title: Anaemia is typical of pregnancies: capturing community perception and management of anaemia in pregnancy in Anambra State, Nigeria.
abstract: Anaemia during pregnancy continues to constitute significant challenge to maternal health in Nigeria and contributes substantially to the worsening maternal mortality ratio (MMR) in Nigeria despite a global reduction in MMR in response to effort to improve safe motherhood. The incidence of anaemia during pregnancy is still high (>40 %) in Nigeria, and attitudes and management practices are yet unclear as the peoples' understanding of the phenomenon remains unclear. This study explored the perceptions/attitudes on anaemia during pregnancy and practices to prevent and/or manage it in Anambra State.
  
  
  
  In-depth interview and focus group discussion data were collected from health workers and mothers who delivered within 6 months preceding the study and from mothers and husbands of women who delivered within 6 months preceding the study, respectively.
  
  
  
  The people expressed some knowledge of anaemia, being common in pregnancies. However, some expressed the view that anaemia being a typical sign of pregnancy cannot be prevented. Some mothers expressed desire for focused antenatal care services to control anaemia but lamented the attitude of the health workers, who make access to these interventions difficult.
  
  
  
  Control of anaemia in pregnancy should start with providing health education to pregnant women and their partners, who reinforce what the women are told during antenatal care, and with training health workers for friendlier attitudes to clients.
authors: Department of Sociology/Anthropology, University of Nigeria, Nsukka, Enugu State, Nigeria. nkechux@yahoo.com.|Takemi Program in International Health, Department of Global Health and Population, Harvard TH Chan School of Public Health, 677 Huntington Avenue, Boston, MA, USA. nkechux@yahoo.com.
authors: Nkechi G
authors: NG
authors: Onyeneho
authors: Social Science Unit, School of General Studies, University of Nigeria, Nsukka, Enugu State, Nigeria.
authors: Obianuju U
authors: OU
authors: Igweonu
mesh_terms: D000293:Adolescent; D000328:Adult; D000740:Anemia / Q000150:complications* / Q000453:epidemiology / Q000517:prevention & control; D001291:Attitude of Health Personnel; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008428:Maternal Mortality; D008875:Middle Aged; D009035:Mothers; D009549:Nigeria / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications; D011295:Prenatal Care; D012111:Residence Characteristics; D018454:Spouses; D055815:Young Adult
keywords: Anaemia in pregnancy; Attitude; Management; Nigeria; Perception