Partograph Utilization and Associated Factors Among Obstetric Care Providers in Public Health Institutions of Wolaita Zone, Snnpr, Ethiopia,2017
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Date
2017-06
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Addis Ababa University
Abstract
Background: Globally, prolonged and obstructed labor contributed to 13% of maternal deaths
which can be reduced by proper utilization of partograph during labor. Professional assisted
delivery using a partograph during labor has paramount importance in identifying any deviation
during labor, 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: To assess the magnitude of partograph utilization and factors that affect its utilization
among obstetric caregivers in public health institutions of Wolaita Zone, SNNPR, Ethiopia 2017.
Methods: An Institution based cross-sectional study was conducted on obstetric care providers. A
pre-tested and structured questionnaire was used to collect data. Data was collected by trained data
collectors. Data was entered to EpiInfo version 3.5.1 statistical package and exported to SPSS
version 23.0 for further analysis. Logistic regression analyses were used to see the association of
different variables.
Result: A total of 269 (97.8%) obstetric care givers participated in the study. Of those who were
utilizing partograph 193 (71.1%) used, routinely for all laboring mothers and 76(28.3%) of
participants reported that they don’t utilize routinely. Service year (AOR=4.9, 95% CI: 1.53-15.8),
on- job training (AOR=0.161, 95% CI: 0.060-0.432), knowledge (AOR=3.35, 95% CI: 1.614-
6.96), and attitude (AOR=2.997, 95% CI: 1.278- 7.029) were significantly associated with
partograph utilization.
Conclusion and recommendation: The study revealed that higher proportion of obstetric care
providers use partograph to follow the progress of labor than previously conducted study. Service
year (year of work experience), on job training, knowledge of partograph and attitude of obstetric
care providers towards partograph and significantly associated with partograph utilization.
Provision of on-job training to make obstetric care givers knowledgeable on partograph,
maintaining providers’ retention to decrease turnover and establishing favorable attitude could
improve the proper use of the tool.
Keywords: utilization, partograph, obstetric care providers, public health institution, SNNPR,
Ethiopia.
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Keywords
Partograph Utilization, Public Health Institutions