growing Healthy Food & Healthy Children in Ghana

School Feeding Program introduced by Self-Help  is geared towards increasing primary school enrollments in ten schools in the Ashanti Region of Ghana, namely; Nkotomire, Fankamawe, Ama Badu, Timeabu, Nkwakrom, Kukubuso, Bedabour Islamic, Nyamebekyere, Beposo and Bedabour D/A.

The program works hand in hand with the schools and their communities by supporting the communities to grow Quality Protein  Maize (QPM) for the schools to prepare corn porridge as breakfast for the students.

“We are so grateful to Self-Help for initiating this ingenious idea to help increase school enrolment in our village”, said Madam Anne, a kindergarten teacher at Ama Badu School. 

“A lot of the students get little or nothing to eat at home as breakfast before coming to school. This lack of breakfast makes them unable to pay attention in class and enjoy teaching and learning due to hunger. Some hungry students end up  skipping classes, dropping out of school completely or not bothering to attend school.

But after Self-Help’s initiative, the  students  come to school on a regular basis, are excited to come to school and even come extra early so that they can eat their QPM breakfast. They are so active in class after their breakfast and it has made teaching and learning fun for these kindergarten students

“We are grateful for the initiative; there will be no food for us without the School Feeding Program. With the help of the porridge I am able to concentrate in class and am punctual to school because breakfast is always assured”, said Afriyie, a class one student of Ama Badu School.

Salamatu, a mother of three, joined Self-Help International’s Growing Healthy Food, Growing Healthy Children (GHFGHC) program in January 2020 when she was pregnant with her second child, Ayishatu. When Ayishatu was six months old, Salamatu became pregnant with her third child. Salamatu shared about her experience in the program with SHI’s Nutrition Program Officers.

“I conceived my third child when my second child, Ayishatu, was only six months old. The stress I went through during my third pregnancy was unbearable, I could not care for her properly. Ayishatu became severely malnourished. The [SHI] nutrition team, through counseling, training and [high protein] supplements distribution, helped me. Now she is in the normal range [for growth trajectory] and is due for graduation. The training on family planning changed my perception about the usage of contraceptives and I opted for one, which has really helped me.”

The Growing Healthy Food, Growing Healthy Children program works with pregnant women and new mothers in Ghana, until their child is two years old in effort to combat malnutrition. Self-Help International staff focus on tracking the baby's growth and development and ensuring that both mom and baby are not only getting the nutrients they need now, but also that they understand how to continue to include foods in their diet that will provide them those nutrients moving forward. Nutrition officers also work closely with mothers to support them in exclusively breastfeeding their baby for the first six months after birth. This helps to ensure that the baby is getting the nutrients needed in those critical first few months of their life. Because of the demands on a mother’s time and other pressures from family or the community, it is often difficult for a mother to commit to that. Patience Obour, Nutrition Officer at Self-Help International, recently spoke with one of the clients in the Growing Healthy Food, Growing Healthy Children program about her experience. Alimatu talks about how the nutrition officers supported her in this process.

“Alimatu Yakubu is my name and I’m a mother of 6 kids, five males and one female. I joined the program through a friend who was part of the program. My baby was three months old. I will say joining the program was a timely intervention since I was almost giving up on breastfeeding my son.

The nutrition team encouraged me to continue breastfeeding exclusively for six months because that is the best nutrition for my child. I told them I thought I wasn’t producing enough breast milk for the baby because he cries a lot. I was asked to demonstrate how I breastfeed the baby. From the demonstration, I was told I was not positioning and attaching the baby well enough for breastfeeding. I was shown how to breastfeed my child properly, and for the first time, my baby didn’t cry when he was breastfed.

I was advised on a four-star diet and was supplied with some supplements in the form of tom brown [a high protein porridge mixture common in the region] and eggs. The supplement really increased my breast milk production so I was able to breastfeed on demand. This really helped me to breastfeed my son till he was 6 months old despite the pressures from the community.”

In Ghana, Self-Help International operates a maternal-child health program called Growing Healthy Food, Growing Healthy Children (GHFGHC) in two communities in the Ashanti Region. The program focuses on working with pregnant women and continues to partner with those women as their child grows and develops.

Self-Help staff provide counseling and education on accessing prenatal care, exclusively breastfeeding, and appropriate and accessible weaning strategies to ensure that children are getting needed nutrients. 

In the two partner communities, Beposo and Kukubuso, women most commonly learn about the program by word of mouth from active or graduated mothers.

Adwoa, a 28-year-old mother of three, came across a GHFGHC meeting when staff were discussing healthy eating during pregnancy.

“I knew I was at the right place at the right time because I had just found out I was pregnant,” Adwoa said. “I listened to the information offered at the meeting and made up my mind to be part of the group. I spoke to the nutrition officers about my interest in joining the program, and I was enrolled the next week.”

During Adwoa’s pregnancy, she was encouraged to regularly attend prenatal care appointments. 

“There were times I missed my appointments because of the distance from my home to the health center,” Adwoa said.

Adwoa found out she was anemic when she joined GHFGHC, and Self-Help’s nutrition officers advised her on iron rich foods that she could eat. The team also supplied her with a porridge made from quality protein maize (QPM) and some eggs.

“I was reluctant to eat eggs because of a myth about eating eggs during pregnancy,” Adwoa said. “It is believed that if a pregnant woman eats eggs, her child will not have hair on the head when he or she is born.”

“I spoke to Self-Help’s team about my concerns. I received counseling and support, and the staff encouraged me to eat eggs as a healthy source of protein and nutrients,” Adwoa added.

Adwoa heeded all of the advice that Self-Help’s team gave her, and she gave birth to a 7lb healthy baby with a head of hair.

Munira, a mother of three children, joined Self-Help International’s Growing Healthy Food, Growing Healthy Children (GHFGHC) program in Ghana when she was pregnant with her fourth child. Munira joined the program because of encouragement from a friend who was already enrolled.

Self-Help’s nutritionists in Ghana work with program participants to ensure they are receiving the nutrients they need while pregnant to ensure they stay healthy and can have a healthy birth for their child. Self-Help provides a high-protein porridge supplement to expecting mothers in case they are experiencing any challenges accessing food at home and demonstrates recipes for how they can use locally available foods to prepare healthy & nutritious meals at a low-cost.  

“Before I joined the program I was always told at the hospital during my prenatal care visits that I have a low hemoglobin, but I didn’t understand it’s implication on my baby,” Munira said. “I didn’t know it could lower my baby’s birth weight. All three of my other children had low birth weights as well.”

Self-Help’s nutrition team explained to Munira the implication of low hemoglobin levels on unborn babies and how Munira could use locally available foods to help increase her hemoglobin.

After going through the GHFGHC program, Munira said, “Being part of the program was a great opportunity for me. I gave birth to a healthy baby girl.”

“Due to Self-Help’s nutritional support and their guidance and services provided to me before labor, my fourth child was born at a healthy weight,” Munira added.