Utilization of partograph and associated factors among obstetric caregivers in Ethiopia: a systematic review and meta-analysis
IntroductionEffective use of the partograph is crucial in identifying abnormal labor (prolonged and obstructed labor) and taking appropriate actions. However, in Ethiopia, the prevalence of obstructed labor is much higher at 11.8% and contributes to 14.4% of the total maternal deaths due to underuti...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2025.1339685/full |
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| author | Mulat Ayele Eyob Shitie Lake Gizachew Yilak Getinet Kumie Biruk Beletew Abate Alemu Birara Zemariam Befkad Derese Tilahun |
| author_facet | Mulat Ayele Eyob Shitie Lake Gizachew Yilak Getinet Kumie Biruk Beletew Abate Alemu Birara Zemariam Befkad Derese Tilahun |
| author_sort | Mulat Ayele |
| collection | DOAJ |
| description | IntroductionEffective use of the partograph is crucial in identifying abnormal labor (prolonged and obstructed labor) and taking appropriate actions. However, in Ethiopia, the prevalence of obstructed labor is much higher at 11.8% and contributes to 14.4% of the total maternal deaths due to underutilization of the partograph by obstetric caregivers. Although a previous systematic review and meta-analysis (SRMA) had been conducted, they were not representative on a national level as they included a limited number of studies and did not evaluate the current prevalence of partograph utilization beyond July 2019. Since then, there have been inconsistent studies assessing the proportion of partograph utilization and its associated factors. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of partograph utilization and its associated factors in Ethiopia.MethodComprehensive literature searches were conducted in PubMed, Google Scholar, and HINARI from 1 September 2013 to 23 October 2023. A random-effects model was used to estimate pooled prevalence and adjusted odds ratio. Stata (version 11.0) was used to analyze the data. Cochrane I2 statistics were computed to assess heterogeneity among studies. A subgroup analysis was done based on the study region to minimize underlying heterogeneity. Funnel plot and Eggers test were conducted to assess publication bias.ResultOverall, 661 articles were retrieved, and finally, 23 studies were included in this systematic review, including 7,649 participants. The pooled prevalence of partograph utilization was 54.92% (95% CI: 43.38–66.45). The subgroup analysis showed that partograph utilization was highest in the Dire Dawa region and lowest in the Amhara region. Factors such as partograph training [adjusted odds ratio (AOR) = 3.63, 95% CI: 2.57–5.25], good knowledge about partograph (AOR = 2.63, 95% CI: 1.62–4.26), a favorable attitude toward partograph (AOR = 1.95, 95% CI: 1.35–2.82), partograph availability (AOR = 0.89, 95% CI: 2.24–6.61), and being in the midwifery profession (AOR = 0.09, 95% CI: 1.78–5.25) were significantly associated with partograph utilization.ConclusionThe pooled prevalence of partograph utilization in Ethiopia was low. Partograph training, good knowledge about partograph, favorable attitude toward partograph, partograph availability in the health facility, and being in the midwifery profession were significantly associated with partograph utilization.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, identifier (CRD42023475818). |
| format | Article |
| id | doaj-art-569f929cd830443a9d47b4ec8e372eb6 |
| institution | Kabale University |
| issn | 2673-5059 |
| language | English |
| publishDate | 2025-01-01 |
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| series | Frontiers in Global Women's Health |
| spelling | doaj-art-569f929cd830443a9d47b4ec8e372eb62025-01-27T06:40:56ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592025-01-01610.3389/fgwh.2025.13396851339685Utilization of partograph and associated factors among obstetric caregivers in Ethiopia: a systematic review and meta-analysisMulat Ayele0Eyob Shitie Lake1Gizachew Yilak2Getinet Kumie3Biruk Beletew Abate4Alemu Birara Zemariam5Befkad Derese Tilahun6Department of Midwifery, College of Health Science, Woldia University, Woldia, EthiopiaDepartment of Midwifery, College of Health Science, Woldia University, Woldia, EthiopiaDepartment of Nursing, College of Health Science, Woldia University, Woldia, EthiopiaDepartment of Medical Laboratory Sciences, College of Health Science, Woldia University, Woldia, EthiopiaCollege