Partograph utilization and associated factors among obstietric care providers at public health facilities in hadiya zone, southern Ethiopia

Abstract

Background: Even though partograph has great importance on reducing maternal and neonatal mortality due to prolonged and obstructed labor, it is not widely used in many countries. Finding of the studies conducted in Ethiopia filled the gap related with factors affecting partograph utilization among respondents but some factors such as pre service training on partograph and level of education were not studied well in our country. Objective: To determine the level of partograph utilization and associated factors among obstetric care providers at public health facilities in Hadiya Zone, Southern Ethiopia, 2019. Methods: Facility based cross sectional study was employed from March 04- April 07, 2019. Single population proportion formula was used to estimate the sample size and it was 436. Simple random sampling method was carried out to select 19 health facilities and 436 participants at the primary level and at the secondary level respectively. Data was collected by six trained data collectors and entered into Epidata version 3.1 statistical packages and exported to SPSS version 20.0 for analysis. Binary logistic regression analysis was used to see the association between variables. The lack of fitness of the regression model was tested using the Hosmer-Lemeshow goodness of fit. Independent variables with a p-value of less than 0.25 at the bivariate analysis were entered into the multivariable logistic regression model. Results: The overall magnitude of partograph utilization was found to be 54.4%.and finding from data abstraction from 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 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 and Recommendation: Over all partograph utilization was low and incomplete recording of required parameters on partograph was observed in this study. Participants who received on job training on partograph, who are working in hospital, knowledgeable about partograph and who have favorable attitude toward partograph use were factors affecting partograph use positively. On job training on partograph and working to improve knowledge and attitude of the obstetric care providers toward partograph utilization were recommended.