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Annual Programme of Work 2005 - Ministry of Health

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unhealthy diet characterized by low consumption <strong>of</strong> fruits and vegetables and physical<br />

inactivity.<br />

The priority activities would include:<br />

• Strengthen the health promotion unit to lead the campaign for healthy living<br />

• Develop a framework strategy for promoting health in schools, work places and<br />

communities<br />

• Develop policy and legislation for occupational safety and health and institutionalize<br />

occupational health and safety in health sector<br />

• Implement the conditions spelt out in the framework convention for tobacco control<br />

• Mount IEC campaigns on healthy living including healthy eating and exercising<br />

• Provide communication support to other programmes for uptake <strong>of</strong> interventions<br />

Expected Output/Results<br />

• Strategic Framework for health promotion finalized<br />

• Occupational health services institutionalized in the health sector<br />

Nutrition<br />

Malnutrition is the single most important risk factor for diseases and death. Malnutrition<br />

manifests as under-nutrition (stunting and underweight) in children, micro-nutrient<br />

deficiency such as iodine deficiency, iron deficiency anaemia in pregnant women and<br />

Vitamin A deficiency, and over nutrition. Malnutrition is estimated to be an underlying<br />

cause <strong>of</strong> up to 50% <strong>of</strong> mortality in children less than five years. Yet levels <strong>of</strong> malnutrition<br />

(both stunting and underweight) in children have not changed significantly in the last five<br />

years in Ghana. Malnutrition is also higher among lowest wealth quintile and in rural<br />

areas thus linking it to poverty. It is therefore unlikely that the country will make much<br />

progress in reducing under-five mortality rate unless malnutrition in children is<br />

addressed. So far a number <strong>of</strong> initiatives including promoting exclusive breastfeeding,<br />

deworming <strong>of</strong> children and reducing micronutrient deficiencies through salt iodation and<br />

vitamin A distribution have been implemented. However a lot more remains to be done.<br />

In <strong>2005</strong> the sector will sustain the progress with the above initiatives while scaling up<br />

other priority interventions.<br />

Priority activities would include:<br />

• Intensifying promotion <strong>of</strong> exclusive breastfeeding.<br />

• Training <strong>of</strong> health workers in Behaviour Change Communication including<br />

breastfeeding, complementary feeding and appropriate young child feeding.<br />

• Providing Vitamin A supplementation, for children 6-59 months and post-partum<br />

mothers up to 8 weeks.<br />

• Promoting consumption <strong>of</strong> iodized salt in all households.<br />

• Implementing community based growth promotion programmes<br />

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