Background
Methods
Study setting and period
Study design and population
Data collection and quality assurance
Parameters | No | Yes |
---|---|---|
Foetal heart rate | 0 | 3 |
Colour of liquor | 0 | 4 |
Cervical dilatation | 0 | 3 |
Descent of the presenting part | 0 | 5 |
Uterine contraction | 0 | 5 |
Maternal blood pressure | 0 | 2 |
Maternal pulse | 0 | 1 |
Maternal temperature | 0 | 1 |
Intravenous fluids & drugs | 0 | 1 |
Moulding | 0 | 5 |
Data processing and statistical analysis
Results
Socio demographic characteristics of the health professionals
Variables | Categories | Frequency | Percent |
---|---|---|---|
Age (in years) | 20-25 | 178 | 41.2 |
26-30 | 205 | 47.5 | |
31-35 | 28 | 6.5 | |
>35 | 21 | 4.9 | |
Marital status | Single | 195 | 45.1 |
Married | 214 | 49.5 | |
Divorced/widowed | 23 | 5.4 | |
Sex | Male | 204 | 47.2 |
Female | 228 | 52.8 | |
Professional qualification | Diploma Nurse | 113 | 26.2 |
Diploma Midwife | 165 | 38.2 | |
B.Sc. Nurse | 54 | 12.5 | |
B.Sc. Midwife | 64 | 14.8 | |
Health Officer | 20 | 4.6 | |
Medical Doctor (GP) | 16 | 3.7 | |
Type of health facility | Hospital | 176 | 40.0 |
Health center | 259 | 60.0 | |
Location of health facility | Urban | 232 | 53.7 |
Rural | 200 | 46.3 | |
Year of service | Five years and less | 329 | 76.2 |
Over five years | 103 | 23.8 | |
Received in-service training on partograph | Yes | 222 | 51.4 |
No | 210 | 46.6 |
Health professional’s knowledge about the partograph
Knowledge of assessment of labor with partograph | Frequency | Percent |
---|---|---|
Prolonged labor | 257 | 59.5 |
Obstructed labor | 316 | 73.1 |
Poor progress of labor | 259 | 60.0 |
Inefficient uterine contraction | 305 | 70.6 |
Suspected fetal distress | 231 | 53.5 |
Abnormal fetal heart rate | 384 | 80.4 |
Satisfactory progress of labor | 340 | 78.7 |
Need of augmentation | 257 | 63.7 |
Factors associated with knowledge of health professionals about the partograph
Variables | Categories | Overall knowledge | COR(95% CI) | AOR(95% CI) | |
---|---|---|---|---|---|
Poor (%) | Good (%) | ||||
Sex | Male | 102(50) | 102(50) | 0.75(0.52, 1.10) | |
Female | 98(43) | 130(57) | 1.00 | ||
Type of institution | Health center | 151(58.3) | 108(41.7) | 0.28(0.18,0.43) | 0.31(0.20, 0.48)*
|
Hospital | 49(28.3) | 124(71.4) | 1.00 | 1.00 | |
Location of health facility | Urban | 90(38.8) | 142(61.2) | 1.93(1.3,2.83) | 1.40(0.94, 2.13) |
Rural | 110(55%) | 90(45%) | 1.00 | 1.00 | |
Year of service | 5 year and less | 158(48%) | 171(52) | 0.75(0.48, 1.17) | |
Over 5 year | 42(40.8) | 61(59.2) | 1.00 | ||
In-service training | Yes | 78(35.1) | 144(64.9) | 2.56(1.72,3.78) | 2 (1.22, 3.42)*
|
No | 122(58.1) | 88(41.9) | 1.00 | 1.00 | |
Professional qualification | Diploma Nurse | 96(85) | 17(15) | 0.06(0.02, 0.21) | 0.06(0.02,2.36) |
Diploma Midwife | 66(40) | 99(60) | 0.50(0.16, 1.62) | 1.30(0.39, 4.50) | |
B.Sc. Nurse | 30(55.6) | 24(44.4) | 0.40(0.14, 1.70) | 1.54(0.43, 5.60) | |
B.Sc. Midwives | 2(9.4) | 62(90.6) | 3.20(4.23, 6.98) | 2.80(1.60, 5.60)*
| |
Health officer | 6(30) | 14(70) | 0.78(0.18, 3.42) | 0.18(0.18, 3.42) | |
Medical Doctor | 9(56.3) | 7(43.7) | 1.00 | 1.00 | |
Do you like partograph | Yes | 78(33.8%) | 153(66.2%) | 3.02(2.05, 4.49) | 0.47(0.30, 1.76) |
No | 122(60.7%) | 79(39.3%) | 1.00 | 1.00 |
Partograph utilization and associated factors
Variables | Categories | Partograph utilization | COR (95% CI | AOR (95% CI) | |
---|---|---|---|---|---|
Yes (%) | No (%) | ||||
Sex | Male | 187(91.7) | 17(8.3) | 1.29(0.63, 2.66) | |
Female | 213(93.4) | 15(6.6) | 1.00 | ||
Type of institution | Health center | 232(89.6) | 27(10.4 | 0.26(0.10, 0. 68) | 1.50(0.53, 4.38) |
Hospital | 168(97.1) | 5(2.4) | 1.00 | 1.00 | |
In-service training | Yes | 215(96.8) | 7(3.2) | 4.10(1.75, 9.82) | 3.1(1.35, 4.98)* |
No | 185(88.1) | 25(11.9) | 1.00 | 1.00 | |
Year of service | Five years and less | 303(92.1) | 26(7.6) | 0.72(0.29, 1.8) | |
Over five years | 97(94.2) | 6(5.8) | 1.00 | ||
Do you like partograph | Yes | 229(99.1) | 2 (0.9) | 20.0(4.74, 85.20) | 2.90 (1.30, 6.30)* |
No | 171(85.1) | 30(14.9) | 1.00 | 1.00 |