Nutrition-sensitive agriculture approaches can improve farming household incomes, food security, and diet quality. Adopting nutrition-sensitive agriculture approaches means placing a nutrition lens on the policies, strategies, and investments in the food and agriculture sector without detracting from the sector's traditional goals of food supply. To understand the processes involved in developing agriculture-for-nutrition policies in Ghana, this paper examined the influence of stakeholders' interconnections using a visual participatory mapping technique, Virtual Net-Map. Three convening platforms were identified for stakeholder engagement: the Agriculture Sector Working Group, the National Agricultural Technical Committee, and the Public-Private Partnership Dialogue Platform. Sixty stakeholders with 188 connections were recognised for their involvement in agriculture-for-nutrition policymaking in Ghana. Fourteen stakeholders, twelve from government organizations and two from donor and development partner organizations, were identified as the most influential. International stakeholders (donors and development partners) were critical in funding agriculture-for-nutrition policymaking activities. While all stakeholders had a joint mandate to ensure policies were developed, the Ministry of Food and Agriculture led the policy development process in Ghana's food and agriculture sector. Moreover, government stakeholders notably received more support from other stakeholders for funding, advocacy, dissemination, and technical assistance than the support they offered. Generally, stakeholders were more engaged in technical assistance activities and least involved in disseminating agriculture-nutrition information in the agriculture-for-nutrition policymaking process. The information on stakeholders' interconnections and influence showed areas that had the most and least stakeholder engagements, which will enable potential stakeholders to identify niche(s) to support the nutrition agenda in Ghana's food and agriculture sector and help Ghana meet the Global Nutrition Targets and the Sustainable Development Goals for 2025 and 2030, respectively. In addition, the evidence presented on Ghana's agriculture-for-nutrition policymaking network can lead to better ways of centralizing nutrition in agricultural policies and designing initiatives that encompass most, if not all, relevant stakeholders. Key words: Agriculture, Nutrition, Policymaking, Net-Map, Influence, Connections, Ghana, Nutrition-sensitive agriculture

Access to safe, nutritious, and sufficient food is essential to ensure food and nutrition security and healthy lives for all. Secure access to nutritious food ensures healthy eating habits, economic growth, and stability in an economy. However, food insecurity and malnutrition persist globally. In Ghana, more than half of food-insecure people reside in the Northern ecological zones of the country. Moreover, Ghana lacks a systematic food security monitoring system to track food insecurity among vulnerable populations. This study reviewed existing evidence on the current situation and changes related to food production, trade, safety, and consumption in Ghana, as part of the process to develop food-based dietary guidelines for the country. The literature review included peer-reviewed articles published from 2010 – 2020 in Ghana to document household-level food production, consumption, and safety issues. In addition, food disappearance data (from 2010 to 2018) from the Food and Agriculture Organization of the United Nations was analysed. Means and compound annual growth rates were calculated for each food item included. The results showed that per capita food production was higher than per capita consumption in all the food categories studied, except for vegetables, and fish and fishery products. Food consumption was centred on a few priority staple crops such as cassava, maize, rice, and yams, with less consideration given to underutilised foods such as akokono (palm weevil larvae). Food imports exceeded food exports in all food categories except 1) cocoa beans and products, 2) root crops and tubers, 3) oil-bearing crops and nuts, and 4) fruits and products. Fruit and vegetable consumption in Ghana has been declining since 2013. There was also a rise in the import and consumption of processed foods, especially tomato paste, sugars, and alcoholic and non-alcoholic beverages. Food safety issues included microbial contamination, aflatoxin contamination, polycyclic aromatic hydrocarbons in smoked fish, mercury in fish, pesticide and heavy metal residues in vegetables and fruits, and food adulteration. The evidence synthesized from this study will be useful to inform the development of food-based dietary guidelines for Ghana. Key words: Food, production, trade, consumption, food security, safety, Ghana