Health professional’s knowledge and use of the partograph in public health institutions in eastern Ethiopia: a cross-sectional study

BMC Pregnancy and Childbirth

Research Article

Balewgizie Sileshi Tegegne¹  Haymanot Mezmur²  Agumasie Semahegn² 

[1] Department of Public Health, College of Health and Medical Sciences, Haramaya University, Po. Box, 235, Harar, Ethiopia;Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands;School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia;

关键词: Knowledge;    Partograph;    Health professionals;    Utilization;    Ethiopia;   

DOI  :  10.1186/s12884-017-1477-3

 received in 2017-03-23, accepted in 2017-08-29,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe partograph is a vital tool for health professionals who need to be able to identify pathological labor. It is used to recognize complications in childbirth on time and to take appropriate actions. We aimed to assess the knowledge and utilization of the partograph and associated factors among health professionals at public health institutions in eastern Ethiopia.MethodsAn institution based cross-sectional quantitative study was carried out among health professionals who were working in public health institutions. Multistage sampling with proportional to size allocation was used to recruit a total of 441 study participants. Self-administered questionnaire was used to collect data in this study. Eight midwives were recruited and trained to facilitate the data collection activities. Data were entered into Epi data software and exported into SPSS (22.0) for analysis. Descriptive statistics, bivariate and multiple logistic regression were computed to determine proportions and significant association with knowledge and use of the partograph among health professionals.ResultsMore than half of health professionals, 232(53.7%) had a good level of knowledge about the partograph. However, only 196(45.4%) of health professionals had fair knowledge of partograph. Nevertheless, the proportion of the partograph utilization to follow labor progress by health professionals was 92.6%. Working in the health center [AOR = 0.31, 95% CI: 0.20, 0.48], being a midwife [AOR = 2.80, 95% CI: 1.60, 5.60] and in-service training [AOR = 2.0, 95% CI: 1.22, 3.42] were significantly associated with good level of knowledge. Health professionals who had in-service training about the partograph [AOR = 3.10, 95% CI: 1.35, 4.98] and who had positive attitude about the partograph [AOR = 2.90, 95% CI: 1.30, 6.30] were significantly associated with utilization of the partograph.ConclusionOnly less than half of health professionals had fair knowledge about the partograph. Having in-service obstetric care training, type of health institutions and profession were significantly associated with knowledge of the partograph. Health professionals who had positive attitude towards use of the partograph were significantly associated with the partograph utilization. We suggest regular in-service training of health professionals can enhance their knowledge and utilization of the partograph.

【 授权许可】

CC BY   
© The Author(s). 2017