School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Department of Public Health, College of Health and Medical Sciences, Haramaya University, Po. Box, 235, Harar, Ethiopia.
BMC Pregnancy Childbirth. 2017 Sep 6;17(1):291. doi: 10.1186/s12884-017-1477-3.
The 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.
An 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.
More 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.
Only 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.
产程图是医疗专业人员识别病理性分娩的重要工具。它用于及时识别分娩中的并发症，并采取适当的措施。我们旨在评估埃塞俄比亚东部公共卫生机构的卫生专业人员对产程图的知识和使用情况及其相关因素。
这是一项在公共卫生机构工作的卫生专业人员中进行的基于机构的横断面定量研究。采用多阶段抽样和比例分配方法，共招募了 441 名研究参与者。本研究采用自填式问卷收集数据。招募了 8 名助产士并对其进行培训，以协助数据收集活动。将数据输入 EpiData 软件，并导出到 SPSS（22.0）进行分析。使用描述性统计、双变量和多变量逻辑回归来确定卫生专业人员对产程图的知识和使用情况的比例和显著关联。
超过一半的卫生专业人员，即 232 名（53.7%）对产程图有较好的了解。然而，只有 196 名（45.4%）卫生专业人员对产程图有较好的了解。然而，卫生专业人员利用产程图来监测分娩进展的比例为 92.6%。在卫生中心工作[比值比（AOR）=0.31，95%置信区间（CI）：0.20，0.48]、是助产士（AOR=2.80，95%CI：1.60，5.60）和在职培训（AOR=2.0，95%CI：1.22，3.42）与良好的知识水平显著相关。接受过产程图在职培训的卫生专业人员[AOR=3.10，95%CI：1.35，4.98]和对产程图持积极态度的卫生专业人员[AOR=2.90，95%CI：1.30，6.30]与产程图的使用显著相关。
只有不到一半的卫生专业人员对产程图有较好的了解。在职产科保健培训、卫生机构类型和专业与对产程图的知识显著相关。对使用产程图持积极态度的卫生专业人员与产程图的使用显著相关。我们建议定期对卫生专业人员进行在职培训，可以提高他们对产程图的知识和使用。
