How healthy and food secure is the urban food environment in Ghana?
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Date
2022
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Publisher
World Development Perspectives
Abstract
The importance of the food environment in influencing dietary choices of consumers has been widely
acknowledged, but little attention has been paid to the urban food environment in Africa despite the rise in
incidence of obesity and other nutrition-related noncommunicable diseases (NR-NCDs). We contribute to the
literature on urban food environments by conducting an observational macro-scan of the food environment in
three cities – Accra, Cape Coast, and Koforidua – with a view to unravelling the nature of the urban food
environment in Ghana. We examine the food environment based on two dimensions of food security – avail ability and accessibility (affordability) – and also assess the extent to which foods are processed. The results show
that all four food categories – unprocessed, processed, processed culinary, and ultra-processed – are available,
accessible, and affordable. Ultra-processed foods are just as highly available, accessible, and/or affordable as
unprocessed foods. The results also show that processed foods account for the larger share of all foods in Ghana’s
urban food environment, and ultra-processed foods account for more than 30% of all processed foods. Overall,
these results suggest that physical and economic access to food are not major constraints in urban Ghana. This is
certainly a welcome finding from a food policy perspective; however, the high availability and accessibility of
ultra-processed foods has serious potential health implications. Regulation will be needed to prevent over consumption of ultra-processed foods and the resulting increase in obesity and other NR-NCDs.
Description
Research Article
Keywords
Urban food environment, Triple-burden malnutrition, Food retail outlets