More than a third of all women of reproductive age in sub-Saharan Africa are anemic. Women from low-income communities involved in fish-smoking may be at increased risk because of inadequate diets, exposure to infectious pathogens, as well as particulate matter and other pollutants through smoke. Researchers are piloting three strategies to reduce anemia in fish-processing communities in Ghana: promoting anemia reducing lifestyle changes, improving market competitiveness and incomes, and introducing enhanced fish smoking technology and practices. This project aims to evaluate the feasibility and scalability of the programs, and to inform the design of a full randomized evaluation in the future.