Level of Partograph completion and healthcare workers’ perspectives on its use in Mulago National Referral and teaching hospital, Kampala, Uganda
Abstract Background The appropriate use of the Partograph allows early identification of labour related complications and prevents deaths. We, therefore, sought to determine the level of Partograph completion and healthcare worker perspectives towards its utilization. Methods This study had two comp...
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| Format: | Article |
| Language: | English |
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BMC
2019-02-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-019-3934-3 |
| _version_ | 1811278129506811904 |
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| author | John Mukisa Isha Grant Jonathan Magala Andrew S. Ssemata Patrick Z. Lumala Josaphat Byamugisha |
| author_facet | John Mukisa Isha Grant Jonathan Magala Andrew S. Ssemata Patrick Z. Lumala Josaphat Byamugisha |
| author_sort | John Mukisa |
| collection | DOAJ |
| description | Abstract Background The appropriate use of the Partograph allows early identification of labour related complications and prevents deaths. We, therefore, sought to determine the level of Partograph completion and healthcare worker perspectives towards its utilization. Methods This study had two components; a hospital-based cross-sectional descriptive chart review at the Mulago National Referral Hospital, Kampala, Uganda and a qualitative study involving four Focus Group Discussions (FGDs) with ward nurses, midwives and postgraduate residents. Data from the FGDs were analyzed using thematic -content analysis in Open Code software. The quantitative data were summarized using descriptive statistical analysis, means and proportions. Results Among the 355 Partographs reviewed, 79.1% had incomplete documentation of age, 52.7% gravidity, and 3.2% parity. In about 61%, the specific parameters for fetal monitoring, maternal monitoring and labour progress were incomplete. From the FGDs, the healthcare workers reported being unable to complete the Partographs due to the overwhelming numbers of expectant mothers and other staff responsibilities. Congestion in the maternity ward reduced the Partograph completion rates. The availability of other monitoring tools, limitation in skills, inadequate equipment and supplies, and the state of the mother at the presentation to the hospital all made Partograph use and completion challenging. Conclusions The majority of Partographs started by health workers were incomplete. The time required to document, health system challenges, status of mother at presentation, and the high workload undermined completion of the Partograph at this high volume facility. |
| first_indexed | 2024-04-13T00:29:08Z |
| format | Article |
| id | doaj.art-a5143114568c46c89e3215dd6907b12b |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T00:29:08Z |
| publishDate | 2019-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-a5143114568c46c89e3215dd6907b12b2022-12-22T03:10:31ZengBMCBMC Health Services Research1472-69632019-02-011911810.1186/s12913-019-3934-3Level of Partograph completion and healthcare workers’ perspectives on its use in Mulago National Referral and teaching hospital, Kampala, UgandaJohn Mukisa0Isha Grant1Jonathan Magala2Andrew S. Ssemata3Patrick Z. Lumala4Josaphat Byamugisha5Uganda CWRU Research CollaborationDepartment of Child Health, Ministry of HealthDepartment of Obstetrics and Gynecology, Life link hospitalDepartment of Psychiatry, Makerere University College of Health SciencesResearch and Planning Division, Uganda Revenue AuthorityDepartment of Obstetrics and Gynecology, Makerere University College of Health SciencesAbstract Background The appropriate use of the Partograph allows early identification of labour related complications and prevents deaths. We, therefore, sought to determine the level of Partograph completion and healthcare worker perspectives towards its utilization. Methods This study had two components; a hospital-based cross-sectional descriptive chart review at the Mulago National Referral Hospital, Kampala, Uganda and a qualitative study involving four Focus Group Discussions (FGDs) with ward nurses, midwives and postgraduate residents. Data from the FGDs were analyzed using thematic -content analysis in Open Code software. The quantitative data were summarized using descriptive statistical analysis, means and proportions. Results Among the 355 Partographs reviewed, 79.1% had incomplete documentation of age, 52.7% gravidity, and 3.2% parity. In about 61%, the specific parameters for fetal monitoring, maternal monitoring and labour progress were incomplete. From the FGDs, the healthcare workers reported being unable to complete the Partographs due to the overwhelming numbers of expectant mothers and other staff responsibilities. Congestion in the maternity ward reduced the Partograph completion rates. The availability of other monitoring tools, limitation in skills, inadequate equipment and supplies, and the state of the mother at the presentation to the hospital all made Partograph use and completion challenging. Conclusions The majority of Partographs started by health workers were incomplete. The time required to document, health system challenges, status of mother at presentation, and the high workload undermined completion of the Partograph at this high volume facility.http://link.springer.com/article/10.1186/s12913-019-3934-3PartographHealthcare worker perspectives |
| spellingShingle | John Mukisa Isha Grant Jonathan Magala Andrew S. Ssemata Patrick Z. Lumala Josaphat Byamugisha Level of Partograph completion and healthcare workers’ perspectives on its use in Mulago National Referral and teaching hospital, Kampala, Uganda BMC Health Services Research Partograph Healthcare worker perspectives |
| title | Level of Partograph completion and healthcare workers’ perspectives on its use in Mulago National Referral and teaching hospital, Kampala, Uganda |
| title_full | Level of Partograph completion and healthcare workers’ perspectives on its use in Mulago National Referral and teaching hospital, Kampala, Uganda |
| title_fullStr | Level of Partograph completion and healthcare workers’ perspectives on its use in Mulago National Referral and teaching hospital, Kampala, Uganda |
| title_full_unstemmed | Level of Partograph completion and healthcare workers’ perspectives on its use in Mulago National Referral and teaching hospital, Kampala, Uganda |
| title_short | Level of Partograph completion and healthcare workers’ perspectives on its use in Mulago National Referral and teaching hospital, Kampala, Uganda |
| title_sort | level of partograph completion and healthcare workers perspectives on its use in mulago national referral and teaching hospital kampala uganda |
| topic | Partograph Healthcare worker perspectives |
| url | http://link.springer.com/article/10.1186/s12913-019-3934-3 |
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