In Ghana, 8 out of 10 children under the age of five and 3 out of 10 women suffer from some form of undernutrition, including stunting; wasting; and deficiencies in iron, iodine, and vitamin A. Recently I visited Nyankpala Community Management of Acute Malnutrition in Ghana, a Ghana Health Service (GHS) project supported by USAID and UNICEF, which integrates and scales up community-based management of acute malnutrition (CMAM) services, supplies, and logistics system.
With this support, GHS has established support units for severe acute malnutrition at the national, regional and district levels. Between 2008 and 2011, Ghana has scaled-up CMAM from two learning sites in two districts to 403 sites in 31 districts. In total, 2,040 health care providers have been trained on CMAM services in Ghana. 5,973 children with severe acute malnutrition have been admitted to the program. 71% of these children were cured, 2% died, and 1% did not recover; 26% failed to follow up.