of Medicine and Health Sciences, Woldia University, Woldia, EthiopiaDepartment of Pediatrics and Child Health Nursing, School of Nursing, College of Health Science, Woldia University, Woldia, EthiopiaDepartment of Nursing, College of Health Science, Woldia University, Woldia, EthiopiaIntroductionEffective use of the partograph is crucial in identifying abnormal labor (prolonged and obstructed labor) and taking appropriate actions. However, in Ethiopia, the prevalence of obstructed labor is much higher at 11.8% and contributes to 14.4% of the total maternal deaths due to underutilization of the partograph by obstetric caregivers. Although a previous systematic review and meta-analysis (SRMA) had been conducted, they were not representative on a national level as they included a limited number of studies and did not evaluate the current prevalence of partograph utilization beyond July 2019. Since then, there have been inconsistent studies assessing the proportion of partograph utilization and its associated factors. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of partograph utilization and its associated factors in Ethiopia.MethodComprehensive literature searches were conducted in PubMed, Google Scholar, and HINARI from 1 September 2013 to 23 October 2023. A random-effects model was used to estimate pooled prevalence and adjusted odds ratio. Stata (version 11.0) was used to analyze the data. Cochrane I2 statistics were computed to assess heterogeneity among studies. A subgroup analysis was done based on the study region to minimize underlying heterogeneity. Funnel plot and Eggers test were conducted to assess publication bias.ResultOverall, 661 articles were retrieved, and finally, 23 studies were included in this systematic review, including 7,649 participants. The pooled prevalence of partograph utilization was 54.92% (95% CI: 43.38–66.45). The subgroup analysis showed that partograph utilization was highest in the Dire Dawa region and lowest in the Amhara region. Factors such as partograph training [adjusted odds ratio (AOR) = 3.63, 95% CI: 2.57–5.25], good knowledge about partograph (AOR = 2.63, 95% CI: 1.62–4.26), a favorable attitude toward partograph (AOR = 1.95, 95% CI: 1.35–2.82), partograph availability (AOR = 0.89, 95% CI: 2.24–6.61), and being in the midwifery profession (AOR = 0.09, 95% CI: 1.78–5.25) were significantly associated with partograph utilization.ConclusionThe pooled prevalence of partograph utilization in Ethiopia was low. Partograph training, good knowledge about partograph, favorable attitude toward partograph, partograph availability in the health facility, and being in the midwifery profession were significantly associated with partograph utilization.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, identifier (CRD42023475818).https://www.frontiersin.org/articles/10.3389/fgwh.2025.1339685/fullpartographpartograph utilizationsystematic reviewsystematic review and meta-analysisEthiopia |
| spellingShingle | Mulat Ayele Eyob Shitie Lake Gizachew Yilak Getinet Kumie Biruk Beletew Abate Alemu Birara Zemariam Befkad Derese Tilahun Utilization of partograph and associated factors among obstetric caregivers in Ethiopia: a systematic review and meta-analysis Frontiers in Global Women's Health partograph partograph utilization systematic review systematic review and meta-analysis Ethiopia |
| title | Utilization of partograph and associated factors among obstetric caregivers in Ethiopia: a systematic review and meta-analysis |
| title_full | Utilization of partograph and associated factors among obstetric caregivers in Ethiopia: a systematic review and meta-analysis |
| title_fullStr | Utilization of partograph and associated factors among obstetric caregivers in Ethiopia: a systematic review and meta-analysis |
| title_full_unstemmed | Utilization of partograph and associated factors among obstetric caregivers in Ethiopia: a systematic review and meta-analysis |
| title_short | Utilization of partograph and associated factors among obstetric caregivers in Ethiopia: a systematic review and meta-analysis |
| title_sort | utilization of partograph and associated factors among obstetric caregivers in ethiopia a systematic review and meta analysis |
| topic | partograph partograph utilization systematic review systematic review and meta-analysis Ethiopia |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2025.1339685/full |
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