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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 2682 pregnant women 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  PIH  was estimated for each district.    Results  Key variables for routine assessment of  PIH  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  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 urbanisation and lifestyle changes that promote obesity, to inform maternal and newborn health policy. This can be done with good quality routine  HMIS  data.

tropical medicine and international health

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