title: Partograph utilization and associated factors among obstetric care providers in North Shoa Zone, Central Ethiopia: a cross sectional study.
abstract: BACKGROUND
  Globally, prolonged and obstructed labor contributed to 8% of maternal deaths which can be reduced by proper utilization of partograph during labor.
  
  
  METHODS
  An Institution based cross-sectional study was conducted in June, 2013 on 403 obstetric care providers. A pre-tested and structured questionnaire was used to collect data. Data was entered to EpiInfo version 3.5.1 statistical package and exported to SPSS version 20.0 for further analysis. Logistic regression analyses were used to see the association of different variables.
  
  
  RESULTS
  Out of 403 obstetric care providers, 40.2% utilized partograph during labor.Those who were midwives by profession were about 8 times more likely to have a consistent utilization of the partograph than general practitioners (AOR=8. 13, 95% CI: 2.67, 24.78). Similarly, getting on job training (AOR=2. 86, 95% CI: 1.69, 4.86), being knowledgeable on partograph (AOR=3. 79, 95% CI: 2.05, 7.03) and having favorable attitude towards partograph (AOR=2. 35, 95% CI: 1.14, 4.87) were positively associated with partograph utilization.
  
  
  CONCLUSIONS
  Partograph utilization in labor monitoring was found to be low. Being a midwife by profession, on job training, knowledge and attitude of obstetric care providers were factors affecting partograph utilization. Providing on job training for providers would improve partograph utilization.
authors.affiliation: School of Nursing and Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
authors.forename: Negash
authors.initials: N
authors.lastname: Wakgari
authors.affiliation: Departments of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
authors.forename: Abdella
authors.initials: A
authors.lastname: Amano
authors.affiliation: Departments of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
authors.forename: Marta
authors.initials: M
authors.lastname: Berta
authors.affiliation: Department of Reproductive Health, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
authors.forename: Gizachew Assefa
authors.initials: GA
authors.lastname: Tessema
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003661:Decision Support Techniques; D005002:Ethiopia; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D007743:Labor, Obstetric; D016015:Logistic Models; D008297:Male; D008880:Midwifery / Q000379:methods*; D007744:Obstetric Labor Complications / Q000175:diagnosis* / Q000517:prevention & control; D009774:Obstetrics / Q000592:standards; D011247:Pregnancy; D011795:Surveys and Questionnaires
keywords: Ethiopia; obstetric care providers; partograph