Objective: To review the prevalence, severity and determinants of anaemia among women in West and Central Africa (WCA) and raise awareness among policy makers and programme planners in the region. Design: Systematic descriptive review of data in the public domain of the ORC Macro MEASURE Demographic and Health Surveys, national nutrition surveys, oral and technical communications at regional meetings, studies published in scientific journals, and WHO and UNICEF databases. Setting: West and Central Africa region. Subjects: Women of childbearing age. Results: The prevalence of anaemia among pregnant and non-pregnant women is higher than 50 % and 40 %, respectively, in all countries. Within countries, this prevalence varies by living setting (rural v. urban), women's age and education. Across countries, socio-economic and climatic differences have no apparent association with the prevalence of anaemia among women. Several factors contribute either alone or jointly to the high rates of maternal anaemia in this region. These include widespread nutritional deficiencies; high incidence of infectious diseases; low access to and poor quality of health services; low literacy rates; ineffective design, implementation and evaluation of anaemia control programmes; and poverty. Conclusions: Addressing the multiple causes and minimizing the consequences of anaemia on maternal and child health and development in WCA require integrated multifactorial and multisectoral strategies. This also calls for unprecedented, historical and stronger political will and commitment that put adolescent girls and maternal health at the centre of the development agenda.
Keywords
Women Anaemia Urgent action West and Central AfricaMaternal anaemia continues to be a major barrier to women's health, social development and economic growth, especially in the developing world. The WHO estimates that, globally, anaemia affects 42 % (56?4 million) of pregnant women and 30 % (468?4 million) of non-pregnant women (including adolescent girls). In Africa, 57 % (17?2 million) of pregnant women and 48 % (70 million) of nonpregnant women (including adolescent girls) are anaemic (1) . In Sub-Saharan Africa, and more particularly in the West and Central Africa Region (WCAR),y high rates of anaemia continue unabated in women throughout their reproductive years. In WCAR, according to WHO classification, the prevalence of anaemia among women of reproductive age is of severe public health significance; i.e. at any point in time at least 40 % of women (15-49 years old) are anaemic (1) .These high rates represent significant constraints for achieving some of the Millennium Development Goals such as eradicating hunger and poverty (Goal 1), reducing child mortality (Goal 4) and improving maternal health (Goal 5). The adverse consequences of maternal anaemia include fatigue, decreased work capacity and poor pregnancy outcomes such as preterm birth, low birth weight, and increased risk of maternal death both during delivery and the postpartum period (2,3) . Even tho...