{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:42:08Z","timestamp":1791567728663,"version":"4.3.4"},"reference-count":54,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T00:00:00Z","timestamp":1616976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1154099"],"award-info":[{"award-number":["OPP1154099"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Little evidence exists concerning perceptions of anaemia in Ghanaian communities, which limits understanding of how to potentially improve health in settings with high anaemia prevalence. We explored lay perceptions of anaemia to understand local knowledge and beliefs and to provide an opportunity to inform interventions. A cross\u2010sectional, qualitative study was conducted in selected communities in three regions of Ghana with high prevalence of anaemia. Forty\u2010eight focus group discussions (FGDs) were conducted with adolescent girls, adult women of reproductive age and adult men (16 FGDs for each demographic group). Participants across the three demographic groups generally described anaemia as inadequate blood in the body and reported that poor diet, heat, alcohol intake, physiological factors and diseases such as malaria were the main causes of anaemia. Consequences of anaemia mentioned in the FGDs included dizziness, weight loss, loss of appetite and weakness. Prevention of anaemia was perceived to result from improved diet, avoidance of exposure to heat and improved sanitation to avoid diseases. The findings suggest that despite areas of convergence between lay and biomedical knowledge on the causes, consequences and prevention of anaemia, the burden of anaemia remains high in the study regions. This highlights a disconnect between local knowledge of anaemia and the health and nutrition behaviours needed to reduce its incidence. Effective interventions can be developed with and for communities that build upon existing knowledge while filling remaining knowledge gaps or misconceptions.<\/jats:p>","DOI":"10.1111\/mcn.13181","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T07:02:08Z","timestamp":1617001328000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Perceptions and beliefs about anaemia: A qualitative study in three agroecological regions of Ghana"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8662-9162","authenticated-orcid":false,"given":"Raphael Baffour","family":"Awuah","sequence":"first","affiliation":[{"name":"Regional Institute for Population Studies University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esi K.","family":"Colecraft","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Science University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark L.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard Kofi","family":"Adjorlolo","sequence":"additional","affiliation":[{"name":"Livestock and Poultry Research Centre, College of Basic and Applied Sciences University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4253-7063","authenticated-orcid":false,"given":"Nathalie J.","family":"Lambrecht","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, School of Public Health University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanson","family":"Nyantakyi\u2010Frimpong","sequence":"additional","affiliation":[{"name":"Department of Geography and the Environment University of Denver  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9265-3935","authenticated-orcid":false,"given":"Andrew D.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, School of Public Health University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,29]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/146879410100100307"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62304-5"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61693-6"},{"issue":"7","key":"e_1_2_11_5_1","first-page":"521","article-title":"The association between anemia in infants, and maternal knowledge and adherence to iron supplementation in southern Israel","volume":"9","author":"Bilenko N.","year":"2007","journal-title":"The Israel Medical Association Journal"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.14092"},{"issue":"5","key":"e_1_2_11_7_1","first-page":"625","article-title":"Dietary diversity and its association with anemia among pregnant women attending public health facilities in South Ethiopia","volume":"28","author":"Delil R.","year":"2018","journal-title":"Ethiopian Journal of Health Sciences"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0209476"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30440-1"},{"issue":"15","key":"e_1_2_11_10_1","first-page":"1","article-title":"Anaemia awareness, beliefs and practices among pregnant women: A baseline assessment at Brosankro community in Ghana","volume":"3","author":"Dwumfour\u2010Asare B.","year":"2013","journal-title":"Journal of Natural Science Research"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.09.032"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980000000173"},{"key":"e_1_2_11_13_1","unstructured":"Ghana Statistical Service Ghana Health Service &ICF International. (2015).Ghana demographic and health survey 2014. GSS GHS and ICF International."},{"key":"e_1_2_11_14_1","unstructured":"Ghana Statistical Service Ghana Health Service &ICF Macro. (2009).Ghana demographic and health survey 2008. 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