BACKGROUND: A partogram is a universal tool for monitoring labour. It is used for labour management in Rujumbura HSD, Rukungiri District. However, the District Health Officer reported only 30% use of a partogram. The study intended to find out why the low use, and suggest strategies in scaling up. OBJECTIVES: To establish extent of use of a partogram, health facility and health workers' factors that affected its use during labour plus the relationship between foetal Apgar score and its use. MATERIALS AND METHODS: A cross-sectional study involving observations, record reviews and interviewing of staff in 8 health facilities (4 Public and 4 Private Not For Profit) in Rujumbura HSD in Rukungiri district was conducted from May 23(rd) to 27(th) June 2008. It employed both qualitative and quantitative methods of data collection. RESULTS: The partogram was used in 69.9% of deliveries. The partographs that fulfilled the standard monitoring of foetal heart rate were only 2%. There were few trained health workers and lack of guidelines on partogram use. A good Apgar score was associated with standard foetal monitoring and was statistically significant (P < 0.001). CONCLUSIONS AND RECOMMENDATIONS: There was poor use of partograms during labour mainly affected by health input factors. We recommended training of health workers on partogram use, provision of guidelines and adequate resources.
BACKGROUND: A partogram is a universal tool for monitoring labour. It is used for labour management in Rujumbura HSD, Rukungiri District. However, the District Health Officer reported only 30% use of a partogram. The study intended to find out why the low use, and suggest strategies in scaling up. OBJECTIVES: To establish extent of use of a partogram, health facility and health workers' factors that affected its use during labour plus the relationship between foetal Apgar score and its use. MATERIALS AND METHODS: A cross-sectional study involving observations, record reviews and interviewing of staff in 8 health facilities (4 Public and 4 Private Not For Profit) in Rujumbura HSD in Rukungiri district was conducted from May 23(rd) to 27(th) June 2008. It employed both qualitative and quantitative methods of data collection. RESULTS: The partogram was used in 69.9% of deliveries. The partographs that fulfilled the standard monitoring of foetal heart rate were only 2%. There were few trained health workers and lack of guidelines on partogram use. A good Apgar score was associated with standard foetal monitoring and was statistically significant (P < 0.001). CONCLUSIONS AND RECOMMENDATIONS: There was poor use of partograms during labour mainly affected by health input factors. We recommended training of health workers on partogram use, provision of guidelines and adequate resources.
Authors: A S Nyamtema; D P Urassa; S Massawe; A Massawe; G Lindmark; J van Roosmalen Journal: Int J Gynaecol Obstet Date: 2007-09-27 Impact factor: 3.561
Authors: Steven A Harvey; Yudy Carla Wong Blandón; Affette McCaw-Binns; Ivette Sandino; Luis Urbina; César Rodríguez; Ivonne Gómez; Patricio Ayabaca; Sabou Djibrina Journal: Bull World Health Organ Date: 2007-10 Impact factor: 9.408
Authors: Godfrey Rwambuka Mugyenyi; Joseph Ngonzi; Blair Johnson Wylie; Jessica Elizabeth Haberer; Adeline Adwoa Boatin Journal: Pan Afr Med J Date: 2021-03-11