Knowledge and Utilization of the Partograph among obstetric care givers in South West Nigeria.

Fawole A.O, Hunyinbo K.I, Adekanle D.A

Abstract

This cross-sectional study assessed knowledge and utilization of the partograph among health care workers in southwestern Nigeria. Respondents were selected by multi-stage sampling method from primary, secondary and tertiary levels of care. 719 respondents comprising of CHEWS - 110 (15.3%), Auxiliary Nurses - 148 (20.6%), Nurse/Midwives - 365 (50.6%), Physicians – 96 (13.4%) were selected from primary (38.2%), secondary (39.1%) and tertiary levels (22.7%). Only 32.3% used the partograph to monitor women in labour. Partograph use was reported significantly more frequently by respondents in tertiary level compared with respondents from primary/secondary levels of care (82.4% vs. 19.3%; X2 = 214.6, p < 0.0001). Only 37.3% of respondents who were predominantly from the tertiary level of care could correctly mention at least one component of the partograph (X2 = 139.1, p < 0.0001).

The partograph is utilized mainly in tertiary health facilities; knowledge about the partograph is poor. Though affordable, the partograph is commonly not used to monitor the Nigerian woman in labour. (Afr Reprod Health 2008; 12[1]:22-29).

RÉSUMÉ

Connaissance et utilisation du partographe chez les dispensateurs des soin obstétriques au sud-ouest du Nigeria. Cette étude transvasale a évalué la connaissance et l’utilisation du partographe parmi les membres du personnel soignant au sud-ouest du Nigéria.  Les personnes interrogées ont été sélectionnées à l’aide d’une méthode d’échantillon à plusieurs étapes à partir des niveaux de soin primaire, secondaire et tertiaire.  Au total 719 personnes ont été interrogées, y compris les travailleurs communautaires pour l’extension des services de santé 110 (15,3%), des infirmières auxillaires – 148 (20,6%), les infirmières / sages–femmes – 365 (50,6%), les médecins – 96 (13,4%) ont été sélectionnées à partir des niveaux primaire (38,2%), secondaire (39,1%) et tertiaire (22,7%).  Seuls 32,3% se sont servis du partographe pour surveiller les femmes au travail.  L’utilisation du partographe a été plus fréquent chez les interrogés qui appartiennent au niveau tertiaire par rapport aux intérrogés des niveaux primaire et secondaire de soin (82,4% vs 19,3% ; X2 = 214,6 p < 0,0001).  Seules 37,3% des intérrogés qui appartenaient en majorité au niveau tertiaire de soin pouvaient mentionner au juste au moins un constituent du partographe (X2 = 139, p < 0,0001).  Le partographe est utilisé surtout dans les établissement de santé tertiaire ; la connaissance du partographe est faible.  Bien qu’il soit abordable, le partographe n’est pas communément utilisé pour surveiller la femme nigériane au travail. (Rev Afr Santé Reprod 2008; 12[1]:22-29).

 

KEY WORDS:  partograph, healthcare providers, knowledge, utilization Knowledge and Utilization of the Partograph     among obstetric care givers in South West Nigeria

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