Food affordability and moral impartiality in Ghana, A Singerian analysis of households in the Central Region

Authors

DOI:

https://doi.org/10.51867/AQSSR.3.4.68

Keywords:

Cost of a Healthy Diet, Distributive Justice, Equal Consideration of Interests, Food Affordability, Ghana, Social Protection Targeting

Abstract

Ghana's national Cost of a Healthy Diet bulletins exclude the Central Region for want of price data. Three things are therefore unknown: what an adequate diet costs there, how that cost falls across households, and whether the resulting distribution can be defended. Anchored in Singer's principle of equal consideration of interests and his preventable harm argument, and tested against the partiality and institutional critiques, this study addressed all three. A convergent mixed methods design priced twelve foods weekly for twelve months in four markets, yielding 1,728 vendor quotations, surveyed 640 food decision makers across six districts, and interviewed 48 of them along with 24 traders. An adequate diet cost GH¢10.84 per person per day and moved 30.6% between its December low and its June peak. After essential nonfood spending, 47.3% of households could not meet it. The poorest fifth carried 58.2% of the shortfall, a concentration index of −0.594, while the food budget share stayed flat across the income distribution and public transfers reached the richest quintile more often than the poorest. The study fills a documented monitoring gap and offers the first evidence conditioned ethical evaluation of food affordability in Ghana. Equal consideration, we argue, survives as a standard for judging food pricing once extended by an institutional duty to measure and a friction adjusted delivery rule. Eligibility should rest on resources remaining after essential nonfood spending rather than on food share thresholds, and regional price collection needs statutory protection.

References

Agyapong, N. A. F., Annan, R. A., Kroll, F., Apprey, C., Aduku, L. N. E., Aidoo, R., & Swart, E. C. (2024). Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana. Public Health Nutrition, 27(1), e196. https://doi.org/10.1017/S1368980024002118

Akparibo, R., Aryeetey, R. N. O., Asamane, E. A., Osei Kwasi, H. A., Ioannou, E., Infield Solar, G., Cormie, V., Pereko, K. K., Amagloh, F. K., Caton, S. J., & Cecil, J. E. (2021). Food security in Ghanaian urban cities: A scoping review of the literature. Nutrients, 13(10), 3615. https://doi.org/10.3390/nu13103615

Annan, R., Agyapong, N., Apprey, C., & Aryeetey, R. (2022). Review of Ghana's food environment: Drivers of availability, barriers to healthy food access, and impact of interventions and policies. African Journal of Food, Agriculture, Nutrition and Development, 22(2), 19658-19701. https://doi.org/10.18697/ajfand.107.21820

Bai, Y., Alemu, R., Block, S. A., Headey, D., & Masters, W. A. (2021). Cost and affordability of nutritious diets at retail prices: Evidence from 177 countries. Food Policy, 99, 101983. https://doi.org/10.1016/j.foodpol.2020.101983

Berkey, B. (2018). The institutional critique of effective altruism. Utilitas, 30(2), 143-171. https://doi.org/10.1017/S0953820817000176

Berkey, B. (2021). The philosophical core of effective altruism. Journal of Social Philosophy, 52(1), 92-113. https://doi.org/10.1111/josp.12347

Braun, V., & Clarke, V. (2021). Thematic analysis: A practical guide. SAGE. https://uk.sagepub.com/en-gb/eur/thematic-analysis/book248481

https://doi.org/10.4135/9781036232078.n9

Creswell, J. W., & Plano Clark, V. L. (2018). Designing and conducting mixed methods research (3rd ed.). SAGE. https://us.sagepub.com/en-us/nam/designing-and-conducting-mixed-methods-research/book241842

de Groot, R., Yablonski, J., & Valli, E. (2022). The impact of cash and health insurance on child nutrition during the first 1000 days: Evidence from Ghana. Food Policy, 107, 102217. https://doi.org/10.1016/j.foodpol.2021.102217

FAO, IFAD, UNICEF, WFP, & WHO. (2026). The State of Food Security and Nutrition in the World 2026: Understanding and addressing the high cost of a healthy diet. FAO. https://doi.org/10.4060/cd8306en

Ghana Statistical Service. (2019). Ghana Living Standards Survey Round 7: Main report. Ghana Statistical Service. https://microdata.statsghana.gov.gh/index.php/catalog/97

Ghana Statistical Service. (2021). Ghana 2021 Population and Housing Census. https://census2021.statsghana.gov.gh/

Ghana Statistical Service. (2025). Ghana Annual Household Income and Expenditure Survey 2022-2024. Microdata Catalogue.

