Utilization of Partograph and its associated factors among midwives working in public health institutions, Addis Ababa City Administration,Ethiopia,2017

Abstract

Background: Partograph is cost effective and affordable tool designed to provide a continuous pictorial overview and labour progress used to prevent prolonged and obstructed labour. It consists of key information about progress of labour, fetal condition and maternal condition. Its role is to improve outcomes and predict the progress of labour. The aim of this study was to assess utilization of partograph and its predictors among midwives working in public health facilities, Addis Ababa city administration, Ethiopia, 2017. Methods: An institution based cross-sectional study design was conducted in Addis Ababa, Ethiopia from 15/10/ 2017-15/12/2017.Simple random sampling under multistage sampling technique was applied to select a total of 605 midwives working in maternity unit of selected public health facilities. Data were collected using structured self-administered questionnaire. Checklist based direct observations were made to all midwife participants to determine the actual practical use of partograph. Data first entered in to EpiInfo version 3.5.1 and transported to SPSS Version 21.Descriptive statistics such as frequency, percentage, mean, and median were calculated. Biviriate and multivariable logistic regression analysis were applied. Any personal identification of the study participants was not recorded during data collection to ensure confidentiality of information. Results: In this study, the utilization of partograph was 409(69%) out of 594 study participants. Being mentored(AOR = 3.1; 95% CI: 1.7, 5.3),received training (AOR = 2.4; 95% CI:1.5,3.6),being knowledgeable about partograph (AOR = 1.6; 95% CI: 1.1, 2.5), health center workers(AOR = 12.6; 95% CI:5.1,31.6),supportive supervision 4 times per year (AOR = 18.6; 95% CI: 6.6,25),supportive supervision twice per a year (AOR = 4.7; 95% CI: 1.9, 11.3), supportive supervision once per year (AOR =3.8;95% CI:1.7,8.8) were positive predictors of partograph utilization. Two midwives per shift (AOR = 0.101; 95% CI: 0.05, 0.65), and 4 per shift (AOR = 0.105, 95% CI: 0.03, 0.40) were protective predictors of partograph utilization. Conclusions: More than half of the respondents utilized partograph. All public health institutions avail partograph in their laboring room but didn't utilize it according to WHO recommended standard. Working facility, supportive supervision, mentoring, training on partograph, number of midwives working per shift, and knowledge were factors affecting partograph utilization. Encouraging interventions are recommended to the response of the above significantly associated factors.

Partograph utilization as a decision-making tool and associated factors among obstetric care providers in Ethiopia: a systematic review and meta-analysis

“…In this meta-analysis, to identify the associated factors, eight articles were used for midwifery profession [ 31 – 35 , 40 , 43 , 48 ], five for knowledge of partograph [ 33 , 34 , 37 , 46 , 47 ], three for attitude [ 34 , 35 , 46 ], five for on-the-job refresher training on partograph [ 31 , 35 , 40 , 46 , 47 ], seven for BEmONC training [ 31 , 33 – 37 , 44 ], four for presence of supervision [ 31 , 32 , 40 , 43 ], and six for working at health center [ 35 , 37 , 38 , 41 , 46 , 48 ].…”

Molecular detection of multidrug resistance pattern and associated gene mutations in M. tuberculosis isolates from newly diagnosed pulmonary tuberculosis patients in Addis Ababa, Ethiopia

“…According to the projection of the Central Statistics Agency (CSA) of Ethiopia, in the year 2014, its population was about 3.2 million [ 11 ] and a surface area of 540 Sq.km, resulting in a density of 6218 people per Sq.km. The city has 10 sub-cities and 116 Woredas (lowest administrative units in Ethiopia) [ 12 ]. Concerning health service delivery, there are 47 hospitals, 100 government health centers, 204 higher private clinics, 226 medium private clinics, and 143 lower private clinics [ 13 ].…”

Partograph utilization as a decision making tool and associated factors among obstetric care providers in Ethiopia: A systematic review and Meta-analysis

“…In this meta-analysis, to identify the associated factors, eight articles were used for midwifery profession [33-37, 42, 45, 50], ve for knowledge of partograph [35,36,39,48,49], three for attitude [36,37,48], and ve for on-the-job refresher training on partograph [33,37,42,48,49], seven for BEmONC (Basic Emergency Obstetric and Newborn Care) training [33,[35][36][37][38][39]46], four for presence of supervision [33,34,42,45], and six for working at health center [37,39,40,43,48,50].…”