scholarly journals Low Utilization of Partograph and Its Associated Factors among Obstetric Care Providers in Governmental Health Facilities at West Shoa Zone, Central Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Kefena Etita Bedada ◽  
Tufa Kolola Huluka ◽  
Gizachew Abdissa Bulto ◽  
EphremYohannesRoga
Keyword(s):  
Associated Factors ◽  
Positive Attitude ◽  
Obstetric Care ◽  
Health Facilities ◽  
World Health ◽  
Standard Protocol ◽  
Care Providers ◽  
Obstructed Labor ◽  
Central Ethiopia ◽  
Obstetric Care Providers

Background. Globally, prolonged and obstructed labors were among the common causes of maternal morbidity and mortality in low- and middle-income countries including Ethiopia. The World Health Organization (WHO) recommends the routine use of partograph as a key intervention to avoid prolonged and obstructed labor. Despite the recommendation, studies indicated that the partograph utilization among obstetric care providers (OCPs) is still low. Therefore, this study is aimed at assessing the level of utilization of partograph and associated factors among obstetric care providers working at health facilities in the West Shoa Zone, Central Ethiopia 2019. Methods. Facility-based cross-sectional study was conducted from February 1st to 22nd March 2019. A computer-generated simple random sampling technique was used to select 325 study subjects. Data were collected using a self-administered structured questionnaire and using an observational checklist. Additionally, 200 partograph charts were reviewed. Both bivariate and multivariable logistic regression analyses were used to determine the association. Results. A total of 322 obstetric care providers were included in the study, giving a response rate of 99.1%. The level of partograph utilization in the study area was revealed to be 31.1% (95% CI: 25.97-36.13). Only 3% of the reviewed partograph was recorded according to the recommended standard. In this study attending training (AOR=3.94, 95% CI: 1.99-7.78), availability of partograph (AOR=5.23, 95% CI: 1.69-16.22), perceived as not time-consuming task (AOR=3.61, 95% CI: 1.19-10.96), adequate number of OCPs available (AOR=2.92, 95% CI: 1.16-7.33), presence of supervision (AOR=4.35, 95% CI: 2.11-8.97), having a positive attitude (AOR=2.48, 95% CI: 1.23-5.02), availability of standard protocol in a health facility (AOR=4.71, 95% CI: 2.31-9.60), and lack of commitment (AOR=0.32, 95% CI: 0.16-0.63) were factors significantly associated with partograph utilization. Conclusion and Recommendation. Partograph utilization in the study area was found to be low. Almost all reviewed partograph charts were not recorded as to the recommended standard. Attending training, availability of partograph, perceived as it is not time-consuming, the available number of OCPs, presence of supervision, having a positive attitude, available standard protocol, and commitment were factors associated with partograph utilization. Therefore, all concerned stakeholders should emphatically consider those identified factors for intervention.

scholarly journals Partograph Utilization and Associated Factors among Obstetric Care Providers at Public Health Facilities in Hadiya Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Yosef Haile ◽  
Fikru Tafese ◽  
Tesfaye Dagne Weldemarium ◽  
Mulugeta Hailu Rad
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Associated Factors ◽  
Obstetric Care ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Care Providers ◽  
Obstetric Care Providers ◽  
Study Participants ◽  
Hadiya Zone

Background. A partograph is a graphic representation of labor which is used by health professionals for monitoring labor progress and fetal and maternal wellbeing. However, its utilization and associated factors have not been studied yet in Hadiya Zone, Southern Ethiopia. Hence, the aim of this study was to determine partograph utilization and associated factors among obstetric care providers at public health facilities in Hadiya Zone, Southern Ethiopia. Methods. A facility-based cross-sectional study was conducted on 436 health professionals. The study was conducted from March 04 to April 07, 2019. A simple random sampling method was carried out to select 19 health facilities and study participants from selected facilities. Data was collected using a pretested structured questionnaire, entered into EPI-data version 3.1 and exported to Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics and binary and multivariable logistic regression analyses were done. P values less than 0.05 were used to declare significant association between dependent and independent variables. Results. The overall magnitude of partograph utilization was found to be 54.4%, and finding from data abstraction from a document revealed that out of 18 parameters, only 10 parameters were recorded completely. Type of health facility (hospital as compared to HC) (AOR=2.96; CI=1.71, 5.12), received on-the-job training on partograph (AOR=7.06; CI=4.3, 11.37), knowledgeable about partograph (AOR=2.12; CI=1.3, 3.9), and favorable attitude toward partograph use (AOR=1.8; CI=1.12−2.97) were significantly associated with partograph use. Conclusion. Overall partograph utilization was low, and incomplete recording of required parameters on partograph was observed in this study. Participants who received on-the-job training on partograph, who are working in a hospital, who are knowledgeable about partograph, and who have favorable attitude toward partograph use were factors affecting partograph use positively.

