Abstract:
A partograph is a tool used to monitor the progress of labor and identify potential complications. However, research shows that many countries still need to improve partograph adherence. This study aims to review research on the adherence to the use of partographs in health services. Literature is identified through PubMed, Scopus, and Google Scholar with keywords "Partograph," "Adherence," AND "Health Care." A total of 12 studies were identified and analyzed. The results showed that partograph adherence in developing countries ranged from 20% to 80%. Factors associated with low adherence include a lack of training and knowledge of partographs among healthcare workers, lack of resources, and traditional childbirth culture. Compliance with partographs still needs to improve in health services. Factors influencing compliance include staff shortages, heavy workloads, lack of training, and inadequate monitoring. Recommendations to improve compliance include on-the-job training, routine monitoring, and supportive supervision. Proper partograph use in improving maternal and neonatal outcomes is emphasized. The findings of this systematic review can be used to inform policies and programs aimed at improving compliance with the use of partographs in developing countries. Further research needs to identify effective interventions to improve compliance in various contexts.
