From: A realist review of the partograph: when and how does it work for labour monitoring?
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. | **Low [23] *Very Low [29]. |
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. | |
Is the partograph available? | n = 8 | There is a lack of availability of the partograph in some settings, particularly health centres. | |
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. | |
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. | ***Medium [18] |