Asunafo South District Assembly

Nutrition-Oriented Interventions
or Linkages Available in the District

2025
Submission of Report

Submission of Environmental Health and Sanitation Unit report on nutrition-oriented interventions available in the district on food/drink vendors and school feeding contractors, 2025.

I submit to you the detailed report on Nutrition-Oriented Interventions Available in the Asunafo South District on food/drink vendors and School Feeding Caterers of the above unit for your necessary action please.

......................................
(Dominic Kofi Antwi)
Dist. Env. Health Analyst
To: The DCD/DCE, Asunafo South District Assembly, Kukuom.

Cc: The Reg. Env. Health Officer, Regional Coordinating Council, Ahafo–Goaso.
Asunafo South District Assembly · Environmental Health & Sanitation Unit Page 1
Asunafo South District Assembly
Nutrition-Oriented Interventions 2025
Introduction

Nutrition can be explained as the process of providing or obtaining food necessary for health and growth. Adequate nutrition is essential in maintaining optimal quality of life. The growth and development of a nation depends on a healthy labour force, making nutrition an important element in economic growth.

Nutrition-oriented interventions or linkages available in the district include the Girls Iron and Folic Acid Supplementation programme (GIFTS), Iron and Folic Acid (IFA) for pregnant women, Community Infant and Young Child Feeding (CIYCF), Vitamin A Supplementation, Community-Based Management of Acute Malnutrition (CMAM), as well as interventions for food vendors and school feeding programme contractors.

Growth Monitoring: Malnutrition Trends
Age (Months)Number Monitored (Attendance)Number With WA<-2SD
202320242025202320242025
0–1122,80723,83524,2702,0751,445398
12–2321,10819,32619,0301,9371,247376
24–5917,72816,99816,1771,446976337
Total61,64360,15959,4775,4583,6681,111
Severe Acute Malnutrition Cases
Condition202320242025
Marasmus462
Kwashiorkor131
Marasmic-Kwashiorkor220
Case Managed7113

A number of severe acute malnutrition cases were recorded across 2023, 2024 and 2025. Marasmus cases rose from 4 in 2023 to 6 in 2024, before falling sharply to 2 in 2025. Kwashiorkor cases rose from 1 in 2023 to 3 in 2024, with 1 case recorded in 2025. Total cases managed were 7 in 2023, rising to 11 in 2024 — the highest of the three years — before falling to 3 in 2025.

Nutrition-Related Diseases
Disease202320242025
Diabetes104163248
Anaemia in children U-5 years–––
Hypertension558665679

Diabetes cases rose steadily from 104 in 2023 to 163 in 2024 and 248 in 2025. Hypertension cases also increased each year, from 558 in 2023 to 665 in 2024 and 679 in 2025.

