Measuring regional and district variations in the incidence of pregnancy-induced XXXX in Ghana: challenges, opportunities and implications for maternal and newborn health policy and programmes.

@entity1 @entity5029 @entity101 @entity28
OBJECTIVES: The objectives were to assess the quality of health management information system (HMIS) data needed for assessment of local area variation in pregnancy-induced @entity101 ( @entity5029 ) incidence and to describe district and regional variations in @entity5029 incidence. METHODS: A retrospective review of antenatal and delivery records of 2682 pregnant @entity1 in 10 district hospitals in the Greater Accra and Upper West regions of Ghana was conducted in 2013. Quality of HMIS data was assessed by completeness of reporting. The incidence of @entity5029 was estimated for each district. RESULTS: Key variables for routine assessment of @entity5029 such as blood pressure (BP) at antenatal visits, weight and height were 95-100% complete. Fundal height, gestational age and BP at delivery were not consistently reported. The incidence of @entity5029 differed significantly between Greater Accra region (6.1%) and Upper West region (3.2%). Prevalence of @entity28 among pregnant @entity1 in Greater Accra region (13.9%) was significantly higher than that of @entity1 in Upper West region (2.2%). CONCLUSIONS: More attention needs to be given to understanding local area variations in @entity5029 and possible relationships with urbanisation and lifestyle changes that promote @entity28 , to inform maternal and newborn health policy. This can be done with good quality routine HMIS data.
