Abstract

In resource-constrained environments like South Sudan, where fragile healthcare systems, widespread poverty, and a high disease burden contribute to its prevalence, anemia in pregnancy is a major public health concern. An estimated 61% of pregnant women in the country suffer from anemia, with severe anemia being linked to maternal deaths and poor neonatal outcomes. Malnutrition, malaria, inadequate antenatal care (ANC), and a lack of regional blood banks for transfusion services worsen the situation. Despite evidence-based interventions like iron supplementation and malaria control programs, systemic barriers impede progress. To address anemia in pregnancy in South Sudan, a comprehensive strategy that combines nutritional interventions, infectious disease control, blood transfusion capacity building, and Healthcare system strengthening This review analyzes recent data from 2014-2024 to identify gaps and suggest context-specific interventions by examining the prevalence of anemia in pregnancy in South Sudan, including its causes, difficulties, and potential solutions.