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

2020 ◽  
Author(s):  
Asteray Ayenew ◽  
Biruk Ferede Zewdu
Keyword(s):  
Systematic Review ◽  
Associated Factors ◽  
Meta Analysis ◽  
Newborn Care ◽  
Obstetric Care ◽  
Cochrane Library ◽  
Care Providers ◽  
Refresher Training ◽  
Pooled Prevalence ◽  
Obstetric Care Providers

Abstract Background Globally, a total of 13.6 million women have died due to maternal causes from 1990 to 2015. Majority of these deaths occurred in resource-limited countries. Among the causes of these deaths, obstructed and prolonged labor covers the highest percentage, which could be prevented by cost-effective and affordable health interventions like partograph use. Therefore, this systematic review and meta-analysis aimed to assess the level of partograph utilization among obstetric care providers and its associated factors in Ethiopia. Method for this review, we used the standard PRISMA checklist guideline. Different online databases were used for the review: PubMed/Medline, Google Scholar, EMBASE, Cochrane Library, HINARI, WHO Afro Library Databases, and African Online Journals. Based on the adapted PICO principles, different search terms were applied to achieve and access all the essential articles. Microsoft Excel was used for data entrance and Stata version 11.0 (Stata Corporation, College Station, Texas, USA) for data analysis.Result Nineteen studies were included in this systematic review and meta-analysis with a total of 6237 obstetric care providers. The overall pooled prevalence of partograph utilization was 59.95% (95%CI: 46.8–73.09, I2 =99.4%, P <0.001). Being midwifery profession (adjusted odds ratio (AOR):3.97; 95% confidence interval (CI):95%CI:2.63–5.99, I2 =28.8%, P=0.198), presence of supervision (AOR = 3.21; 95%CI: 2.22–4.66, I2=0.0%, p=0.742), Basic Emergency Obstetric and Newborn Care (BEmONC) training (AOR  = 2.90; 95% CI: 2.19–3.84, I2=36.9%, P=0.13), Knowledge of partograph (AOR=2.5; 95%CI: 1.6–3.8, I2=64.58%, P=0.024), on-the-job refresher training on partograph (AOR =5.7; 95%CI:2.5–12.9, I2=87.8%, P<0.001), favorable attitude (AOR=2.12; 95%CI: 1.48–3.04, I2=0.0%, P=0.58), and working at health center (AOR=3.50; 95%CI: 2.49–4.92, I2=49.1%, P=0.08) were the determinant factors for partograph use among obstetric acre providers in Ethiopia.Conclusion The overall pooled prevalence of partograph utilization among obstetric care providers was low. Therefore, supportive supervision, providing Basic Emergency Obstetric and Newborn Care training, on-the-job refresher training on partograph, and promoting midwifery profession are strongly recommended to increase the use of partograph.

scholarly journals Partograph Utilization and Associated Factors among Obstetric Care Providers Working in Public Health Facilities of Wolaita Zone, 2017

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Mesfin Markos ◽  
Aseb Arba ◽  
Kebreab Paulos
Keyword(s):  
Public Health ◽  
Job Training ◽  
Obstetric Care ◽  
Health Facilities ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
Care Providers ◽  
Maternal Deaths ◽  
Public Health Facilities ◽  
Obstetric Care Providers

