Increasingly most people have their meals outside their homes and are vulnerable to illnesses caused by unsafe foods. Unsafe food preparation and supply by vendors have made food safety a concern for public health. The present study evaluated the nutrition knowledge, attitude and food safety and hygienic practices of street food vendors (SFVs) in Northern Ghana. An analytical cross-sectional study design was conducted among 424 SFVs, and the data were collected using questionnaires and observation. The mean ± sd nutrition knowledge score of the SFVs was 7⋅08 ± 1⋅75 in which the majority of the participants (68⋅6 %) knew foods that help fight diseases and build immunity. The mean ± sd food safety and hygienic practice score was 7⋅61 ± 2⋅66 with more than half of the participants reportedly not using hand gloves while preparing and serving food. Factors that were associated with food safety and hygienic practices of the SFVs were level of education (β = −0⋅36, P < 0⋅001), number of hours worked (β = 0⋅15, P = 0⋅002), food hygiene and safety knowledge (β = 0⋅21, P = 0⋅002), having a business certificate (β = −0⋅15, P = 0⋅004) and having medical check-up (β = 0⋅11, P = 0⋅029). The food safety and hygienic practices of the SFVs may constitute a food safety risk to consumers. Improving food safety and hygiene knowledge may be important but regular monitoring and check-up by the FDA could result in SFVs following the required food safety and hygienic practices.

The recent exponential increase in caesarean section (CS) rates in many countries including Ghana requires an understanding of the potential long-term consequences on child health. The present study investigated the relationship between CS delivery and risk of childhood overweight/obesity. A retrospective cohort study was conducted from October 2019 to March 2020 in Ghana. Using multi-stage sampling, 553 mother–child pairs aged 6–23 months were selected from ten health facilities during child welfare clinic (CWC) services. We assessed the association between delivery mode (caesarean v. vaginal) and subsequent body mass index for age (BMI/age Z-score) using hierarchical multivariable linear regression analysis. The prevalence of overweight/obesity (BMI/age Z-score > +2 sd) in children was 3⋅6 %. After adjusting for maternal gestational weight gain, macrosomia and child feeding practices, children who were born through CS had mean BAZ which was 0⋅105 standard units significantly higher than their colleagues who were delivered through normal vaginal [beta coefficient (β) 0⋅105, (95 % CI 0⋅03, 0⋅55)]. CS birth was also associated with 3⋅2 times higher odds of overweight/obesity than vaginal delivery (AOR 3⋅23; 95 % CI 1⋅14, 9⋅13). Consequently, CS delivery was associated positively with increased body mass (adiposity) in the study sample. The association between CS delivery and risk of childhood obesity was attenuated after adjusting for macrosomia. These results would be important for informing clinicians and expectant mothers in considering CS delivery.

This paper examined organic fertilizer adoption and its effects on two household food security indicators and gender-based farm labor use among smallholder farmers in Northern Ghana. An endogenous switching regression analysis shows that observed and unobserved farmer background factors determine farmers’ decision to adopt organic fertilizer as well as the outcomes from adoption. On average, adoption is associated with an 11% increase in per capita food consumption and a 55% reduction in household food gap duration. Adoption is also related to an increased labor use by 5.9 (90%) of female worker days and 1.3 (9%) of male worker days per acre, placing nearly all (82%) of the increased labor burden on female farmhands. We recommend mitigation of factors that hinder farmers from adopting the input and provision of female-user-friendly labor-saving devices for organic fertilizer use tasks.

Childhood undernutrition coupled with poor feeding practices continues to be public health problems in many parts of the world and efforts to address them remain elusive. We tested the hypothesis that women who are exposed to radio health/nutrition education will demonstrate greater nutrition and health knowledge, positive attitudes towards preventive health and better dietary diversity practices for improved child growth. We used a two-arm, quasi-experimental, non-equivalent comparison group design with pre- and post-test observations to evaluate the intervention. The study population comprised 712 mothers with children aged 6–36 months who were randomly selected from five intervention districts and one comparison district in Northern Ghana. Difference-in-difference (DID) analysis was performed to assess study outcomes. After 12-month implementation of intervention activities, the minimum dietary diversity and the minimum acceptable diet improved significantly (DID 9⋅7 percentage points, P 0⋅014 and DID 12⋅1 percentage points, P 0⋅001, respectively) in the intervention study group, compared with the comparison group. Mothers in the intervention communities had a nutrition-related knowledge, attitudes and practices score that was significantly higher than their colleagues in the comparison communities (DID 0⋅646, P < 0⋅001). The intervention did not have significant effects on the nutritional status as measured by height-for-age Z-score or weight-for-height Z-score. The data provide evidence that health and nutrition education using radio drama significantly increased health-/nutrition-related knowledge but had little effect on nutritional status.

