Prevention and management of anaemia in pregnancy: Community perceptions and facility readiness in Ghana and Uganda.
Anaemia is one of the most common conditions in low- and middle-income countries, with prevalence increasing during pregnancy. The highest burden is in Sub-Saharan Africa and South Asia, where the prevalence of anaemia in pregnancy is 41.7% and 40%, respectively. Anaemia in pregnancy can lead to com...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0003610 |
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| author | Tara Tancred Vincent Mubangizi Emmanuel Nene Dei Syliva Natukunda Daniel Nana Yaw Abankwah Phoebe Ellis Imelda Bates Bernard Natukunda Lucy Asamoah Akuoko |
| author_facet | Tara Tancred Vincent Mubangizi Emmanuel Nene Dei Syliva Natukunda Daniel Nana Yaw Abankwah Phoebe Ellis Imelda Bates Bernard Natukunda Lucy Asamoah Akuoko |
| author_sort | Tara Tancred |
| collection | DOAJ |
| description | Anaemia is one of the most common conditions in low- and middle-income countries, with prevalence increasing during pregnancy. The highest burden is in Sub-Saharan Africa and South Asia, where the prevalence of anaemia in pregnancy is 41.7% and 40%, respectively. Anaemia in pregnancy can lead to complications such as prematurity, low birthweight, spontaneous abortion, and foetal death, as well as increasing the likelihood and severity of postpartum haemorrhage. Identifying and mitigating anaemia in pregnancy is a public health priority. Here we present a mixed-methods situational analysis of facility readiness and community understanding of anaemia in Ghana and Uganda. Quantitative health assessments (adapted from service availability and readiness assessments) and qualitative key informant interviews (KIIs) with district-level stakeholders, in-depth interviews (IDIs) with maternity staff, and focus group discussions (FGDs) with community members were held in 2021. We carried out facility assessments in nine facilities in Ghana and seven in Uganda. We carried out seven KIIs, 23 IDIs, and eight FGDs in Ghana and nine, 17, and five, respectively, in Uganda. Many good practices and general awareness of anaemia in pregnancy were identified. In terms of bottlenecks, there was broad consistency across both countries. In health facilities, there were gaps in the availability of haemoglobin testing-especially point-of-care testing-staffing numbers, availability of standard operating procedures/guidelines for anaemia in pregnancy, and poor staff attitudes during antenatal care. Amongst community members, there was a need for improved sensitisation around malaria and helminth infections as potential causes of anaemia and provision of education around the purpose of iron and folic acid supplementation for preventing or managing anaemia in pregnancy. Anaemia in pregnancy is a persistent challenge, but one with clear opportunities to intervene to yield improvements. |
| format | Article |
| id | doaj-art-e417803a214d4289947fe3831020d4bf |
| institution | Kabale University |
| issn | 2767-3375 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj-art-e417803a214d4289947fe3831020d4bf2025-01-08T05:51:37ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-0148e000361010.1371/journal.pgph.0003610Prevention and management of anaemia in pregnancy: Community perceptions and facility readiness in Ghana and Uganda.Tara TancredVincent MubangiziEmmanuel Nene DeiSyliva NatukundaDaniel Nana Yaw AbankwahPhoebe EllisImelda BatesBernard NatukundaLucy Asamoah AkuokoAnaemia is one of the most common conditions in low- and middle-income countries, with prevalence increasing during pregnancy. The highest burden is in Sub-Saharan Africa and South Asia, where the prevalence of anaemia in pregnancy is 41.7% and 40%, respectively. Anaemia in pregnancy can lead to complications such as prematurity, low birthweight, spontaneous abortion, and foetal death, as well as increasing the likelihood and severity of postpartum haemorrhage. Identifying and mitigating anaemia in pregnancy is a public health priority. Here we present a mixed-methods situational analysis of facility readiness and community understanding of anaemia in Ghana and Uganda. Quantitative health assessments (adapted from service availability and readiness assessments) and qualitative key informant interviews (KIIs) with district-level stakeholders, in-depth interviews (IDIs) with maternity staff, and focus group discussions (FGDs) with community members were held in 2021. We carried out facility assessments in nine facilities in Ghana and seven in Uganda. We carried out seven KIIs, 23 IDIs, and eight FGDs in Ghana and nine, 17, and five, respectively, in Uganda. Many good practices and general awareness of anaemia in pregnancy were identified. In terms of bottlenecks, there was broad consistency across both countries. In health facilities, there were gaps in the availability of haemoglobin testing-especially point-of-care testing-staffing numbers, availability of standard operating procedures/guidelines for anaemia in pregnancy, and poor staff attitudes during antenatal care. Amongst community members, there was a need for improved sensitisation around malaria and helminth infections as potential causes of anaemia and provision of education around the purpose of iron and folic acid supplementation for preventing or managing anaemia in pregnancy. Anaemia in pregnancy is a persistent challenge, but one with clear opportunities to intervene to yield improvements.https://doi.org/10.1371/journal.pgph.0003610 |
| spellingShingle | Tara Tancred Vincent Mubangizi Emmanuel Nene Dei Syliva Natukunda Daniel Nana Yaw Abankwah Phoebe Ellis Imelda Bates Bernard Natukunda Lucy Asamoah Akuoko Prevention and management of anaemia in pregnancy: Community perceptions and facility readiness in Ghana and Uganda. PLOS Global Public Health |
| title | Prevention and management of anaemia in pregnancy: Community perceptions and facility readiness in Ghana and Uganda. |
| title_full | Prevention and management of anaemia in pregnancy: Community perceptions and facility readiness in Ghana and Uganda. |
| title_fullStr | Prevention and management of anaemia in pregnancy: Community perceptions and facility readiness in Ghana and Uganda. |
| title_full_unstemmed | Prevention and management of anaemia in pregnancy: Community perceptions and facility readiness in Ghana and Uganda. |
| title_short | Prevention and management of anaemia in pregnancy: Community perceptions and facility readiness in Ghana and Uganda. |
| title_sort | prevention and management of anaemia in pregnancy community perceptions and facility readiness in ghana and uganda |
| url | https://doi.org/10.1371/journal.pgph.0003610 |
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