Hannah, C., Davies, J., Green, R., Zimmer, A., Anderson, P., Battersby, J., Baylis, K., Joshi, N., & Evans, T. P. (2022). Persistence of open air markets in the food systems of Africa's secondary cities. Cities, 124, 103608. https://doi.org/10.1016/j.cities.2022.103608

Headey, D., Hirvonen, K., & Alderman, H. (2024). Estimating the cost and affordability of healthy diets: How much do methods matter? Food Policy, 126, 102654. https://doi.org/10.1016/j.foodpol.2024.102654

Herforth, A. W., Bai, Y., Venkat, A., & Masters, W. A. (2025). The Healthy Diet Basket is a valid global standard that highlights lack of access to healthy and sustainable diets. Nature Food, 6, 622-631. https://doi.org/10.1038/s43016-025-01177-0

Herforth, A. W., Bai, Y., Venkat, A., Mahrt, K., Ebel, A., & Masters, W. A. (2020). Cost and affordability of healthy diets across and within countries. FAO. https://doi.org/10.4060/cb2431en

Herforth, A. W., Gilbert, R., Sokourenko, K., Fatima, T., Adeyemi, O., Alemayehu, D., Arhin, E., Bachewe, F., Bai, Y., Chiosa, I., Genye, T., Haile, H., Jahangeer, R., Kinabo, J., Mishili, F., Nnabugwu, C. D., Nortey, J., Ofosu-Baadu, B., Onabolu, A., Sarpong, D. B., & Masters, W. A. (2024). Monitoring the cost and affordability of a healthy diet within countries: Building systems in Ethiopia, Ghana, Malawi, Nigeria, Pakistan, Tanzania, and Viet Nam. Current Developments in Nutrition, 8(10), Article 104441. https://doi.org/10.1016/j.cdnut.2024.104441

Herforth, A. W., Venkat, A., Bai, Y., Costlow, L., Holleman, C., & Masters, W. A. (2022). Methods and options to monitor the cost and affordability of a healthy diet globally. FAO. https://doi.org/10.4060/cc1169en

Jollimore, T. (2023). Impartiality. In E. N. Zalta & U. Nodelman (Eds.), The Stanford encyclopedia of philosophy (Fall 2023 ed.). Metaphysics Research Lab, Stanford University. https://plato.stanford.edu/entries/impartiality/

Karanja, A., Ickowitz, A., Stadlmayr, B., & McMullin, S. (2022). Understanding drivers of food choice in low and middle income countries: A systematic mapping study. Global Food Security, 32, 100615. https://doi.org/10.1016/j.gfs.2022.100615

Klemm, J., Turowska, Z., Sclama, G., & de Pee, S. (2025). Subnational and lifecycle-specific estimates of diet costs support nutrition-sensitive policies and programmes. Global Food Security, 45, Article 100838. https://doi.org/10.1016/j.gfs.2025.100838

Kushitor, S. B., Alangea, D. O., Aryeetey, R., & de Graft Aikins, A. (2023). Dietary patterns among adults in three low income urban communities in Accra, Ghana. PLOS ONE, 18(11), e0293726. https://doi.org/10.1371/journal.pone.0293726

Kushitor, S. B., Owusu, L., & Kushitor, M. K. (2020). The prevalence and correlates of the double burden of malnutrition among women in Ghana. PLOS ONE, 15(12), e0244362. https://doi.org/10.1371/journal.pone.0244362

Lange, B. (2022). The ethics of partiality. Philosophy Compass, 17(8), e12860. https://doi.org/10.1111/phc3.12860

Latino, L., Holleman, C., & Cafiero, C. (2024). Spatial variation in the cost and affordability of the global healthy diet basket: Evidence from household surveys in five African countries. Global Food Security, 41, 100746. https://doi.org/10.1016/j.gfs.2024.100746

Malterud, K., Siersma, V. D., & Guassora, A. D. (2016). Sample size in qualitative interview studies: Guided by information power. Qualitative Health Research, 26(13), 1753-1760. https://doi.org/10.1177/1049732315617444

