Although Sub-Saharan Africa has some ofthe worst nutrition indicators in the world, nutritionremains a low priority on the policy agendas of many Africangovernments. This despite the fact that proven interventionsare known and available and that investment in them isconsidered a cost-effective strategy for poverty reduction.This case study is one in a series seeking to understand (1)what keeps African governments from committing fully toreducing malnutrition, and (2) what is required for fullcommitment. It documents how the Ghanaian government hasaddressed the issue of malnutrition since Independence,examines what political and institutional factors haveprevented full commitment, and identifies what conditionshave moved the nutrition agenda forward at different pointsin time. The primary objective of this study as well as theseries as a whole is to help African governments,development partners, and nutrition and health practitionersidentify, understand and address the political andinstitutional obstacles preventing sustainable progress in nutrition.