
Proper utilization of partograph contributes to reduction of maternal deaths during labor. This cross-sectional study was designed to assess the magnitude of utilization of parthograph and factors associated with its utilization among obstetric caregivers in public health institutions of Buno-Bedele Zone, South Western Ethiopia from February- March 2017. The data in this study was collected using Key informant face to face interview and structured questionares among the samples of 362 obstetric care givers. Logistic regressions analysis was carried out to assess associations of independent variables with the outcome variable. Reported magnitude of partograph utilization reveals 32.2%, participant Working department, level of education, in-service training and knowledge on parthograph utilization (AOR=0.102, 95% CI 0.037,0.279), (AOR= 0.272, 95% CI 0.137,0.540), (AOR=1.943, 95% CI 0.858,4.401), (AOR=. 150 95% CI. 065, 0.345) were significantly associated with partograph utilization respectively. Reported partograph utilization in the area was low, despite the recognition of high maternal mortality as a major public health issue in the study area. Pre-service and on job training on partograph use, continuous monitoring, supervision and staff motivation could improve the utilization of the tool.