Department of Public Health, Mizan Tepi University College of Health Sciences, Mizan Teferi, Ethiopia.
Department of Midwifery, Mizan Tepi University College of Health Sciences, Mizan Teferi, Ethiopia.
BMC Pregnancy Childbirth. 2021 May 27;21(1):404. doi: 10.1186/s12884-021-03822-5.
Partographs should be used universally to monitor the mother and fetus's conditions during delivery. However, its application in different parts of the world, including Ethiopia, is inconsistent. Moreover, its magnitude has not been determined in study area. As a result, the aim of this study was to investigate the utilization of partograph and associated factors among obstetric caregivers in public health institutions of Southwest Ethiopian.
An institutional-based cross-sectional study was conducted in Southwest Ethiopia from March 1st to June 30th, 2018. A simple random sampling technique was used to select study participants. A self-administered questionnaire was used to gather data on background characteristics, knowledge of partograph, and partograph utilization. The collected data were entered into an EPI Info and analysed using SPSS Version 22. We used bivariate and multivariate logistic regression analysis. Frequencies, tables, and graphs were used to present the final results. To determine statistical significance, a P-value of less than 0.05 was used.
The response rate of this study was 393(92.2 %). The magnitude of utilization of partograph was 43 % with (95 % CI: 38.4, 48.1). According to the multivariate analysis being nurse or health officer [AOR = 0.37(0.21, 0.66)], degree level educational qualification [AOR = 0.32 (0.17, 0.60)], being trainined on partograph [Adjusted OR = 7.83 (95 % CI: (4.54, 13.50)], good knowledge about partograph [AOR = 5.84 (95 % CI: (3.27, 10.44)] and working at health center [AOR = 1.99 (95 % CI: (1.12, 3.52)] were found as determinants of partograph utilization.
The magnitude of partograph utilization among obstetric caregivers was found to be low in this study. Partograph utilization was determined by the type of profession, qualification level, knowledge of partograph, in-service training, and type of institution. To ensure its regular, obstetric caregivers must receive training and gain knowledge about it.
产图应普遍用于监测分娩过程中母婴的情况。然而，它在世界不同地区的应用并不一致，包括埃塞俄比亚。此外，其规模在研究区域尚未确定。因此，本研究旨在调查西南埃塞俄比亚公共卫生机构中产科护理人员对产图的使用情况及其相关因素。
2018 年 3 月 1 日至 6 月 30 日，在西南埃塞俄比亚进行了一项基于机构的横断面研究。采用简单随机抽样技术选择研究参与者。使用自填式问卷收集背景特征、产图知识和产图使用情况的数据。收集的数据输入 EPI Info 并使用 SPSS 版本 22 进行分析。我们使用了双变量和多变量逻辑回归分析。使用频率、表格和图表来呈现最终结果。使用 P 值小于 0.05 来确定统计学意义。
本研究的应答率为 393（92.2%）。产图的使用程度为 43%（95%CI：38.4，48.1）。根据多变量分析，护士或卫生官员（AOR=0.37（0.21，0.66））、学位教育资格（AOR=0.32（0.17，0.60））、接受过产图培训（调整后的 OR=7.83（95%CI：（4.54，13.50）））、对产图有较好的了解（AOR=5.84（95%CI：（3.27，10.44）））和在卫生中心工作（AOR=1.99（95%CI：（1.12，3.52）））是产图使用的决定因素。
本研究发现，产科护理人员使用产图的程度较低。产图的使用取决于专业类型、资格水平、产图知识、在职培训和机构类型。为了确保其定期使用，产科护理人员必须接受培训并了解产图。