Background. Obstructed or prolonged labor is a major cause of maternal deaths. Prolonged and obstructed labor contributed to 13% of global maternal deaths which can be reduced by proper utilization of a partograph during labor. Obstetric caregivers’ use of the 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, the magnitude of partograph utilization and the factors associated with its use are not well determined in the health facilities of Wolaita Zone. Objective. To assess the magnitude of partograph utilization and factors that affect its utilization among obstetric caregivers in public health facilities of Wolaita Zone, Ethiopia, 2017. Methods. An institution-based cross-sectional study was conducted on obstetric caregivers. A pretested and structured questionnaire was used to collect data. Data was entered to EpiData version 3.01 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 obstetric caregivers participated in the study. Among those who were utilizing the partograph, 193 (71.7%) routinely used it for all laboring mothers and 76 (28.3%) of participants reported that they do not routinely utilize it. Greater number of service years (AOR=4.93, 95% CI: 1.53-15.88), on-the-job training (AOR=0.16, 95% CI: 0.06-0.43), good knowledge (AOR=3.35, 95% CI: 1.61-6.97), and favorable attitude towards partograph utilization (AOR=2.99, 95% CI: 1.28-7.03) were significantly associated with partograph utilization. Conclusion and Recommendation. Partograph utilization among obstetric caregivers in the public health facilities was good. Greater years of work experience, in-service training, having good knowledge, and favorable attitude towards partograph utilization among obstetric caregivers independently determined partograph utilization. Provision of on-the-job training to make obstetric caregivers improve knowledge and skill on partograph utilization, maintaining caregivers’ retention to decrease turnover by providing different incentives to more experienced obstetric care providers, and establishing favorable attitude could improve the proper use of the tool.

Perceived strengths and challenges of the World Health Organization modified partograph among obstetric care providers in Blantyre, Malawi

2020 ◽  
Vol 14 (3) ◽  
pp. 1-13
Author(s):  
Eveles Chimala ◽  
Ursula Kafulafula ◽  
Alice Kadango ◽  
Jennifer H Tang ◽  
Elizabeth Chodzaza
Keyword(s):  
World Health Organization ◽  
Obstetric Care ◽  
Fetal Monitoring ◽  
Study Data ◽  
World Health ◽  
Care Providers ◽  
Resource Limited ◽  
The World ◽  
Obstetric Care Providers ◽  
Health Organization

Background/Aims The partograph is a tool used to monitor events during labour and was recently modified by the World Health Organization to improve intrapartum care. However, it is unknown how obstetric care providers in Malawi perceive this modified partograph. This study aimed to evaluate the perceived strengths and challenges regarding the World Health Organization's modified partograph design among obstetric care providers in Malawi. Methods For this qualitative study, data were collected from a sample of 34 obstetric care providers from two purposively-selected urban health facilities through in-depth interviews and focus group discussions. The data were subjected to thematic analysis, with the strengths and challenges of using the modified partograph designated as the two major themes. Results The participants reported that there were more challenges than strengths with utilisation of the modified partograph. Two subthemes emerged among the strengths: the partograph is comprehensive and the partograph is clear. Three subthemes emerged from the challenges: 1) unrealistic fetal monitoring intervals, 2) confusing partograph design regarding documentation of caput and moulding and 3) small font. These challenges made partograph use impractical to complete, particularly in the context of chronic understaffing of the labour ward. Conclusions Until staffing levels are improved in Malawi and other resource-limited settings, it is unlikely that the modified partograph design will significantly improve maternal or neonatal outcomes. However, some improvements can be made to the design to help facilitate its use, and more training on its use is needed to prevent confusion.

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

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Asteray Assmie Ayenew ◽  
Biruk Ferede Zewdu
Keyword(s):  
Systematic Review ◽  
Associated Factors ◽  
Meta Analysis ◽  
Newborn Care ◽  
Obstetric Care ◽  
Cochrane Library ◽  
Care Providers ◽  
Refresher Training ◽  
Pooled Prevalence ◽  
Obstetric Care Providers

