Ethics in Nutrition – An African Perspective

  • Edelweiss Wentzel-ViljoenEmail author
  • Amos Laar
  • Maryse Umugwaneza
Part of the Advancing Global Bioethics book series (AGBIO, volume 13)


The chapter provides a context of nutrition/dietetic professions in Ghana (Sect. 6.1) and Rwanda (Sect. 6.2), giving background information about the current training. Training in ethics and professional conduct, regulatory ethics guidelines and code of ethics in each of the countries are emphasised. The role of relevant stakeholders in the teaching of ethics, as well as organisations responsible for guiding and regulating same is described. Ethics decision making and ethical issues faced by practitioners in the work environment and situations in the country, and other ethical issues in relation with the food system are also described. Ethical issues in the context of personalised nutrition advice, as well as ethical dilemmas regarding the food system are covered (e.g. the policy of “one cow, one family” in Rwanda). The final section of the chapter focuses on an analysis of the various country-specific ethical issues faced and addressed by nutrition professionals in the two countries. The country-specific analyses are preceded by a synopsis of the contemporary African nutrition landscape.


  1. Aryeetey, R.N.O., I. Boateng, and D. Sackey. 2014. State of dietetics practice in Ghana. Ghana Medical Journal 48 (4): 219–224.CrossRefGoogle Scholar
  2. Azzarri, C., A. Zezza, B. Haile, and E. Cross. 2015. Does livestock ownership affect animal source foods consumption and child nutritional status? Evidence from rural Uganda. The Journal of Development Studies 51 (8): 1–48.CrossRefGoogle Scholar
  3. Black, R.E., L.H. Allen, Z.A. Bhutta, L.E. Caulfield, M. De Onis, M. Ezzati, C. Mathers, and J. Rivera. 2008. Maternal and child undernutrition: Global and regional exposures and health consequences. Lancet 371: 243–260.CrossRefGoogle Scholar
  4. Black, R.E., C.G. Victora, S.P. Walker, Z.A. Bhutta, P. Christian, M. De Onis, M. Ezzati, S. Grantham-McGregor, J. Katz, R. Martorell, and R. Uauy. 2013. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 382: 427–451.CrossRefGoogle Scholar
  5. Fanzo, J.C., M.M. Graziose, K. Kraemer, S. Gillespie, J.L. Johnston, S.D. Pee, E. Monterrosa, J. Badham, M.W. Bloem, A.D. Dangour, R. Deckelbaum, A. Dobermann, P. Fracassi, S.M. Hossain, J. Ingram, J.C. Jerling, C. Jones, S.I. Jap, L. Kiess, Q. Marshall, K. Martin, A. Narayan, M. Amuyunzu-Nayamongo, F. Pepping, and K.P. West. 2015. Educating and training a workforce for nutrition in a Post-2015 world. Advances in Nutrition: An International Review Journal 6 (6): 639–647.CrossRefGoogle Scholar
  6. Ghana Statistical Service [GSS]. 2012. The 2010 national population and housing census, Accra, Ghana. Retrieved from
  7. Global Nutrition Report. Africa Brief. 2015. Retrieved from
  8. Global Nutrition Report. Nourishing the SDGs. 2017. Retrieved from
  9. GSS, GHS, and ICFI. 2015. Ghana demographic and health survey. Rockville: GSS/GHS/ICF International.Google Scholar
  10. Headey, D.D., P.H. Nguyen, S.S. Kim, R. Rawat, M.T. Ruel, and P. Menon. 2017. Is exposure to animal faeces harmful to child nutrition and health outcomes?: A multicountry observational analysis. The American Journal of Tropical Medicine and Hygiene 96 (4): 961–969.CrossRefGoogle Scholar
  11. Klingebiel, S., V. Gonsior, F. Jakobs, and M. Nikitka. 2016. Public sector performance and development cooperation in Rwanda: Results-based approaches. New York: Palgrave.CrossRefGoogle Scholar
  12. Laar, A.K., W. Ampofo, J.M. Tuakli, and I.A. Quakyi. 2009. Infant feeding choices and experiences of HIV-positive mothers from two Ghanaian districts. Journal of AIDS and HIV Research 1 (2): 023–033.Google Scholar
  13. Laar, A.K., R.N. Aryeetey, R. Annan, P.A. Aryee, F.K. Amagloh, R. Akparibo, M.E. Laar, P. Amuna, and F.B. Zotor. 2017. Contribution of scaling up nutrition academic platforms to nutrition capacity strengthening in Africa: Local efforts, continental prospects and challenges. Proceedings of the Nutrition Society: 1–11.Google Scholar
  14. Ministry of Health Rwanda, PMNCH, WHO, World Bank, AHPSR and participants in the Rwanda multistakeholder policy review. 2014. Success factors for women’s and children’s health: Rwanda. Geneva: WHO. Available online: Accessed 27 Oct 2017.
  15. Moss, T.J., and S. Majerowicz. 2012. No longer poor: Ghana’s new income status and implications of graduation from IDA. Available online: Accessed 28 Oct 2017.
  16. Ofori-Asenso, R., A.A. Agyeman, A. Laar, and D. Boateng. 2016. Overweight and obesity epidemic in Ghana—A systematic review and meta-analysis. BMC Public Health 16 (1): 1239.CrossRefGoogle Scholar
  17. RAHPC (Rwanda Allied Health Professions Council). 2016. Professional conduct and ethics. Retrieved from
  18. Rawlins, R., S. Pimkina, C.B. Barrett, S. Pedersen, and B. Wydick. 2014. Got milk? The impact of Heifer International’s livestock donation programs in Rwanda on nutritional outcomes. Food Policy 44: 202–213.CrossRefGoogle Scholar
  19. Rwanda Agriculture Board. 2014. One cow per poor family pro-gram “GIRINKA”. Retrieved from
  20. Sodjinou, R., N. Fanou, L. Deart, F. Tchibindat, S. Baker, W. Bosu, and Regional Nutrition Working Group. 2014. Region-wide assessment of the capacity for human nutrition training in West Africa: Current situation, challenges, and way forward. Global Health Action 7 (1): 23247. CrossRefGoogle Scholar
  21. United Nations System Standing Committee on Nutrition (UNSCN). 2017. News 42. A spotlight on the nutrition decade. Retrieved from
  22. WHO. Ambition and Action in Nutrition 2016–2025. 2017. Geneva: World Health Organization. Retrieved from
  23. Wyatt, A.J., K.M. Yount, C. Null, U. Ramakrishnan, and A. Webb Girard. 2015. Dairy intensification, mothers and children: An exploration of infant and young child feeding practices among rural dairy farmers in Kenya. Maternal and Child Nutrition 11 (1): 88–103.CrossRefGoogle Scholar

Further Reading

  1. Global Nutrition Report. Africa Brief. 2015. Available at:
  2. WHO. Ambition and Action in Nutrition 2016–2025. 2017. Geneva: World Health Organization. Retrieved from

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Edelweiss Wentzel-Viljoen
    • 1
    Email author
  • Amos Laar
    • 2
  • Maryse Umugwaneza
    • 3
  1. 1.Centre of Excellence for NutritionNorth-West UniversityPotchefstroomSouth Africa
  2. 2.Department of Population, Family and Reproductive Health, School of Public HealthUniversity of GhanaLegonGhana
  3. 3.Department of Human Nutrition and DieteticsUniversity of RwandaKigaliRwanda

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