EVALUATION OF THE QUALITY OF THE PARTOGRAM IN COMMUNITY HEALTH CENTRES IN KOULIKORO REGION IN MALI

Abstract

Abstract
The partogram helps to identify problems in the course of labor and to make decisions about the diagnosis and
management of complications. Despite the potential for early detection of complications, their use faces filling
difficulties in our community health centers (CHC), especially in rural areas. The objective of our study was to
describe the quality of partograph used at the CHC level. This cross-sectional study used data from partographs
from CHC in the Koulikoro region. The data were analyzed on STATA 15.0. The chi-square test was used to
measure the association between the variables. Multiple logistic regressions were performed and crude and fitted
ORs were calculated with a 95% confidence interval and a p value ≤ 0.05. Of the 736 partograms, 20.6% were
correctly completed; the risk factors were assessed in 91.5% of cases. The deliveries were attended by matrons in
47.28% of cases. A birth attended by skilled personnel gave the partogram twice as likely to be properly filled.
Our results show that the correct filling of the partographs was significantly related to the existence of at least
one risk factor in delivery women. The ongoing training of maternity staff could improve the filling of
partographs and thus compensate for the lack of supervision of childbirth.
Keywords: Partogram, childbirth labor, CHC, Koulikoro, Mali