Steering The Predictors To Improve The Knowledge And Utilization Of Partograph By Skilled Birth Attendants: An Intervention Study

Context: It was hypothesized that knowledge of skilled birth attendants (SBAs) about partograph and its utilization can be improved by modifying their predictors through training workshops. Aim: To upgrade the knowledge regarding partograph and its utilization by SBAs by modifying their predictors through training workshops. Settings and Design: This was an intervention study, which was conducted in a rural area of the Jodhpur district of Rajasthan state. Subjects and Methods: The SBAs were interviewed through pre and postintervention with the help of a prevalidated semi-structured interview schedule. As a part of an intervention, a series of half-day training workshops were conducted in the intervention block. Data were analyzed using SPSS version 23. Statistical Analysis Used: Descriptive statistics, univariate (Chi-square, t-test), and multivariate (logistic regression) analysis. Results: A total of 213 SBAs (105 from intervention and 108 from control block) were included in the study. SBAs who had received training related to the partograph were having significantly higher odds of knowing (AOR = 22.6[10.7-47.9]) as well as utilization (AOR = 22.5[7.05-72.1]) of partographs as compared to their counterparts. Knowledge was also a significant predictor of the utilization of partograph. Intervention could significantly improve the knowledge of SBAs about partograph as well as its utilization in the intervention block. Conclusion: Significant impact of the intervention on knowledge about partograph and its utilization was evidenced in the present study. There is a need to conduct training and refresher courses for healthcare workers on partograph use.