| Autor: |
Okokon IB; Department of Family Medicine, Faculty of Medicine and Dentistry, College of Medical Sciences, University of Calabar and University of Calabar Teaching Hospital, Calabar, Nigeria., Oku AO; Department of Community Medicine, Faculty of Medicine and Dentistry, College of Medical Sciences, University of Calabar and University of Calabar Teaching Hospital, Calabar, Nigeria., Agan TU; Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, College of Medical Sciences, University of Calabar and University of Calabar Teaching Hospital, Calabar, Nigeria., Asibong UE; Department of Family Medicine, Faculty of Medicine and Dentistry, College of Medical Sciences, University of Calabar and University of Calabar Teaching Hospital, Calabar, Nigeria., Essien EJ; Institute of Community Health, University of Houston, Texas Medical Center, Houston, TX, USA., Monjok E; Department of Family Medicine, Faculty of Medicine and Dentistry, College of Medical Sciences, University of Calabar and University of Calabar Teaching Hospital, Calabar, Nigeria ; Department of Community Medicine, Faculty of Medicine and Dentistry, College of Medical Sciences, University of Calabar and University of Calabar Teaching Hospital, Calabar, Nigeria ; Institute of Community Health, University of Houston, Texas Medical Center, Houston, TX, USA. |
| Abstrakt: |
The challenge to maternal well-being with associated maternal wastages especially in labor has remained unsurmountable across the three tiers of health care delivery in Nigeria. This study aimed to determine and compare the factors that influence utilization of the partograph in primary, secondary, and tertiary health care delivery levels in Calabar, Nigeria. This was a descriptive study, using a self-administered semistructured questionnaire on 290 consenting nonphysician obstetric care workers, purposively recruited. The mean age of the respondents was 40.25 ± 8.68 with a preponderance of females (92.4%). Knowledge of the partograph and previous partograph training had statistically significant relationship with its utilization among respondents from the tertiary and general hospitals. The level of knowledge was higher among workers in the general hospital than those working in the university teaching hospital. Nurses/midwives in the three levels of care were significantly more knowledgeable in partograph use than other nonphysician obstetric care workers. Lack of detailed knowledge of the partograph, its nonavailability and poor staff strength in the study centers were factors militating against its ease of utilization. The authors recommend periodic in-service training and provision of partograph in labor rooms in all maternity wards in our environment. |
