Anaemia among pregnant women and post-partum mothers is a public health challenge in Ghana, especially in the Volta Region. While literature abounds on anaemia among pregnant women, the same cannot be said for anaemia among post-partum mothers in the region. This study, therefore, examined the prevalence and associated risk factors of anaemia among women attending antenatal care and post-natal care. This descriptive cross-sectional survey recruited 409 pregnant women and 194 post-natal mothers attending antenatal and post-natal care, at the Hohoe Municipal Hospital. Background characteristics were collected using a semi-structured questionnaire, blood samples were analysed for the presence of anaemia and malaria parasitaemia and folders were reviewed for estimated blood loss. We found the prevalence of anaemia among pregnant women and post-partum mothers to be 33 and 16% respectively. Higher malaria parasitaemia (2%) was found in pregnant women compared with postpartum mothers (1%). We found that 4% of post-partum mothers had abnormal blood loss (301mls-500mls) whereas 5% of them had postpartum haemorrhage (>500mls) during child birth. A univariate logistics regression of anaemia status on some risk factors in pregnant women showed no significant association between anaemia and any of the risk factors. Among post-partum mothers, only mothers’ age was statistically significant in the univariate analysis [COR = 0.27 (95% CI:0.103, 0.72);0.008]. Mothers aged 20–29 were 73% less likely to be anaemic. The prevalence of anaemia among pregnant women found in this study points to a situation of moderate public health problem according to WHO cut-off values for the public health significance of anaemia. Strategies should therefore be put in place to encourage thorough health education and promotion programmes among both pregnant and post-partum women.

中文翻译：

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加纳公共卫生机构产前和产后诊所的妇女贫血患病率和相关危险因素

孕妇和产后母亲的贫血是加纳的一项公共卫生挑战，尤其是在沃尔特地区。虽然关于孕妇贫血的文献比比皆是，但该地区产后母亲的贫血情况却并非如此。因此，本研究调查了参加产前保健和产后保健的妇女的贫血患病率和相关危险因素。这项描述性横断面调查在霍霍市医院招募了 409 名孕妇和 194 名产后母亲参加产前和产后护理。使用半结构化问卷收集背景特征，分析血液样本是否存在贫血和疟原虫血症，并审查文件夹以了解估计的失血量。我们发现孕妇和产后母亲的贫血患病率分别为 33% 和 16%。与产后母亲（1%）相比，孕妇的疟原虫血症（2%）更高。我们发现 4% 的产后母亲有异常失血（301mls-500mls），而 5% 的产妇在分娩时有产后出血（>500mls）。孕妇贫血状态对某些危险因素的单变量逻辑回归显示，贫血与任何危险因素之间没有显着关联。在产后母亲中，单变量分析中只有母亲的年龄具有统计学意义 [COR = 0.27 (95% CI: 0.103, 0.72);0.008]。20-29 岁的母亲患贫血的可能性降低了 73%。根据世界卫生组织对贫血的公共卫生意义的临界值，本研究发现的孕妇贫血患病率表明存在中度公共卫生问题。因此，应制定战略，鼓励对孕妇和产后妇女进行全面的健康教育和促进计划。