Asunafo South District Assembly · Environmental Health & Sanitation Unit Page 2
Asunafo South District Assembly
Nutrition-Oriented Interventions 2025
Assembly Nutrition-Oriented Interventions or Linkages
Girls Iron and Folic Acid Supplementation Programme (GIFTS)
Target Group
Adolescent girls, 10–19 years
Total Reached (2025)
In-school: 80 · Out-of-school: 94
Challenges
  • Some parents prevent girls from taking the tablets.
  • Some adolescents refuse the tablets, believing they are a family-planning method that may cause infertility.
  • Few teachers are involved in the programme.
  • Inadequate resources for running the programme.
  • Lack of motivation for teachers and health workers who coordinate it.
Way Forward
  • Organise durbars in communities to dispel misconceptions about the programme.
  • Involve opinion leaders and other stakeholders in community sensitization.
  • Hold time with PTAs and community members to discuss the programme's importance.
  • Ensure class teachers administer the tablet to maintain continuity.
  • Provide motivation for teachers and focal persons who distribute the tablets.
Iron and Folic Acid (IFA) for Pregnant Women
Target Group
Pregnant women
Total Reached (2025)
IFA3: 3,162 · IFA6: 1,713
Challenges
  • Anaemia in pregnancy remains high at 36 weeks despite this intervention.
Way Forward
  • Community sensitization on the dangers of anaemia in pregnancy.
  • Health education by health workers, encouraging pregnant women to report early to health facilities.
Community Infant and Young Child Feeding (CIYCF)
Target Group
Children 0–2 years
Total Reached (2025)
446 children
Challenges
  • Low case search.
Way Forward
  • Frequent growth monitoring to identify children at risk of malnutrition before they reach a severe stage.
Vitamin A Supplementation
Target Group
Children 6–59 months
Total Reached (2025)
16,055 reached (65.1% coverage)
Challenges
  • Low coverage.
Way Forward
  • Intensify school health services to reach children of school-going age within the target group.
  • Home visits to reach defaulters.
Community-Based Management of Acute Malnutrition (CMAM)
Target Group
Children 6–59 months
Total Reached (2025)
63 children
Challenges
  • Shortage of ready-to-use therapeutic foods to manage cases.
  • High defaulter rate.
Way Forward
  • Support from stakeholders and NGOs to procure ready-to-use therapeutic foods.
  • Tracing of defaulters by health workers through home visits.
Asunafo South District Assembly · Environmental Health & Sanitation Unit Page 3
Asunafo South District Assembly
Nutrition-Oriented Interventions 2025
Food Vendors & School Feeding Contractors, 2025
Distribution of Multivitamin and Dewormer Tablets
Target Group
Food vendors & school feeding caterers/cooks, 18–68 years
Total Reached (2025)
Food vendors: 131 · Caterers/cooks: 5
Challenges
  • Some food vendors fear taking the tablets.
  • Few caterers/cooks are involved in the programme.
  • Inadequate resources for running the programme.
  • Lack of motivation for EHSU officers who coordinate the programme.
Way Forward
  • Regular educational programmes.
  • Involvement of food vendors, caterers/cooks, opinion leaders and other stakeholders in community sensitization.
Food-Based Nutrition
Target Group
Food vendors & school feeding caterers/cooks
Total Reached (2025)
Food vendors: 80 · Caterers/cooks: 3
Challenges
  • Lack of balanced diet in food preparation.
Way Forward
  • Sensitize food vendors and caterers/cooks on diseases related to unbalanced diets (malnutrition, weak immune system, diabetes).
Hygiene Education (Personal Hygiene)
Target Group
Food vendors & school feeding caterers/cooks
Total Reached (2025)
Food vendors: 85 · Caterers/cooks: 6
Challenges
  • Inadequate resources/transportation.
Way Forward
  • Frequent visits to schools and chop bars for inspections.
Nutrient Conservation Demonstration in Food Preparation
Target Group
Food vendors & school feeding caterers/cooks
Total Reached (2025)
Food vendors & caterers/cooks: 173
Challenges
  • Inadequate resources/transportation.
Way Forward
  • Intensify visits to all schools and food sellers.
Monitoring of Food Vendors and School Feeding Contractors
Target Group
All food vendors & school feeding caterers/cooks
Total Reached (2025)
District-wide
Challenges
  • Lack of transportation.
Way Forward
  • Support from the Assembly for monitoring activities.
  • Task all officers in the zonal councils to regularly visit food vendors/chop bars and schools.
Environmental Management (Kitchen, Store, Utensils, Cooking Pots, etc.)
Target Group
All food vendors & school feeding caterers/cooks
Total Reached (2025)
District-wide reached: 501
Challenges
  • Communication barriers, transportation and other logistics.
Way Forward
  • Support from the Assembly for monitoring activities.
  • Task all officers in the zonal councils to regularly visit food vendors/chop bars and schools.
Compiled by:
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(Dominic Kofi Antwi)
Dist. Env. Health Analyst
Asunafo South District Assembly · Environmental Health & Sanitation Unit Page 4
Asunafo South District Assembly
Nutrition-Oriented Interventions 2025
Ghana School Feeding Programme (GSFP) Caterers

Third Term of 2024/2025 — Asunafo South District

S/NName of CatererName of SchoolTelephone
1Tomenu PatienceWeijakrom D/A Prim. & KG0548005869
2Hawa IbrahimAtotrom D/A Primary0546006440
3Juliana PomaaAbuom D/A Primary0244725121
4Barikisu SalamKukuom R/C Primary0559701302
5Sarah BruwaaMfrekrom D/A Primary0248988248
6Sarah BruwaaDomeabra D/A Primary0248988248
7Safiatu DawuduCamp No. 1 D/A Primary0553464492
8Akosua DarkowaaSiana D/A Primary0247001942
9Francisca WreduYankye D/A Primary & KG0543176526
10Cecilia AmoanuAsibrem Islamic Prim.0542837088
11Kate OhenewaaTettekwao D/A Prim. & KG0556260095
12Ashetu ShaibuNtonso R/C Prim.0540452149
13Silivian KwatemaaPesewkrom D/A Prim. & KG0557504351
14Georgina AsareSikafrebogya D/A Prim.0555208358
15Aishetu SeiduSankore Islamic Prim.0549389889
16Agartha BoatengAnum D/A Prim.0243351752
17Ernestina DwumfourMintumi D/A Prim.0243027085
18Akua AsieduwaaPafo D/A Prim.0551540234
19Cecilia AmoanuAsibrem D/A Prim. & KG0542837088
Asunafo South District Assembly · Environmental Health & Sanitation Unit Page 5