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Anemia during pregnancy is an important public health issue due to its association with increased rates of maternal and perinatal mortality, premature delivery, low birth weight, and other adverse outcomes. Ethiopia is among the poorest countries in Africa with high rates of food insecurity and malnutrition. The nutritional status of women in Ethiopia is also low and their daily workload is often enormous because of reproducing and ensuring the survival of their children. Due to these facts, in Ethiopia iron deficiency anemia is the commonest problem affecting pregnant women, women of reproductive age and children. Ethiopian Ministry of Health, tries to intervene malnutrition problem by Essential Nutrition Action (ENA) plan through supplementation of vitamin A, iron, and iodine along with promotion of exclusive breastfeeding, proper complementary feeding, and improved maternal and child nutrition. Besides these efforts, the estimated prevalence of anemia among pregnant women in Ethiopia is high 63% compared to neighboring countries 55% in Kenya, 58% in Sudan and Eritrea 55.3%. Perhaps, this might be one of the main reasons that Ethiopia still has a higher number of maternal deaths than the neighboring countries, according to the 2014 World bank development indicators data report the maternal deaths per 100,000 live births in Ethiopia is 420 while in Sudan and Kenya is 360 and 400, respectively
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