Abstract Background Globally, a total of 13.6 million women have died due to maternal causes from 1990 to 2015. Majority of these deaths occurred in resource-limited countries. Among the causes of these deaths, obstructed and prolonged labor covers the highest percentage, which could be prevented by cost-effective and affordable health interventions like partograph use. Therefore, this systematic review and meta-analysis aimed to assess the level of partograph utilization among obstetric care providers and its associated factors in Ethiopia. Method For this review, we used the standard PRISMA checklist guideline. Different online databases were used for the review: PubMed/Medline, Google Scholar, EMBASE, Cochrane Library, HINARI, WHO Afro Library Databases, and African Online Journals. Based on the adapted PICO principles, different search terms were applied to achieve and access all the essential articles. Microsoft Excel was used for data entry and Stata version 11.0 (Stata Corporation, College Station, TX, USA) for data analysis. Result Nineteen studies were included in this systematic review and meta-analysis with a total of 6237 obstetric care providers. The overall pooled prevalence of partograph utilization was 59.95% (95% CI 46.8–73.09, I2 = 99.4%, P < 0.001). Being in midwifery profession (adjusted odds ratio (AOR) 3.97; 95% confidence interval (CI) 2.63–5.99, I2 = 28.8%, P = 0.198), presence of supervision (AOR = 3.21; 95% CI 2.22–4.66, I2 = 0.0%, P = 0.742), Basic Emergency Obstetric and Newborn Care (BEmONC) training (AOR = 2.90; 95% CI 2.19–3.84, I2 = 36.9%, P = 0.13), knowledge of partograph (AOR = 2.5; 95% CI 1.6–3.8, I2 = 64.58%, P = 0.024), on-the-job refresher training on partograph (AOR = 5.7; 95% CI 2.5–12.9, I2 = 87.8%, P < 0.001), favorable attitude (AOR = 2.12; 95% CI 1.48–3.04, I2 = 0.0%, P = 0.58), and working at health center (AOR = 3.50; 95% CI 2.49–4.92, I2 = 49.1%, P = 0.08) were the determinant factors for partograph use among obstetric care providers in Ethiopia. Conclusion The overall pooled prevalence of partograph utilization among obstetric care providers was low. Therefore, supportive supervision, providing Basic Emergency Obstetric and Newborn Care training, on-the-job refresher training on partograph, and promoting midwifery profession are strongly recommended to increase the use of partograph.

scholarly journals Utilization of the partograph and its associated factors among obstetric care providers in the Eastern zone of Tigray, Northern Ethiopia, 2017: a cross-sectional study

2019 ◽  
Vol 34 ◽  
Author(s):  
Guesh Welu Gebreslassie ◽  
Desta Abraha Weldegeorges ◽  
Natneal Etsay Assefa ◽  
Berhanu Gebresilassie Gebrehiwot ◽  
Senait Gebreslasie Gebremeskel ◽  
...  
Keyword(s):  
Associated Factors ◽  
Obstetric Care ◽  
Cross Sectional Study ◽  
Northern Ethiopia ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Zone ◽  
Obstetric Care Providers

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

2020 ◽  
Author(s):  
Asteray Ayenew ◽  
Biruk Ferede Zewdu
Keyword(s):  
Systematic Review ◽  
Associated Factors ◽  
Meta Analysis ◽  
Newborn Care ◽  
Obstetric Care ◽  
Care Providers ◽  
Short Term ◽  
Pooled Prevalence ◽  
Care Training ◽  
Obstetric Care Providers

Abstract Background: Globally, a total of 13.6 million women have died due to maternal causes from 1990 to 2015. Majority of these deaths occurred in resource-limited countries. Among the causes of these deaths obstructed and prolonged labour covers the highest percentage which could be prevented by cost-effective and affordable health interventions like partograph utilization. Therefore, this systematic review and meta-analysis aimed to assess the level of partograph utilization among obstetric care providers and its associated factors in Ethiopia. Method: For this study systematic review and meta-analysis guideline was followed. Different online databases were used for the review: PubMed, Google scholar, Cochrane Library, HINARI, and African Online Journals. Based on the adapted PICO principles different searching terms were applied to achieve and access all the essential articles. Microsoft Excel was used for data entrance and Stata 11 soft ware for data analysis.Result: Nineteen studies were included in this systematic review and meta-analysis with a total of 6237 obstetric care providers. The overall pooled prevalence of partograph utilization was 59.9% (95%CI:46.8,73). Being midwifery profession (AOR=4,95% CI:2.6,6), female health care providers (AOR=3.2,95%CI:2.2,4.7), Emergency Obstetric and Newborn Care training (AOR =2.9,95%CI:2.2,3.8), Knowledge of partograph (AO =2.5,95%CI:1.6,3.9), short term training on partograph(AOR=5.7,95%CI:2.5,12.9), favorable attitude (AOR=2.3,95%CI:1.5,3), and working at health center(AOR=3.5,95%CI:2.5,4.9).Conclusion: The overall pooled prevalence of partograph utilization among obstetric care providers was lower than the World Health Organization recommendation. Midwifery profession, female obstetric care provider, Emergency Obstetric and Newborn Care training, knowledge of partograph, short term training on partograph, favorable attitude towards partograph, and working at the health center were factors associated with partograph utilization. This finding is important to design strategic policies, to prevent obstetric complications, and maternal mortality resulted from preventable maternal deaths.

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