Combating anaemia: A silent health crisis in Ghana

In Ghana, a silent health crisis is affecting millions of citizens, particularly women and children.

Anaemia, a condi­tion characterised by a lack of healthy red blood cells to carry adequate oxygen to the body’s tissues, is prevalent throughout the country.

According to the Ghana De­mographic and Health Survey, about four in every 10 women of reproductive age and six in 10 children under five years of age are anaemic.

This article aims to shed some light on this devastating disease, its causes, effects, and potential solutions.

Anaemia occurs when the body does not have enough healthy red blood cells to trans­port oxygen effectively. Symp­toms include fatigue, weakness, shortness of breath, and in severe cases, can lead to heart problems.

In Ghana, several factors con­tribute to the high prevalence of anaemia.

First, malnutrition and iron deficiency are significant contributors. Many Ghanaians, especially those in rural areas, lack access to diverse and nu­trient-rich diet. Iron-rich foods such as lean meats, fish, and leafy green vegetables are often not consumed in sufficient quantities.

This dietary deficiency is compounded by poverty and food insecurity in some regions.

Second, malaria and other parasitic infections play a crucial role in anaemia’s prevalence.

Ghana is a malaria-endem­ic country, and the parasite responsible for malaria destroys red blood cells, leading to anaemia.

Other parasitic infections, such as hookworm, can cause intestinal bleeding and further contribute to iron deficiency and anaemia.

Third, genetic factors like sickle cell disease are prevalent in Ghana. This inherited blood disorder, for instance, affects the shape of red blood cells, causing them to break down rapidly and leading to chronic anaemia.

The effects of anaemia on public health in Ghana are far-reaching. For pregnant women, for instance, anaemia increases the risk of mater­nal mortality and can lead to premature births and low birth weight babies.

In children, it impairs cogni­tive development, affecting their ability to learn and perform well in school. This, in turn, can have long-term consequences on their future productivity and economic potential.

Last, anaemia reduces work capacity and productivity in adults. A workforce struggling with fatigue and weakness due to anaemia can significantly im­pact Ghana’s economic growth and development.

The Ghanaian government, recognising the severity of this issue, has implemented several initiatives to combat anaemia.

The Ghana Health Service has integrated iron and folic acid supplementation into ante­natal care services.

There are also ongoing ef­forts to fortify staple foods like wheat flour and vegetable oil with essential micronutrients.

However, challenges remain in effectively addressing this health crisis.

Limited access to healthcare facilities, especially in rural areas, makes it difficult for many Ghanaians to receive proper diagnosis and treatment. There’s also a lack of awareness about anaemia, its causes, and prevention methods among the general population.

To combat anaemia effec­tively in Ghana, a multi-faceted approach is necessary.

Firstly, there is the need to promote the consumption of iron-rich foods and improve food fortification efforts. Public health campaigns can educate people about locally-available iron-rich foods and how to in­corporate them into their diets.

The government can also expand its food fortification programme to include more staple foods.

Secondly, improving access to healthcare and diagnostic tools is crucial.

Mobile health clinics can be deployed to reach remote areas, providing anaemia screen­ing and treatment. Training community health workers to recognise signs of anaemia and provide basic interventions can also help bridge the healthcare gap.

Thirdly, public education on prevention and early detection of anaemia is vital.

Schools can play a significant role by incorporating nutrition education into their curriculum.

Media campaigns using radio, television, and social media can reach a wider audience with messages about anaemia pre­vention and the importance of a balanced diet.

Lastly, addressing under­lying causes like malaria and parasitic infections is essential. Strengthening malaria preven­tion programmes, including the distribution of insecticide-treat­ed bed nets and indoor residual spraying, can help reduce anae­mia cases caused by malaria.

Regular deworming pro­grammes in schools and com­munities can also help control parasitic infections that contrib­ute to anaemia.

For those with sickle cell disease, improving access to specialised care and medications is crucial. Establishing more sickle cell clinics across the country and ensuring a steady supply of necessary drugs can help manage the condition and prevent complications.

It is also important to em­power women economically and socially.

When women have better access to resources and deci­sion-making power, they are more likely to prioritise their own health and nutrition, as well as that of their children.

Anaemia represents a signif­icant public health challenge in Ghana, with far-reaching consequences for individuals’ health, economic productivity, and national development.

While progress has been made, there is still much work to be done by implementing a comprehensive strategy that addresses the various causes of anaemia; improves access to healthcare; and raises public awareness.

Ghana can make significant strides in combating this silent health crisis.

As citizens, we all have a role to play. Being aware of the signs of anaemia, ensuring a balanced diet rich in iron, and seeking regular health check-ups can go a long way in preventing and managing this condition.

Let us work together to build a healthier, more productive Ghana by tackling anaemia head-on.

The writer is a Final Year Student, Medical Biochem­istry and Molecular Biology, University of Health and Allied Sciences, Ho

“While progress has been made, there is still much work to be done by implementing a comprehensive strategy that addresses the vari­ous causes of anaemia; improves access to healthcare; and raises public awareness.”