Partograph utilization and associated factors among obstetric care givers in governmental health institutions of Jigjiga and Degehabur towns, Somali region, Ethiopia: A cross-sectional study

Abstract

Background Partograph is a simple, inexpensive & economical tool that provides a continuous graphical overview of labour and prevents prolonged and obstructed labor. The purpose of the study is to assess partograph utilization and associated factors among obstetric care givers in governmental health institutions of Jigjiga and Degehabur Towns, Somali Region, Ethiopia. Methods An institution based cross-sectional quantitative study was carried out among obstetric care givers who were working in governmental health institutions. Systematic random sampling with proportional to size allocation was used to recruit a total of 235 study participants. Self-administered questionnaire was used to collect data in this study. Three data collectors and one supervisor were recruited and trained to facilitate the data collection activities. Data were entered into Epi data software and exported into SPSS (23.0) for analysis. Descriptive statistics, bivariate and multivariate logistic regression were computed to determine proportions and significant association with partograph utilization among obstetric care givers. Result Less than half of obstetric care givers, 41% (95%CI: 34.5–46.9) had good partograph utilization to monitor progress of labor. Being female [AOR = 2.36, 95%CI:(1.03–5.44)], availability of partograph [AOR = 4.633, 95%CI: (1.698–12.640)], having good knowledge [AOR = 6.90, 95%CI:(2.62–18.18)], receiving on job training [AOR = 15.46, 95%CI:(6.95–34.42)] and positive attitude towards partograph [AOR = 2.99, 95%CI:(1.25–7.14)] were significantly associated with partograph utilization. Conclusion Partograph utilization in this study was low. Especial emphasizes and interventions should be given to periodic on job training that improve knowledge and attitude of obstetric care givers to increase partograph utilization.

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“…The lack of well-designed and integrated programs, such as mentorship and supportive supervision, could be the cause of this difference in knowledge about partographs [70]. Other factors according to other studies that may contribute to lower partograph utilization include a lack of expertise, a lack of understanding, insufficient partograph training, and a negative attitude among study participants [70].…”

“…The lack of well-designed and integrated programs, such as mentorship and supportive supervision, could be the cause of this difference in knowledge about partographs [70]. Other factors according to other studies that may contribute to lower partograph utilization include a lack of expertise, a lack of understanding, insufficient partograph training, and a negative attitude among study participants [70]. Other studies that indicate health workers do not always use the partographs due to several reasons including but not limited to lack of human resources, time of admission, knowledge and training, attitude, sex, low competence, lack of on-going facilitative supervision, acceptability of the tool and lack of functioning referral mechanisms [9,16,30,31].…”

“…There was no significant relationship between gender and selfmedication (P=0.553). Prevalence was 38.9% (95% CI 1.56, 1.64) in Southwest Ethiopia [70], 75.1% (n = 195) of the respondents were employed. It was found in a study [10] that government employment (AOR 0.31, 95% CI 0.12-0.82) positively correlated with selfmedication.…”

Factors Associated with partographs Utilization in Jimma and Bedele Zones, Oromia Regional State, Ethiopia

“…The lack of well-designed and integrated programs, such as mentorship and supportive supervision, could be the cause of this difference in knowledge about partographs [70]. Other factors according to other studies that may contribute to lower partograph utilization include a lack of expertise, a lack of understanding, insufficient partograph training, and a negative attitude among study participants [70]. Other studies that indicate health workers do not always use the partographs due to several reasons including but not limited to lack of human resources, time of admission, knowledge and training, attitude, sex, low competence, lack of on-going facilitative supervision, acceptability of the tool and lack of functioning referral mechanisms [9,16,30,31].…”

Opportunities and challenges of partograph utilization for labor monitoring in Sub- Saharan Africa: A systematic review

“…Fourteen studies [25-27, 35, 38, 40-42, 44, 46-50] have emphasized the role of training as a facilitator for partograph utilization in labor monitoring in Sub-Saharan Africa. Trained obstetric care givers had over 15.46 [44], 7.06 [48], 5.49 [41], 3.94 [40], 2.86 [42], 2.4 [47], 2 [50], and 1.9 [46] higher odds respectively of using the partograph properly than those who did not have this training. However, the lack of training or knowledge which creates incompetency, knowledge gaps and bias among care providers to con dently use the tool, has been cited as a main barrier to partograph utilizing in Sub-Saharan Africa [25-33, 39, 40, 47, 48, 50].…”