It has different meanings depending on the language of origin. In Georgia, Nana is the fifth most popular given name for girls. In Ghana, among the Akans and particularly with the Akyems, Ashanti and the Akuapim, Nana is used as the title of a King or Queen, it signifies royalty. The stool name of kings and queens are always preceded by Nana. However, many people in Ghana use Nana as a name in normal life. In some cases, people who are named after kings may, out of respect for mentioning the king's name adopt the name "Nana" to signify that they have been named after a king. In Ghana one may respectfully refer to a King or a Queen as Nana without mentioning the full name of that King or Queen.