DrTemesgen/parthograph

Offline-first tablet digital partograph / WHO Labour Care Guide (2020) for midwives in resource-limited settings (customized for Ethiopia first) # 🤰 Parthograph — Digital Labour Care for Resource-Limited Settings **An offline-first, tablet-based digital partograph / WHO Labour Care Guide (2020) for midwives — with a guided entry wizard, automatic chart drawing, clinical alerts, referral decision support, APGAR scoring, and FHIR R4 export.** > ⚠️ **Disclaimer:** Parthograph is a decision-support and documentation aid for skilled birth attendants. It is **not a certified medical device** and does not replace clinical judgement, national protocols, or senior consultation. Facility use requires approval by the responsible health authorities and supervised piloting. --- ## Why In resource-limited settings, partograph use is chronically low. In Ethiopia — the first deployment context — pooled utilization is only **~55–60%** across studies, and in the 2016 national EmONC census only **21.5%** of partographs met the WHO standard for complete recording. The strongest known drivers of proper use are refresher training (OR 5.7), form availability, supportive supervision, and being a midwife at a **health centre**. Meanwhile, field trials of electronic partographs (Jhpiego ePartogram in Kenya, mLabour in Tanzania, DAKSH in India) show that timed reminders, automatic graphing and threshold alerts improve observation compliance and even fetal outcomes — *if* the tool respects a busy midwife's reality. There is currently **no maintained, licensed, open-source implementation of the WHO Labour Care Guide 2020** anywhere on GitHub (verified June 2026). Parthograph aims to fill that gap — built for **resource-limited settings**, and customized for Ethiopian health centres as its first deployment. ## What it does | Feature | Detail | |---|---| | **Guided wizard** | One large-format question per screen (numpad / big buttons). The midwife answers; the partograph draws itself. Entries can be back-timed up to 60 min — no punishing lock-outs. | | **Dual protocol engine** | **WHO LCG 2020** (active phase from 5 cm, per-cm tim …