ArticleInternational journal of health policy and management2021
Understanding the Impact of Historical Policy Legacies on Nutrition Policy Space: Economic Policy Agendas and Current Food Policy Paradigms in Ghana.
Article in International journal of health policy and management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 24 citations in OpenAlex.
- The Double Burden of Malnutrition in Bangladesh: Policy Architecture, Implementation Realities, and Future Directions.Current developments in nutrition · 2026Article
- How has the global food governance system evolved, and what challenges does it currently pose for food systems transformation? A narrative review and synthesis of the literature.Globalization and health · 2026Review
- Inertia or unanticipated bottlenecks? Exploring stakeholder perspectives on the implementation determinants of the national alcohol policy five years post-enactment in Zambia.Archives of public health = Archives belges de sante publique · 2025Article
- Evaluation of an intervention limiting food industry influence on public food policy processes in Ghana.Health promotion international · 2025Article
- Protecting nutrition in a food crisis.Bulletin of the World Health Organization · 2024Article
- Politics-evidence conflict in national health policy making in Africa: a scoping review.Health research policy and systems · 2024Article
- Operationalising multi-sectoral food- and nutrition-related policies to curb the rise in obesity in Ghana.Public health nutrition · 2023Article
- Mapping of food environment policies in Zambia: a qualitative document analysis.BMC nutrition · 2023Article
- Framing policy objectives in the sustainable development goals: hierarchy, balance, or transformation?Globalization and health · 2023Review
- What Opportunities Exist for Making the Food Supply Nutrition Friendly? A Policy Space Analysis in Mexico.International journal of health policy and management · 2022Article
- From Ampesie to French fries: systematising the characteristics, drivers and impacts of diet change in rapidly urbanising Accra.Sustainability science · 2022Article
- The Political Economy of Healthy and Sustainable Food Systems: An Introduction to a Special Issue.International journal of health policy and management · 2021Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe global food system is not delivering affordable, healthy, diverse diets, which are needed to address malnutrition in all its forms for sustainable development. This will require policy change across the economic sectors that govern food systems, including agriculture, trade, finance, commerce and industry - a goal that has been beset by political challenges. These sectors have been strongly influenced by entrenched policy agendas and paradigms supported by influential global actors such as the World Bank and International Monetary Fund (IMF).
methodsThis study draws on the concept of path dependency to examine how historical economic policy agendas and paradigms have influenced current food and nutrition policy and politics in Ghana. Qualitative data were collected through interviews with 29 relevant policy actors, and documentary data were collected from current policies, academic and grey literature, historical budget statements and World Bank Group Archives (1950-present).
resultsDespite increased political priority for nutrition in Ghana, its integration into food policy remains limited. Food policy agendas are strongly focused on production, employment and economic returns, and existing market-based incentives do not support a nutrition-sensitive food supply. This policy focus appears to be rooted in a liberal economic approach to food policy arising from structural adjustment in the 1980s and trade liberalization in the 1990s, combined with historical experience of 'failure' of food policy intervention and an entrenched narrowly economic conception of food security.
conclusionThis study suggests that attention to policy paradigms, in addition to specific points of policy change, will be essential for improving the outcomes of food systems for nutrition. An historical perspective can provide food and health policy-makers with insights to foster the revisioning of food policy to address multiple national policy objectives, including nutrition.
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