Partograph Utilization During Labor Monitoring in Sub-Saharan Africa: A Systematic Review and Meta-Analysis
DOI:
https://doi.org/10.25259/IJMA_1_2025Keywords:
- Labor Monitoring,
- Meta-Analysis,
- Partograph Utilization,
- Sub-Saharan Africa,
- Systematic Review
Abstract
Background and Objective: Prolonged and obstructed labor is a leading cause of maternal death, preventable through effective and inexpensive health interventions such as the correct and systematic use of the partograph. The objective of this review was to determine the prevalence of partograph use in Sub-Saharan Africa.
Methods: We used the standard Preferred Reporting Items for Systematic Reviews and Meta-analyses checklist. Three online databases were used: PubMed, Google Scholar, and African Index Medicus. We included observational studies reporting the prevalence of partograph utilization, conducted in Sub-Saharan African countries, and published in English or French. Extracted data were entered into an Excel spreadsheet and then exported to R version 4.3.3 for analysis.
Results: Of the 1,159 records identified in this review, 41 studies were included in this systematic review and metaanalysis. The overall pooled prevalence of partograph utilization was 51.17% (95% confidence interval: 43.05– 59.29). The study country and Sub-Saharan African region were sources of heterogeneity (p < 0.0001 for both), while the year of publication was not (p = 0.2385). The funnel plot and Egger’s test (p = 0.7072) demonstrated the absence of potential publication bias.
Conclusion and Global Health Implications: This study showed that the overall pooled prevalence of partograph use in Sub-Saharan African countries was low. Therefore, effective intervention strategies are strongly recommended to increase partograph utilization.
Downloads
Most read articles by the same author(s)
- Armand Duclaire Kemo, Bruno Kenfack, Jérôme Ateudjieu, Partograph Utilization and its Determinant Factors among Healthcare Providers during Childbirth in West Cameroon , International Journal of Maternal and Child Health and AIDS: Vol. 14 No. Continuous (2025): International Journal of Maternal and Child Health and AIDS
- Armand Duclaire Kemo, Bruno Kenfack, Jerome Ateudjieu, Maternal Deaths and Complications: Documentation of Parameters on the Partographs Used by Health Care Providers in Four Hospitals in West Cameroon , International Journal of Maternal and Child Health and AIDS: Vol. 14 No. Continuous (2025): International Journal of Maternal and Child Health and AIDS
Similar Articles
- Olayinka Onasoga, Shittu B Muhammad, Shittu I.B Halimah, Umar N Jibril, Exploring Obstetric Analgesia in Labor Management: Assessing Knowledge and Usage Among Midwives in North-Central Nigeria , Vol. 14 No. Continuous (2025): International Journal of Maternal and Child Health and AIDS
- Sara A. Holtz, Rudi Thetard, Sarah N. Konopka, Jennifer Albertini, Anouk Amzel, Karen P. Fogg, A Systematic Review of Interventions to Reduce Maternal Mortality among HIV-Infected Pregnant and Postpartum Women , Vol. 4 No. 2 (2015): International Journal of Maternal and Child Health and AIDS
- Sanni Yaya, Gebretsadik Shibre, Dina Idriss-Wheeler, Olalekan A Uthman, Women’s Empowerment and HIV Testing Uptake: A Meta-analysis of Demographic and Health Surveys from 33 Sub-Saharan African Countries , Vol. 9 No. 3 (2020): International Journal of Maternal and Child Health and AIDS
- Temesgen Geta, Eskindir Israe, Buzuayehu Atinafu, Prevalence and Associated Factors of Client Satisfaction with Antenatal Care Services Among Antenatal Care Attendants in Ethiopia: A Systematic Review and Meta-Analysis , Vol. 13 No. Continuous (2024): International Journal of Maternal and Child Health and AIDS
- Sorochi H. Iloanusi, Osaro O. Mgbere, Susan. M. Abughosh, Ekere J. Essien, HIV Non-Occupational Post Exposure Prophylaxis in Nigeria: A Systematic Review of Research Evidence and Practice , Vol. 8 No. 2 (2019): International Journal of Maternal and Child Health and AIDS
- Alexander Suuk Laar, Veioshnee Govender, Individual and Community Perspectives, Attitudes, and Practices to Mother-to-Child-Transmission and Infant Feeding among HIV-Positive Mothers in Sub-Saharan Africa: A Systematic Literature Review , Vol. 2 No. 1 (2013): International Journal of Maternal and Child Health and AIDS
- Zubairu Iliyasux, Amina A. Umar, Fatima S. Gaya, Nafisa S. Nass, Hadiza M. Abdullahi, Aminatu A. Kwaku, Taiwo G. Amole, Fatimah I. Tsiga-Ahmed, Hadiza S. Galadanci, Hamisu M. Salihu, Muktar H. Aliyu, ‘We delivered at home out of fear’: Maternity Care in Rural Nigeria During the COVID-19 Pandemic , Vol. 12 No. 1 (2023): International Journal of Maternal and Child Health and AIDS
- Fekadu Mazengia Alemu, Alemayehu Worku Yalew, Mesganaw Fantahun, Eta Ebasi Ashu, Antiretroviral Therapy and Pregnancy Outcomes in Developing Countries: A Systematic Review , Vol. 3 No. 1 (2015): International Journal of Maternal and Child Health and AIDS
- Maria Vigil-Mallette, Daryle Pickens, Julliet Ogu, Deepa Dongarwar, Elizabeth Onugha, Hamisu M Salihu, Fifth Annual Summer Research Summit on Health Equity Organized by the Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, Texas 77030, USA on May 17, 2022 , Vol. 11 No. S2 (2022): International Journal of Maternal and Child Health and AIDS
- Olatunde Ayodele Amode, Damilola Kafayat Oyedele, Hadiza Salele, Olajumoke Adekeye, Uchenna Igbokwe, Lola Ameyan, Kayode Akin Afolabi, Olufunke Fasawe, Owens Wiwa, Cost-effectiveness and Budget Impact of Introducing Heat-stable Carbetocin for Postpartum Hemorrhage Prevention in Nigeria , Vol. 14 No. Continuous (2025): International Journal of Maternal and Child Health and AIDS
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
Published
How to Cite
Issue
Section
License
Copyright © 2025 Armand Duclaire Kemo Djimeli, Jérôme Ateudjieu, Bruno Kenfack. Published by Global Health and Education Projects, Inc., USA.
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , which permits others to remix, transform, and build upon the work non-commercially, provided the original author is credited and the new creations are licensed under the same terms.