BACKGROUND Partograph is cost effective and affordable tool designed to provide a continuous pictorial overview and labour progress used to prevent prolonged and obstructed labour. It consists of key information about progress of labour, fetal condition and maternal condition. Its role is to improve outcomes and predict the progress of labour. The aim of this study was to assess utilization of partograph and its predictors among midwives working in public health facilities, Addis Ababa city administration, Ethiopia, 2017. METHODS An institution based cross-sectional study design was conducted in Addis Ababa, Ethiopia from 15/10/2017-15/12/2017.Simple random sampling under multistage sampling technique was applied to select a total of 605 midwives working in maternity unit of selected public health facilities. Data were collected using structured self-administered questionnaire. Checklist based direct observations were made to all midwife participants to determine the actual practical use of partograph. Data first entered in to EpiInfo version 3.5.1 and transported to SPSS Version 21.Descriptive statistics such as frequency, percentage, mean, and median were calculated. Biviriate and multivariable logistic regression analysis were applied. Any personal identification of the study participants was not recorded during data collection to ensure confidentiality of information. RESULTS In this study, the utilization of partograph was 409(69%) out of 594 study participants. Being mentored(AOR = 3.1; 95% CI: 1.7, 5.3),received training (AOR = 2.4; 95% CI:1.5,3.6),being knowledgeable about partograph (AOR = 1.6; 95% CI: 1.1, 2.5), health center workers(AOR = 12.6; 95% CI:5.1,31.6),supportive supervision 4 times per year (AOR = 18.6; 95% CI: 6.6,25),supportive supervision twice per a year (AOR = 4.7; 95% CI: 1.9, 11.3),supportive supervision once per year (AOR =3.8;95% CI:1.7,8.8) were positive predictors of partograph utilization. Two midwives per shift (AOR = 0.101; 95% CI: 0.05, 0.65), and 4 per shift (AOR = 0.105, 95% CI: 0.03, 0.40) were protective predictors of partograph utilization. CONCLUSIONS More than half of the respondents utilized partograph. All public health institutions avail partograph in their laboring room but didn't utilize it according to WHO recommended standard. Working facility, supportive supervision, mentoring, training on partograph, number of midwives working per shift, and knowledge were factors affecting partograph utilization. Encouraging interventions are recommended to the response of the above significantly associated factors.

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公共卫生机构助产士使用产程图及其相关因素，埃塞俄比亚亚的斯亚贝巴市政府，2017 年。

背景技术产程图是具有成本效益且负担得起的工具，其设计用于提供连续的图形概览和产程进度，用于防止产程延长和难产。它包含有关分娩进展、胎儿状况和母体状况的关键信息。其作用是改善结果并预测分娩进展。本研究的目的是评估 2017 年埃塞俄比亚亚的斯亚贝巴市政府公共卫生机构工作的助产士对产程图及其预测因素的使用情况。方法从 2017 年 15 月 15 日起在埃塞俄比亚亚的斯亚贝巴进行了一项基于机构的横断面研究设计。 10/2017-15/12/2017.采用多阶段抽样技术下的简单随机抽样，抽取了选定公共卫生机构妇产科工作的总共605名助产士。使用结构化自填问卷收集数据。对所有助产士参与者进行基于清单的直接观察，以确定产程图的实际实际用途。数据首先输入 EpiInfo 3.5.1 版，然后传输至 SPSS 21 版。计算频率、百分比、平均值和中位数等描述性统计数据。应用双变量和多变量逻辑回归分析。在数据收集过程中不会记录研究参与者的任何个人身份，以确保信息的机密性。结果 在本研究中，594 名研究参与者中有 409 名（69%）使用了产程图。接受指导(AOR = 3.1; 95% CI: 1.7, 5.3)、接受培训(AOR = 2.4; 95% CI:1.5,3.6)、了解产程图知识(AOR = 1.6; 95% CI: 1.1, 2.5)，健康中心工作人员(AOR = 12.6; 95% CI:5.1,31.6)，支持性监督每年4次(AOR = 18.6; 95% CI: 6.6,25)，支持性监督每年2次(AOR = 4.7; 95% CI：1.9，11.3），每年一次支持性监督（AOR = 3.8；95％CI：1.7，8.8）是产程图使用的积极预测因素。每班两名助产士（AOR = 0.101；95% CI：0.05，0.65）和每班 4 名助产士（AOR = 0.105，95% CI：0.03，0.40）是产程图利用的保护性预测因素。结论 超过一半的受访者使用产程图。所有公共卫生机构都在产房使用产程图，但没有按照世界卫生组织推荐的标准使用。工作设施、支持性监督、指导、产程图培训、每班助产士人数以及知识是影响产程图使用的因素。建议针对上述显着相关因素采取鼓励性干预措施。