Pantograph Utilization and Associated Factor Among Obstetric Care Providers in Anywa Zone, Gambella Region, Western Ethiopia

Abstract

Background: Partograph is the graphic representation of labor and it is used to prevent prolonged labor with its complications. Health care providers assisted delivery using a partograph during labor has paramount importance in identifying any deviation during labor. Despite the recommendation, studies indicated that the partograph utilization among obstetric care providers is still low. Objective: The aim of this study is to assess partograph utilization and associated factors among obstetrics care providers in public health institutions in Gambella Region, Anywa Zone western Ethiopia 2021. Methods: An Institution based cross-sectional study design was conducted from August 1st to September one 2021 .A pre-tested and structured self-administered questionnaire was used to collect data .In Anywa Zone there are 1 primary hospital and 11 health centers. Primary hospital was selected and 6 health centers were selected by using simple random method. The collected data was checked manually for completeness then, coded entered into Epi data version 4.6.0.4, then exported to SPSS version 26 for analysis. Result: 95.3% of study participants was utilized partograph routinely and Majority (83.5%) and (91%) had good knowledge and favorable attitude on partograph utilization respectively. The odds of currently working in the hospital were about 13 times higher to utilize the partograph than the one who were working in health centers (P- 0.022, AOR = 13.278, CI:1.462, 120.616). workload, lack of supervision and lack of trained human power, those are a variables that affected the utilization of partograph. Current working in, Receive any training on the use of partograph (P-Value .000, AOR 19.440, CI, 2.747,137.561 ) and favorable attitude(P-Value .002, AOR.10, CI, 2.384, 41.948) were variables significant associated with partograph utilization Conclusion: The study revealed that higher proportion of obstetric care providers use partograph to follow the progress of labor. Majority of them has good knowledge about partograph utilization, almost all of them has favorable attitude about partograph utilization Recommendation Further study will be done on the large simple size in order to make the representative the result with different method, so that the generalization is possible. Evaluate the actual practices of health care providers if they have follow mothers in labor that possible use has feedback for the labor outcome