Prevalence of Anaemia and Its Determinants Among Pregnant Women Attending Antenatal Clinic in Sokoto State

Background: Anaemia in pregnancy is a major contributor to maternal mortality and adverse perinatal outcomes in Nigeria, with the North West geopolitical zone bearing a disproportionate burden. This study determines the prevalence and determinants of anaemia among pregnant women attending antenatal clinics in Sokoto State. Methods: A facility-based cross-sectional study enrolled 290 pregnant women through systematic sampling at a specialist hospital. Haemoglobin concentrations were measured using a haemocytometer. Dietary and clinical histories were collected using structured questionnaires. Results: The prevalence of anaemia was high, with severe anaemia constituting a notable proportion of cases. Iron deficiency and malaria co-infection were the most strongly associated determinants. Primigravid women and those in the first trimester were particularly vulnerable. Iron supplementation adherence was suboptimal. Conclusion: Anaemia in pregnancy in Sokoto State demands a comprehensive response combining iron and folate supplementation, malaria prevention, and dietary counselling within antenatal care packages. Family medicine practitioners should strengthen adherence counselling and monitor haemoglobin trends throughout gestation. Keywords: anaemia, pregnancy, antenatal care, Sokoto State, iron deficiency