Abstract:
Abstract
Background: partograph is a pictorial representation of the relationship between cervical
dilatation and time used to diagnose prolonged and obstructed labor. However, its
utilization is still low and prone to documentation errors and improved with the use of
electronic partograph. However, information is limited on the proportion of intention to use
mobile-based partograph and its predictors.
Objective: the main objective of the study was to determine the proportion of intention to
use mobile-based partograph and its predictors among obstetric healthcare providers at
public referral hospitals in Oromia Ethiopia 2022.
Method and materials: institution-based cross-sectional study design was conducted
from June 1 to July 1, 2022. Census was conducted. A self-administered structured
English questionnaire was used and a 5% pretest was performed. Data were entered into
Epi data 4.6 and exported to SPSS 25 and AMOS 23. Descriptive and SEM analysis was
performed. The hypothesis was tested using a path coefficient and a p-value< 0.05.
Results: about 65.7% (95% CI, 61.9%-69.4%) of the participant intended to use mobilebased
electronic partograph with a 97% of response rate. Perceived usefulness had a
positive influence on intention to use (?? = 0.184, ?? = 0.017) and attitude (?? = 0.521, ?? =
0.002), Perceived ease of use had a positive influence on attitude (?? = 0.382, ?? = 0.003),
perceived usefulness (?? = 0.503, ?? = 0.002), and intention to use (?? = 0.369, ?? = 0.001).
Job relevance had a positive influence on perceived usefulness (?? = 0.408, ?? ?????????? <
0.001) and intention to use (? = 0.185, p= 0.008). Attitude positively influences intention
to use
(
? = 0.309 and p = 0.002
)
. Subjective norms insignificant influence perceived
usefulness (? =0.020 and p =0.613) and intention to use(? = -0.066 and p =0.066).
Conclusion and recommendation: two-thirds of obstetrics healthcare providers' had
the intention to use mobile-based partograph. Perceived usefulness, perceived ease of
use, job relevance, and attitude positively and significantly influence intention to use
mobile-based electronic partograph. The development of a user-friendly mobile-based
partograph that meets job and user expectations can enhance the intention to use.
Keywords: mobile-based partograph, modified TAM, intention to use, obstetric
healthcare providers, Ethiopia