|Question||No of studies||Evidence synthesis||Quality|
|What is the organisational commitment to partograph use?||n = 2||
There is very little available evidence of organisational commitment.|
There is limited evidence of organisational commitment in high-resource settings.
*Very Low .
|What is the policy and guidance related to partograph use?||
n = 4 studies|
n = 5 guideline documents
The main guidance documents are those produced by WHO.|
There is a lack of available guidance at the facility level.
Limited evidence suggests that available facility level guidance promotes partograph use in practice.
Guidance [64, 65, 67–70]|
*V low [24, 25, 30, 49]
|Is the partograph available?||n = 8||There is a lack of availability of the partograph in some settings, particularly health centres.||
**Low [25, 33, 38, 43, 48]|
*V low [29, 30, 47]
|Is there support for partograph use in terms of resource provision?||n = 2||Equipment required for partograph completion may not be available; for example sphygmomanometers, thermometers and fetoscopes.||*V low [29, 31]|
|How can the partograph be implemented effectively?||n = 2, plus 1 audit||
There is little evidence to determine the most effective method of partograph implementation.|
Pre-implementation training and post-implementation audit and feedback may have a positive impact on accuracy and frequency of partograph completion.
*V low [20, 50]