Knowledge and utilization of partograph among obstetric care givers in public health institutions of Addis Ababa, Ethiopia

BMC Pregnancy and Childbirth

Nebreed Fesseha²  Ayalew Astatkie¹  Berhanu Dessalegn⁴  Engida Yisma³ 

[1] School of Public and Environmental Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia;Obstetrician and Gynecologist, National Professional Officer/Making Pregnancy Safer Program WHO Country Office, Addis Ababa, Ethiopia;Department of Nursing, College of Health Sciences, Samara University, Samara, Ethiopia;Department of Nursing and Midwifery, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia

关键词: Ethiopia;    Addis Ababa;    Public health institutions;    Obstetric care givers;    Utilization;    Knowledge;    Partograph;   

Others  :  1151205
DOI  :  10.1186/1471-2393-13-17

 received in 2012-08-20, accepted in 2013-01-16,  发布年份 2013

【 摘 要 】

Background

Globally, there was an estimated number of 287,000 maternal deaths in 2010. Eighty five percent (245,000) of these deaths occurred in Sub-Saharan Africa and Southern Asia. Among the causes of these deaths were obstructed and prolonged labour which could be prevented by cost effective and affordable health interventions like the use of the partograph. The Use of the partograph is a well-known best practice for quality monitoring of labour and subsequent prevention of obstructed and prolonged labour. However, a number of cases of obstructed labour do happen in health facilities due to poor quality of intrapartum care.

Methods

A cross-sectional quantitative study assessed knowledge and utilization of partograph among obstetric care givers in public health institutions of Addis Ababa, Ethiopia using a structured interviewer administered questionnaire. The collected data was analyzed using SPSS version 16.0. Logistic regression analysis was used to identify factors associated with knowledge and use of partograph among obstetric care givers.

Results

Knowledge about the partograph was fair: 189 (96.6%) of all the respondents correctly mentioned at least one component of the partograph, 104 (53.3%) correctly explained the function of alert line and 161 (82.6%) correctly explained the function of action line. The study showed that 112 (57.3%) of the obstetric care givers at public health institutions reportedly utilized partograph to monitor mothers in labour. The utilization of the partograph was significantly higher among obstetric care givers working in health centres (67.9%) compared to those working in hospitals (34.4%) [Adjusted OR = 3.63(95%CI: 1.81, 7.28)].

Conclusions

A significant percentage of obstetric care givers had fair knowledge of the partograph and why it is necessary to use it in the management of labour and over half of obstetric care givers reported use of the partograph to monitor mothers in labour. Pre-service and on-job training of obstetric care givers on the use of the partograph should be given emphasis. Mandatory health facility policy is also recommended to ensure safety of women in labour in public health facilities in Addis Ababa, Ethiopia.

【 授权许可】

   
2013 Yisma et al.; licensee BioMed Central Ltd.

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