TITLE:
Evolution of the Quality of the Partogram in 96 Health Care Facilities of 3 Provincial Health Divisions in the Democratic Republic of the Congo
AUTHORS:
Thérèse Mikoka, Andy Mbangama, Vicky Lokomba
KEYWORDS:
Partogram, Status Report, Quality, Maternal Health and Health Facilities
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.12,
December
26,
2023
ABSTRACT: The partogram is an accurate labor
monitoring tool for reducing maternal and perinatal mortality due to
prolonged labor and dystocia. The aim of this study is to
assess how the quality of the partogram has evolved in health care institutions
(HCI in short) that have benefited from the primary health care support project
(ASSP in short) after formative supervision. This is a descriptive study by
periodic clinical audit between 2020 and 2022, carried out in 96 HCI in 3
provincial health divisions (DPS in short) of DR Congo. Each photographed
partogram page was sent to the project’s central level for review by a team of
experts (3 obstetric gynecologists and 3 midwives). The compliance rate for completing partograms in the 96 health
facilities of the 3 DPS was 86.8%.
The rate of traceability of labor continuity was 88.2%, and that of
traceability of acts, incidents and treatments during labor was 87.1%. Finally, the compliance rate for filling out partograms in the immediate
post-partum period was 81%. A clear improvement was noted between the January
2020 and March 2022 assessments.