Partograph is the tool which is used to assess maternal condition, fetal condition contractions and progress of labour. As the result, well filled partograph helps the obstetric care provider to know any abnormal changes and decide better decisions during delivery of health care to the pregnant mother in labour which can help to reduce maternal and fetal morbidity and mortality rate. Therefore, the aim of this study was to determine the level of practices and elements influencing partograph use among nurses during providing health care in Singida Municipality, Singida region - Tanzania. Methods: Analytical cross sectional study was conducted at Singida Municipality and involved 150 nurses who were randomly selected from maternity departments at Sokoine health center and Singida Regional Referral Hospital in Singida municipality, Tanzania. A practice and associated factors on partograph utilization selfadministered structured questionnaire was used to examine the levels of practices and factors influencing partograph usage on provision of health care. Chisquare test, binary logistic regression and multinomial logistic regression were used to test association and pinpoint significant predictors of level of practice and associated factors on partograph utilization.

Keywords : practices, utilization, partograph, nurses, health care and Singida.