Recommendations

In order to
reduce the high maternal and prenatal morbidity and mortality from anaemia seen
in Nigeria, certain measures should be put in place by the government.
i.           
Public enlightenment campaign should be embarked upon to sensitize the
public on what anaemia is it’s causes, risk factors and complications.

ii.           
Health education and promotion, especially to encourage all pregnant
women to book early for antenatal care and to take appropriate intervention
measures information education and communication (IEC) effort should be
directed towards increasing levels of awareness and commitment at all levels.
iii.           
Strategies should be put in place to increase awareness on anaemia.
These should include dissemination of information via antenatal and under five
clinics, public radios, and community development, meetings conducted by
extension workers.
iv.           
Education of the girl child should be made compulsory to avoid teenage
unplanned pregnancy. This can also help in delaying first pregnancy.
v.           
Distribution of iron tablets in communities targeted of adolescent girls
and women after marriage and before conception as well as in the iron
deficiency at the onset of a pregnancy
vi.           
Government should encourage women to delay the first pregnancy, and
space successive pregnancies by improving the availability and provision of
appropriate family planning devices
vii.           
Commonly consumed foods in this part of the country should be fortified
with iron.
viii.           
Ante-natal services, including routine drugs and test should be free in
all government hospitals.
ix.           
All pregnant women should be intermittently screened for the presence of
anaemia (e.g. at the booking visit, thereafter at 28 weeks and again at 36
weeks) instead of just at booking which is the practice in most health
facilities.
x.           
Government should distribute free insecticide treated nets to all
pregnant women who attend ANC and ensure they sleep under the net.
xi.           
Anti-helminthes drugs should be given to pregnant women in their second
trimester in addition to the iron supplement, and anti-malaria drugs routinely.
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