Anaemia among women of reproductive age (WRA) increases the risk of pregnancy-related morbidity, mortality, and poor pregnancy outcomes. Globally, there is growing interest to reduce anaemia among WRA. In Ghana, anaemia among WRA declined at the national level between 2008 (59%) and 2014 (42%). There were also important declines at the sub-national level. The Eastern region (in the south) and Upper West region (in the north) provide an interesting opportunity to understand the decline. Identifying the drivers of anaemia reduction among WRA in Ghana provides important implementation science evidence for designing effective interventions. This current study examined the drivers of reduced anaemia prevalence in women of reproductive age using data from the Ghana Demographic and Health Surveys for 2008 and 2014. Anaemia was diagnosed as haemoglobin<12.0g/dl. Data were summarized using proportions and 95% confidence intervals. A weighted binary logistic-based multivariate decomposition technique was used to identify the potential drivers of anaemia across surveys for 2003, 2008 and 2014. Sensitivity analysis was carried out to test the robustness of the results of the decomposition analysis using haemoglobin concentration. The results of the decomposition analysis were presented as endowment and coefficient effects. Statistical analysis was carried out using Stata version 15. There was an improvement in access to water and sanitation, health services, family planning, and health insurance across surveys. Drivers of anaemia reduction over time at the national level included wealth index and maternal age, education, use of hormonal contraception and body mass index (BMI). In the Eastern region, the drivers of change were household wealth index, maternal age, hormonal contraceptive use and BMI. The drivers of change in the Upper West region, were household access to water, maternal education and BMI. The findings suggest that multi-level interventions are needed across sectors to further reduce anaemia among WRA. Key words: Anaemia, Women, Nutrition, Reproductive-age, Ghana, Haemoglobin, Regression, Decomposition analysis

Nutrition-sensitive agriculture approaches can improve farming household incomes, food security, and diet quality. Adopting nutrition-sensitive agriculture approaches means placing a nutrition lens on the policies, strategies, and investments in the food and agriculture sector without detracting from the sector's traditional goals of food supply. To understand the processes involved in developing agriculture-for-nutrition policies in Ghana, this paper examined the influence of stakeholders' interconnections using a visual participatory mapping technique, Virtual Net-Map. Three convening platforms were identified for stakeholder engagement: the Agriculture Sector Working Group, the National Agricultural Technical Committee, and the Public-Private Partnership Dialogue Platform. Sixty stakeholders with 188 connections were recognised for their involvement in agriculture-for-nutrition policymaking in Ghana. Fourteen stakeholders, twelve from government organizations and two from donor and development partner organizations, were identified as the most influential. International stakeholders (donors and development partners) were critical in funding agriculture-for-nutrition policymaking activities. While all stakeholders had a joint mandate to ensure policies were developed, the Ministry of Food and Agriculture led the policy development process in Ghana's food and agriculture sector. Moreover, government stakeholders notably received more support from other stakeholders for funding, advocacy, dissemination, and technical assistance than the support they offered. Generally, stakeholders were more engaged in technical assistance activities and least involved in disseminating agriculture-nutrition information in the agriculture-for-nutrition policymaking process. The information on stakeholders' interconnections and influence showed areas that had the most and least stakeholder engagements, which will enable potential stakeholders to identify niche(s) to support the nutrition agenda in Ghana's food and agriculture sector and help Ghana meet the Global Nutrition Targets and the Sustainable Development Goals for 2025 and 2030, respectively. In addition, the evidence presented on Ghana's agriculture-for-nutrition policymaking network can lead to better ways of centralizing nutrition in agricultural policies and designing initiatives that encompass most, if not all, relevant stakeholders. Key words: Agriculture, Nutrition, Policymaking, Net-Map, Influence, Connections, Ghana, Nutrition-sensitive agriculture