In this respect, the case of Ghana shows that rapid decline in household income poverty and caloric undernourishment can be insufficient to address malnutrition (Leach, 2015:89). Enduring malnutrition is generally linked to either ineffective utilisation of food due to poor health and environmental conditions (e.g. absence of clean water and sanitation), or to the unequal distribution of power within the household. Those who prepare and serve a meal are often the last to eat (SWAC/OECD, 2016).