TY - JOUR
T1 - Measuring Regional and District Variations in the Incidence of Pregnancy-induced Hypertension (PIH) in Ghana
T2 - Challenges, Opportunities and Implications for Maternal and Newborn Health Policy and Programs
AU - Antwi, Edward
AU - Klipstein-Grobusch, Kerstin
AU - Asare, Gloria Quansah
AU - Koram, Kwadwo A
AU - Grobbee, Diederick
AU - Agyepong, Irene Akua
N1 - This article is protected by copyright. All rights reserved.
PY - 2016
Y1 - 2016
N2 - 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 hypertension (PIH) incidence and to describe district and regional variations in PIH incidence.METHODS: A retrospective review of antenatal and delivery records of 2,682 pregnant women in ten 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 PIH was estimated for each district.RESULTS: Key variables for routine assessment of PIH such as blood pressure at antenatal visits, weight and height were 95% to 100% complete. Fundal height, gestational age and blood pressure at delivery were not consistently reported. The incidence of PIH differed significantly between Greater Accra region (6.1%) and Upper West region (3.2%). Prevalence of obesity among pregnant women in Greater Accra region (13.9%) was significantly higher than that of women in Upper West region (2.2%).CONCLUSIONS: More attention needs to be given to understanding local area variations in PIH and possible relationships with urbanization and lifestyle changes that promote obesity, to inform maternal and newborn health policy. This can be done with good quality routine HMIS data. This article is protected by copyright. All rights reserved.
AB - 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 hypertension (PIH) incidence and to describe district and regional variations in PIH incidence.METHODS: A retrospective review of antenatal and delivery records of 2,682 pregnant women in ten 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 PIH was estimated for each district.RESULTS: Key variables for routine assessment of PIH such as blood pressure at antenatal visits, weight and height were 95% to 100% complete. Fundal height, gestational age and blood pressure at delivery were not consistently reported. The incidence of PIH differed significantly between Greater Accra region (6.1%) and Upper West region (3.2%). Prevalence of obesity among pregnant women in Greater Accra region (13.9%) was significantly higher than that of women in Upper West region (2.2%).CONCLUSIONS: More attention needs to be given to understanding local area variations in PIH and possible relationships with urbanization and lifestyle changes that promote obesity, to inform maternal and newborn health policy. This can be done with good quality routine HMIS data. This article is protected by copyright. All rights reserved.
KW - routine data
KW - decision making
KW - maternal and newborn health
KW - pregnancy-induced hypertension
KW - local area variation
U2 - 10.1111/tmi.12626
DO - 10.1111/tmi.12626
M3 - Article
C2 - 26503403
SN - 1360-2276
VL - 21
SP - 93
EP - 100
JO - Tropical medicine & international health
JF - Tropical medicine & international health
IS - 1
ER -