Background: Human papillomavirus vaccination is a well-known global strategy for the prevention of cervical cancer. However, uptake of the vaccine varies between regions and countries of the world due to several discouraging factors. Although adolescents are at risk for cervical cancer, there are limited studies measuring vaccination practice of female adolescents in the study area. Objective: To assess human papillomavirus vaccination practice and its associated factors among secondary school female students in Nekemte town, Oromia region, Ethiopia, 2022 Methods and materials: A school-based cross-sectional study was conducted from May 13 to June 13, 2022 among female students in secondary schools in Nekemte town, Oromia region, Ethiopia. A total of 423 samples were selected using a computer generated simple random sampling technique. Data was collected using a structured and self-administered questionnaire. The study participants were informed of the need for this study. Epi Data version 4.6 was used for data entry and statistical packaging for social science (version 26) for data analysis. Binary logistic regression was calculated using the odds ratio with a 95% confidence interval. Variables with a p-value < 0.25 in the bi-variable analysis were taken into multi-variable analysis. Finally, variables with a p-value < 0.05 were declared as statistically significant. Result: The current study revealed that the magnitude of human papillomavirus vaccination practice was 52% (CI; 46.8-56.6) in the study area. Factors significantly associated with human papillomavirus vaccination practice were: having good knowledge of human papillomavirus and its vaccine (AOR = 5.79, CI; 3.34 - 10.03), having positive attitude towards human papillomavirus vaccination (AOR = 8.36, CI; 4.67 - 14.93), higher maternal education level (college and above) (AOR = 5.47, CI; 1.68 - 17.82) and urban residence (AOR = 4.12, CI; 1.86 - 9.31). Conclusion and Recommendation: in this study, the magnitude of human papillomavirus vaccination practice was low. Therefore, we recommend the Ethiopian Ministry of Health conduct mass HPV vaccinations and community sensitization to increase awareness and behavioral change education is necessary to enhance optimum coverage of the vaccine.

Objective The study aimed to investigate inter-professional collaboration and associated factors among nurses and physicians working in referral and teaching hospitals in the Northwest and Ethiopia in 2022. Method This study used a concurrent (quantitative cross-sectional and phenomenological qualitative) design from September to October 2022. A structured, self-administered nurse-physician collaborative scale questionnaire was used to collect quantitative data from 279 nurses and 87 physicians. A simple random sampling technique was used to select participants. The magnitude of the association was measured using the odds ratio at a 95% confidence interval and was statistically significant at a p-value less than 0.05 using binary logistic regression analysis. Qualitative data were collected from nine key informants via focused interviews or semi-structured in-depth interviews and analyzed using ATLAS.ti version 7.0.7 software via narratives using the thematic analysis method. Result According to the study’s findings, a greater number (43.4%) of the respondents had ineffective collaboration during their professional activities. In the final model of multivariable analysis, unsatisfactory organizational support, poor professional support, and poor interpersonal support were all independently associated with ineffective collaboration. The qualitative findings identified poor communication, a lack of professionalism, and failure to adhere to professional duties as barriers to nurse-physician collaboration. Conclusion In this study, nurse-physician collaboration was less than expected; thus, the large number of participants had ineffective collaborations. Potential predictors of decreased effective nurse-physician collaboration included dissatisfaction with organizational support, poor professional support, and poor interpersonal support. This outcome emphasizes the importance of improving nurse-physician collaboration by enhancing organizational, professional, and interpersonal factors to form effective collaborative practice. The qualitative finding supports the quantitative study, which showed ineffective collaboration. The authors recommended that there is a need to empower interprofessional collaboration among nurses and physicians through the creation of a conducive and safe working environment.