Background: Anaemia is also the third leading cause of death among children and women. Iron Deficiency Anaemia is the most common type of Anaemia globally. Blood transfusion is the primary management for severe anaemia. Oral supplements are cheap, safe and effective at correcting anaemia. The purpose of this study is to assess anaemia and its associated risk factors and the impact of blood transfusion in anaemic patients and assessment of medication adherence in a tertiary care hospital.