Masters, W. A., Wallingford, J. K., Herforth, A. W., & Bai, Y. (2025). Measuring food access as affordability of least cost healthy diets worldwide. Agricultural Economics, 56(3), 360-372. https://doi.org/10.1111/agec.70028

McCullough, E. B., Lu, M., Nouve, Y., Arsenault, J., & Zhen, C. (2024). Nutrient adequacy for poor households in Africa would improve with higher income but not necessarily with lower food prices. Nature Food, 5, 171-181. https://doi.org/10.1038/s43016-024-00927-w

Ministry of Food and Agriculture. (2025a). Cost of a healthy diet in Ghana: 2025 quarter 1 bulletin. Statistics, Research and Information Directorate. https://mofa.gov.gh/site/images/pdf/Cohd_Ghana_2025_Q1.pdf

Ministry of Food and Agriculture. (2025b). Cost of a healthy diet in Ghana: 2025 quarter 2 bulletin. Statistics, Research and Information Directorate. https://mofa.gov.gh/site/images/pdf/Cohd_Ghana_2025_Q2.pdf

Mockshell, J., Ogutu, S. O., Álvarez, D., Asante Addo, C., & Asante, F. A. (2022). How healthy and food secure is the urban food environment in Ghana? World Development Perspectives, 26, 100427. https://doi.org/10.1016/j.wdp.2022.100427

Molefe, M. (2016). African ethics and partiality. Phronimon, 17(2), 104-122. https://doi.org/10.25159/2413-3086/1988

Molefe, M. (2017). An African perspective on the partiality and impartiality debate: Insights from Kwasi Wiredu's moral philosophy. South African Journal of Philosophy, 36(4), 470-482. https://doi.org/10.1080/02580136.2017.1342465

Morgan, D. L. (2007). Paradigms lost and pragmatism regained: Methodological implications of combining qualitative and quantitative methods. Journal of Mixed Methods Research, 1(1), 48-76. https://doi.org/10.1177/2345678906292462

Reynolds, E. C., Nsiah Asamoah, C., Okronipa, H., Arnold, C. D., & Stewart, C. P. (2025). Adolescent and parental perspectives of food insecurity at home and at school among adolescents attending junior high schools in Cape Coast, Ghana. Maternal & Child Nutrition, 21(4), e70066. https://doi.org/10.1111/mcn.70066

Salloch, S., Wäscher, S., Vollmann, J., & Schildmann, J. (2015). The normative background of empirical-ethical research: First steps towards a transparent and reasoned approach in the selection of an ethical theory. BMC Medical Ethics, 16, 20. https://doi.org/10.1186/s12910-015-0016-x

Singer, P. (1972). Famine, affluence, and morality. Philosophy & Public Affairs, 1(3), 229-243. https://www.jstor.org/stable/2265052

Singer, P. (2011). Practical ethics (3rd ed.). Cambridge University Press. https://doi.org/10.1017/CBO9780511975950

Tuholske, C., Andam, K., Blekking, J., Evans, T., & Caylor, K. (2020). Comparing measures of urban food security in Accra, Ghana. Food Security, 12, 417-431. https://doi.org/10.1007/s12571-020-01011-4

Vermeulen, H., Meyer, F., & Schönfeldt, H. C. (2023). A basic healthy food basket approach to evaluate the affordability of healthy eating in South Africa and Kenya. Frontiers in Sustainable Food Systems, 7, 1181683. https://doi.org/10.3389/fsufs.2023.1181683

Wangmo, T., Provoost, V., & Mihailov, E. (2024). The vagueness of integrating the empirical and the normative: Researchers' views on doing empirical bioethics. Journal of Bioethical Inquiry, 21, 295-308. https://doi.org/10.1007/s11673-023-10286-z

Yussif, M. T., Morrison, A. E., & Annan, R. A. (2024). 10-year level, trends and socio-demographic disparities of obesity among Ghanaian adults: A systematic review and meta-analysis of observational studies. PLOS Global Public Health, 4(1), e0002844. https://doi.org/10.1371/journal.pgph.0002844

Downloads

Published

2026-11-03

How to Cite

Quansah , E. S. T. (2026). Food affordability and moral impartiality in Ghana, A Singerian analysis of households in the Central Region. African Quarterly Social Science Review, 3(4), 842-860. https://doi.org/10.51867/AQSSR.3.4.68

Similar Articles

31-40 of 258

You may also start an advanced similarity search for this article.