Partograph Utilization and Associated Factors among Obstetric Care Providers in Public Health Institutions of Wolaita Zone, SNNPR, Ethiopia,2017

Markos, Mesfin (2017) Partograph Utilization and Associated Factors among Obstetric Care Providers in Public Health Institutions of Wolaita Zone, SNNPR, Ethiopia,2017. Masters thesis, Addis Ababa University.

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Abstract

Background: Globally, prolonged and obstructed labor contributed to 13% of maternal deaths which can be reduced by proper utilization of partograph during labor. Professional assisted delivery using a partograph during labor has paramount importance in identifying any deviation during labor, Even though; partograph use is influenced by different factors as obtained from the literatures, magnitude of partograph utilization and associated factors is not well determined in the study area. Objective: To assess the magnitude of partograph utilization and factors that affect its utilization among obstetric caregivers in public health institutions of Wolaita Zone, SNNPR, Ethiopia 2017. Methods: An Institution based cross-sectional study was conducted on obstetric care providers. A pre-tested and structured questionnaire was used to collect data. Data was collected by trained data collectors. Data was entered to EpiInfo version 3.5.1 statistical package and exported to SPSS version 23.0 for further analysis. Logistic regression analyses were used to see the association of different variables. Result: A total of 269 (97.8%) obstetric care givers participated in the study. Of those who were utilizing partograph 193 (71.1%) used, routinely for all laboring mothers and 76(28.3%) of participants reported that they don’t utilize routinely. Service year (AOR=4.9, 95% CI: 1.53-15.8), on- job training (AOR=0.161, 95% CI: 0.060-0.432), knowledge (AOR=3.35, 95% CI: 1.614- 6.96), and attitude (AOR=2.997, 95% CI: 1.278- 7.029) were significantly associated with partograph utilization. Conclusion and recommendation: The study revealed that higher proportion of obstetric care providers use partograph to follow the progress of labor than previously conducted study. Service year (year of work experience), on job training, knowledge of partograph and attitude of obstetric care providers towards partograph and significantly associated with partograph utilization. Provision of on-job training to make obstetric care givers knowledgeable on partograph, maintaining providers’ retention to decrease turnover and establishing favorable attitude could improve the proper use of the tool.

Item Type: Thesis (Masters)
Uncontrolled Keywords: utilization, partograph, obstetric care providers, public health institution, SNNPR, Ethiopia.
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RG Gynecology and obstetrics
R Medicine > RT Nursing
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 11 Jul 2018 10:14
Last Modified: 11 Jul 2018 10:14
URI: http://thesisbank.jhia.ac.ke/id/eprint/7286

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