Knowledge, attitude and utilization of part ograph and associated factors among obstetric care providers in public health facilities of Addis Ababa, Ethiopia.
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Date
2021-06
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Addis Abeba University
Abstract
Background: Partograph is a low-cost, low-cost technology that provides a continuous graphical overview
of labor progress in order to avoid protracted and blocked labor. Assessing obstetric care providers'
knowledge, attitude, and practical use of partographs, as well as their determinants, aids in the development
of effective intervention strategies for providing high-quality maternity care.
Objectives: The aim of this study was to assess the knowledge, attitude, utilization of partograph and
associated factors among obstetric care providers in public health facilities of Arada, Yeka and Lideta Sub
cities, Addis Ababa, Ethiopia.
Methods: From January 1 to March 30, 2019, researchers employed a facility-based cross-sectional design
in Addis Ababa, Ethiopia. A total of 314 obstetric care providers were randomly selected from public
health facilities in the Arada, Yeka, and Lideta Sub-cities of Addis Ababa, City Administration, and
proportionally allocated. An interview-based structured questionnaire was used to collect data. To
determine the actual use of partograph, all study participants were subjected to direct observations utilizing
an observation checklist. EpiInfo version 3.5.1 was used to enter data, and SPSS version 22 was used to
analyze it. Descriptive statistics were produced, including frequency, percentage, mean, and median. The
researchers used bivariate and multivariable logistic regression analysis. To protect data confidentiality, no
personal information about study participants was collected during data collection.
Results: 72% of people responded to this survey. 257 (85%) of the obstetric care providers had a positive
view regarding partograph, and 254 (84.1%) of them used it. Partograph use was linked to being a midwife
(AOR=2.6; 95 percent CI: 1.8, 5.4) and knowing how to use it (AOR=4; 95 percent CI: 2.0, 8.1). However,
it was associated with a negative relationship with service years 0-2 years (AOR=0.4%; CI: 0.2, 0.9) and
service years 3-5 years (AOR=0.6%; CI: 0.3, 0.7).
Conclusion: More over three-quarters of those polled knew what partograph was, had an opinion about it,
and used it. Partograph knowledge and attitude were high among service providers, and usage was good.
Partograph use was linked to knowledge of partograph, service year, and the profession of obstetric care
providers.
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Keywords
Knowledge, Utilization, Partograph