An Investigation into Primary Healthcare Workers’ Awareness and Practical Application of the Partograph in Ilorin Metropolis, Kwara State, Nigeria


Authors : Dauda, Musa Kwanchi; Patricia Peter; Mal. Sale Mohammed

Volume/Issue : Volume 10 - 2025, Issue 7 - July


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DOI : https://doi.org/10.38124/ijisrt/25jul868

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Abstract : Maternal mortality continues to be a significant global health issue, with many women dying each year due to pregnancy and childbirth complications. Nigeria ranks among the nations with the highest maternal and child death rates, with a maternal mortality ratio of 540 per 100,000 live births and a child mortality rate of 21 per 1,000 live births. To address these challenges, the World Health Organization (WHO) promotes the use of the partograph a labor-monitoring tool aimed at improving maternal and neonatal outcomes. Despite this recommendation, the presence of skilled birth attendants in Nigeria remains limited. This study explores how well primary healthcare workers in Ilorin Metropolis, Kwara State, are informed about and apply the partograph in their practice. The research specifically assesses knowledge levels, identifies barriers to usage, and evaluates influencing factors. Guided by Patricia Benner’s nursing practice model, a descriptive and quantitative approach was employed. Data were gathered through structured questionnaires from 154 respondents and analyzed using SPSS version 20.0. Results indicated that although healthcare workers possessed moderate knowledge of the partograph (grand mean = 2.50), its actual application was low (grand mean = 2.29). Barriers included lack of training, unavailability of the tool, limited competence, and difficulty interpreting findings. The study recommends ongoing in-service training and better resource provision to enhance partograph use in primary care labor management.

References :

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  2. Adebe, F., Birhanu, D., Awoke, W., & Ejigu, T. (2023). Assessment of knowledge and utilization of the partograph among health professionals in Amhara Region, Ethiopia. Science Journal of Clinical Medicine, 2(2), 26–42.
  3. Christensson, K., Odberg, P. K., Bulgaho, A., Manuela, C. M., Dgedge, C., Johansson, E., & Bergström, S. (2016). The challenge of improving perinatal care in settings with limited resources: Observations of midwifery practices in Mozambique. African Journal of Reproductive Health, 10(3), 47–61.
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  5. Fawole, A. O., & Fadare, O. (2018). Influence of parity on the partographic management of labour in a Nigerian tertiary hospital. Nigerian Postgraduate Medical Journal, 15(4), 234–237.
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  7. Fawole, A. O., Hunyinbo, K. I., & Adekanle, D. A. (2020). Utilization of the partograph among health workers across different levels of healthcare in Nigeria. African Journal of Reproductive Health, 14(2), 45–53.
  8. Ita, B. O., Oku, A. O., Agan, T. U., Asibong, U. E., Essien, E. J., & Monjok, E. (2019). An evaluation of the knowledge and utilization of the partograph in primary, secondary, and tertiary care settings in Calabar, South-South Nigeria. Journal of Primary Health Care and Family Medicine, 6(3), 123–129.
  9. Khonje, M. (2022). A cross-sectional study on use and documentation of partograph and factors that prevent optimal utilization of the partograph: Perspectives of health workers at Bwaila and Ethel Mutharika Maternity Units in Lilongwe, Malawi. University of Oslo.
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  1. Society of Gynaecology and Obstetrics of Nigeria. (2022). Status of emergency obstetric services in six states of Nigeria – A needs assessment report. Abuja, Nigeria: Society of Gynaecology and Obstetrics of Nigeria.
  2. Soni, B. L. (2023). Effect of partograph use on outcomes for women in spontaneous labour at term: RHL commentary. The WHO Reproductive Health Library. http://apps.who.int
  3. United Nations Population Fund. (2021). Fast facts. http://www.endfistula.org/public/pid/7437
  4. World Health Organization. (2023). WHO partograph in management of labour. Maternal Health and Safe Motherhood Programme. http://www.sciencestage.com
  5. Yisma, E., Dessalegn, B., Astatkie, A., & Fesseha, N. (2013). Knowledge and utilization of partograph among obstetric care givers in public health institutions of Addis Ababa, Ethiopia. BMC Pregnancy and Childbirth, 13, 17. https://doi.org/10.1186/1471-2393-13-17

Maternal mortality continues to be a significant global health issue, with many women dying each year due to pregnancy and childbirth complications. Nigeria ranks among the nations with the highest maternal and child death rates, with a maternal mortality ratio of 540 per 100,000 live births and a child mortality rate of 21 per 1,000 live births. To address these challenges, the World Health Organization (WHO) promotes the use of the partograph a labor-monitoring tool aimed at improving maternal and neonatal outcomes. Despite this recommendation, the presence of skilled birth attendants in Nigeria remains limited. This study explores how well primary healthcare workers in Ilorin Metropolis, Kwara State, are informed about and apply the partograph in their practice. The research specifically assesses knowledge levels, identifies barriers to usage, and evaluates influencing factors. Guided by Patricia Benner’s nursing practice model, a descriptive and quantitative approach was employed. Data were gathered through structured questionnaires from 154 respondents and analyzed using SPSS version 20.0. Results indicated that although healthcare workers possessed moderate knowledge of the partograph (grand mean = 2.50), its actual application was low (grand mean = 2.29). Barriers included lack of training, unavailability of the tool, limited competence, and difficulty interpreting findings. The study recommends ongoing in-service training and better resource provision to enhance partograph use in primary care labor management.

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Paper Submission Last Date
31 - December - 2025

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