The objective of this qualitative research is to determine the proportion and categorise the types of anemia among pregnant women attending the outpatient department of a district hospital. A self-administered cross-sectional survey was carried out with 200 participants; this showed that 54. 8 % of women in the sample were anemic, and children and teenage girls were most likely to be iron deficient. Some of the nurses’ known offenders include; The factors listed include heavy account of menstrual blood loss, parity and poor nutrition. This is why early identification and intervention of the deficiency and the correct intake of the supplements can prevent the complications that are associated with preterm birth and low birth weight. The study also recommends that much attention be given to antenatal care and education sessions for the prevention of anemia.