There is little information regarding factors that determine dietary diversity among pregnant women in Ghana. The present study, therefore, sought to assess the independent predictors of dietary diversity and its relationship with nutritional status of pregnant women in the Northern Region of Ghana. The present study was an analytical cross-sectional survey involving 423 pregnant women in different stages of gestation. The 24-h dietary recall method was used to assess minimum dietary diversity for women (MDD-W), and nutritional status was assessed using mid-upper arm circumference (MUAC) measurements. Binary logistic regression was performed to assess the association between maternal dietary diversity and maternal thinness and a P value of <0⋅05 was considered statistically significant. Of the 423 women, 79⋅9 % (95 % CI 76⋅1, 83⋅7) met the MDD-W and the prevalence of undernutrition among the pregnant women was 26⋅0 %. The analysis showed that women of low household wealth index were 48 % less likely (AOR 0⋅52, CI 0⋅31, 0⋅88) of meeting the MDD-W, whereas women from households of poor food insecurity were 88 % less likely (AOR 0⋅12, CI 0⋅05, 0⋅27) of achieving the MDD-W. Women of low household size were three times more likely of meeting the MDD-W (AOR 3⋅07, CI 1⋅13, 8⋅39). MDD-W was not associated with maternal underweight during pregnancy. In conclusion, the results of the present study showed that food insecurity and not low MDD-W, associated with mothers’ thinness (underweight) during pregnancy in peri-urban setting of Northern Ghana.

An important aspect of fruit fly management is accurate information on the species and their host spectrum. Studies were conducted between October 2011 and September 2013 to determine the host range and species diversity of pest fruit flies in the northern savannah ecology of Ghana. Fruit samples from 80 potential host plants (wild and cultivated) were collected and incubated for fly emergence; 65 (81.5%) of the plant species were positive to fruit flies. From records in Africa, 11 plant species were reported to be new hosts to the African invader fly, Bactrocera invadens (Drew, Tsuruta and White, 2005). This study documented the first records of Dacus ciliatus (Loew) and Trirhithrum nigerrimum (Bezzi) in northern Ghana although both species have been previously reported in other parts of the country. Infestation by B. invadens was higher in the cultivated fruits; Ceratitis cosyra dominated in most wild fruits. Cucurbitaceae were mainly infested by three species of Dacus and Bactroceracucurbitae, a specialized cucurbit feeder. Among the commercial fruit species, the highest infestations were observed in mango, tomato, sweet pepper and watermelon, whereas marula plum, soursop, tropical almond, sycamore fig, African peach, shea nut, persimmon, icacina and albarillo dominated the wild host flora. The widespread availability of host plants and the incidence of diverse fly species in the ecology call for particular attention to their impact on commercial fruits and the development of sustainable management strategies against these economically important pests in Ghana.

Farmers are innovators and experimenters and not just adopters of introduced technologies. The innovations developed by farmers could complement the highly promoted externally driven technologies in addressing the numerous challenges facing agriculture. The aim of this paper was to identify outstanding innovations developed by smallholder farmers in northern Ghana, and prioritize the high potential ones for further scientific validation or dissemination. Using an innovation contest that rewards farmers' creativity, we identified 29 promising innovations. Additionally, 19 innovations were scouted through a household survey. The innovations are largely extensive modifications of existing practices or combinations of different known practices in unique ways to save costs or to address crop and livestock production constraints. While some of the identified innovations can be recommended or disseminated to other farmers, most of them may require further validation or research. However, validating all of these innovations will be very expensive and time-consuming. We propose the multi-criteria decision-making analysis (MCDM) as a simple method to prioritize farmers' innovations. Using this method, we find that among the most promising innovations are those involving the control of weeds, pests and diseases using plant residues and extracts, and the treatment of livestock diseases using ethnoveterinary medicines. We briefly explain the six most highly ranked innovations. This case study from northern Ghana provides further proof that smallholder farmers develop diverse and spectacular innovations to address the myriad challenges they face, and these need to be recognized and promoted. We also conclude that contest and MCDM are useful methods that can be applied in unearthing and prioritizing farmer innovations, respectively.