Level of partograph utilization and associated factors among obstetric caregivers in public health facilities of Hawassa city administration, sidama state, Ethiopia, 2021

Abstract

Background: Systematically detecting and handling complication at early stage of labor is part of guaranteeing quality obstetric service. Proper use of Partograph during labor and delivery helps in achieving a healthy child and maintaining the health of the mother with the least possible level of early intervention, early detection, manage the causes accordingly and timely referral. Even though; partograph use is influenced by different factors it is not well identified in the study area. Objectives: This study aimed to assess level of partograph utilization and associated factors among obstetric caregivers in public health facilities of Hawassa City Administration, Sidama State, Ethiopia, 2021. Methods: A facility based cross-sectional study was conducted from June 10 to June 30, 2021 among 221 study subjects sampled by simple random sampling technique in the selected health facilities. Data was collected using structured self-administered questionnaire. The data was coded, cleaned, entered using Epi data version 3.1 and analyzed using SPSS version 23 statistical software. A descriptive statistics for categorical and continuous variables was done and summarized as numbers, percentages, means and standard deviation. Bi-variable and multi variable logistic regressions were performed to identify factors associated with partograph utilization. The strength of statistical association was measured by adjusted odds ratios (AOR) and 95% confidence intervals. In all cases P-value, less than 0.05 were considered as statistically significant. Result: From the total study participants 62.5% (95%CI: 56%, 69%) of them utilized partograph to monitor women’s in labor. Respondents educational status (AOR=0.038, 95%CI: 0.003, 0.506), profession (AOR=9.9, 95%CI: 1.06, 92.65), service training (AOR 2.28, 95% CI: 1.1, 4.7) and attitude towards partograph utilization (AOR = 3.7, 95% CI: 1.76, 7.83) were factors significantly associated with partograph utilization Conclusion: In this study level of partograph utilization is about 62.5%. Educational status, profession, service training and attitude were significant factors associated with partograph utilization. The concerned bodies should strengthen supportive supervision and provide training to obstetric care providers in order to promote partograph utilization