Magnitude of Partograph Use and Factors that Affecting Its Utilization Among Obstetric Caregivers in Public Health Institutions of West Showa Zone, Oromia Regional State, Ethiopia 2015
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Date
2015-05
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Addis Ababa University
Abstract
Background: Obstructed labor accounted for (8%) of maternal deaths, worldwide. Professional assisted delivery using a partograph during labour has paramount importance in identifying any deviation during labour, Even though; partograph use is influenced by different factors as obtained from the literatures, magnitude of partograph utilization and associated factors is not well determined in the study area.
Objective: The aim of this study was to assess the magnitude of partograph use and factors that affect its utilization among obstetric caregivers in public health institutions of West Showa Zone, Oromia Regional State, Ethiopia 2015.
Methods: A mixed method, quantitative and qualitative institution based cross-sectional study was conducted from December 2014 to February 2015, in randomly selected, two hospitals and five health centers from West Shoa Zone public health facilities. Two hundred sixty six obstetric care givers participated in the study. In-depth interview were conducted among 14 purposively selected health professionals while 44 client observations were made in all selected health facilities by observation checklist to see the actual utilization of partograph. Quantitative data were collected using a structured self-administered questionnaire. Binary logistic regressions analysis was carried out to assess associations of selected factors with the outcome variable. Significance level and association of variables was assessed using 95% confidence interval (CI) and (COR, AOR).
Result: A total of 259 (97.4%) health workers participated in the study. In this study, perceived prevalence from quantitative part of partograph use reveals 84.6%, but observation among 44 clients in the labour ward indicated that only five items out of fifteen parameters listed on the partograph were completed. A fourth of all professionals did not know the start time of partograph mapping and 35.9 had unfavorable attitude toward partograph use. In this study midwives (AOR=13 CI=2.6-66.2) Knowledge (AOR=7, CI= (2.8-21.8), availability of the tool (AOR=8.8 CI: 2.8-27.6), training (AOR=4, CI=0.9-21.7) and institution (hospitals) (AOR=0.09, CI: 0.03-0.26) were significantly associated with partograph utilization.
Conclusion: Though high proportion of obstetric care providers use partograph to follow the progress of labour, these observation findings indicated that continues monitoring of maternal and fetal condition was lacking. This will affect proper identification of the action line which will farther affect maternal and fetal outcome.
Recommendation: Both in-service and pre-service training on partograph use, continuous mentoring, supervision and staff motivation could improve the proper use of the tool.
Key words: Partograph, Knowledge, Use, Obstetric care givers, Public health institutions, Oromia Regional state,Ethiopia
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Keywords
Partograph, Obstetric care givers, Public health institutions, Oromia Regional state,Ethiopia