Background. Cervical cancer is a complication of Human Papillomavirus (HPV) infection is the second most common cancer in women worldwide. Eighty percent of the cases occur in low-resource countries. According to the 2009 World Health Organization report, the age-adjusted incidence rate of cervical cancer in Ethiopia was 35.9 per 100,000 patients with 7619 annual number of new cases and 60-81 deaths every year. The study is aimed at assessing the level of knowledge, attitude, and practice concerning cervical cancer among female students at Adama Science and Technology University. Methodology. An institutional based cross-sectional study was conducted among 667Adama Science and Technology University female students. A simple random sampling method was used to select the respondents. Structured self-administered questionnaire was used for data collection. Results. About 404 (60.6%) of the participants heard about cervical cancer, 478 (71.7%) had positive attitude towards cervical cancer screening, and only 15 (2.2%) participants were screened for cervical cancer. Lack of information about cervical cancer was the most reported reason for not attending to cervical cancer screening. Conclusion and Recommendation. The study showed that there was low knowledge on cervical cancer and screening for premalignant lesion among women. There is a need to promote and encourage women to early cervical cancer screening at precancerous stage by informing their susceptibility to cervical cancer.

A major public health problem in developing countries including Ethiopia is related with poor sanitation and hygiene. Globally, over 2.5 billion people are still without access to improved sanitation. In 2010, 15% of the population still practice open defecation. The main objective of this study was to compare the latrine utilization rate and identify determinant factors among kebeles implementing and not implementing Urban Community Led Total Sanitation and Hygiene (UCLTSH) in Hawassa town. Comparative cross sectional study design was carried out in Hawassa town in 704 households in 3 kebeles undertaken UCLTSH and in randomly selected comparison 3 kebeles where UCLTSH was not implemented. Data entry and cleaning was undertaken by using EPI-info version 3.5.3 and analyzed using SPSS version 20. Multivariate logistic regression was used for independent variables with statistical significant association in bi-variate analysis. In this study, majority of the households 318 (90.3%) of UCLTSH implementers and 299 (85.4%) of non-implementers utilized latrines. The odds of latrine utilization were 1.59 times among households implementing UCLTSH compared with that among non UCLTSH [OR 1.59, 95% CI (1.00, 2.53)]. In relation to functional latrine, it was one of the factors affecting latrine utilization [AOR 28.26, 95% CI (13.03, 61.27)]. This study shows communities implementing urban community led total sanitation and hygiene was better in latrine utilization and having latrine facility than non-implementers. It is recommended that the town health office and municipality should expand the UCLTSH to other kebeles of the town.

Background: The proportion of births attended by skilled health personnel in Ethiopia is very low and the maternal mortality ratio currently is 676 per 100,000 live births. This study aimed at assessing level of institutional delivery service utilization and associated factors among mothers who gave birth during the last 12 months prior to the study in Hetosa district, Arsi zone Ethiopia. Methods: Community based cross sectional study design was conducted among 735 mothers who gave birth within last one year at Hetosa District in 2015. The collected data were entered into computer usingEpi-info version 3.5.1 and exported to SPSS version 20 software for analysis. Univariate, Bivariate and multivariate analysis were done. Significance level and association of variables was tested by using 95% confidence interval (C.I) and odd ratio and p-value less than 0.05 was taken as statistically significant. Result: Forty nine percent of the respondentsgave birth at health facilities and 98% delivered at public health facility. Out of those mothers who delivered at home, 36% were assisted by neighbor and the main reason for their home delivery was easy (precipitate) labor and very short duration which force mother to deliver at home 89% followed by transport problem (7.2%). According to multivariate regression analysis mothers who reside in urban, did not live with her husbandand had one live birthwere more likely to give birth at health institution when compared to their counter parts. Conclusion and recommendation: This study revealed that institutional delivery was high as compared to some of the studies conducted on different parts of the country. Policy makers and health care planners need to recognize the factors hampering institutional delivery and work on improving the situation.

Background Severe Acute Respiratory Syndrome (SARS COV-2) known as COVID-19 since its outbreak in 2019, more than 375 and 5.6 million were infected and dead, respectively. Its influence in all disciplines stimulated different industries to work day to night relentlessly to develop safe and effective vaccines to reduce the catastrophic effect of the disease. With the increasing number of people globally who have been vaccinated, the reports on possible adverse events have grown and gained great public attention. This study aims to determine post-COVID-19 vaccination adverse effects and associated factors among vaccinated Health care providers in the Oromia region, Ethiopia in 2021. Methods A cross-sectional study was conducted among 912 health care workers working in government hospitals in the central Oromia region from November 20 to December 15/2021. Respondents absent from work due to different reasons were excluded during the interview. The outcome variable was COVID-19 side effects (response as Yes/No). A descriptive analysis displayed findings in the form of the frequencies and percentages, and logistic regression was employed to see the association of different variables with side effects experienced. Result Overall, 92.1% of the participants experienced side effects either in 1st or 2nd doses of post-COVID-19 vaccination; 84.0% and (71.5%) of participants experienced at least one side effect in the 1st and 2nd dose of the vaccines, respectively. COVID-19 infection preventive protocols like keeping distance, hand wash using soap, wearing mask and using sanitizer were decreased post vaccination. About 74.3% of the respondents were worried about the adverse effects of the COVID-19 vaccine they received. The majority (80.2%) of the respondent felt fear while receiving the vaccine and 22.5% of the respondents suspect the effectiveness of the vaccine they took. About 14.8% of the vaccinated Health workers were infected by COVID-19 post-vaccination. Engaging in moderate physical activity and feeling fear when vaccinated were the independent factors associated with reported side effects of post-COVID-19 vaccination using multiple logistic regression. Respondents who did not engage in physical activity were 7.54 fold more likely to develop post-COVID-19 vaccination side effects compared to those who involved at least moderate-intensity physical activity[AOR = 7.54, 95% CI;2.46,23.12]. The odds of experiencing side effects among the respondents who felt fear when vaccinated were 10.73 times compared not felt fear (AOR = 10.73, 95% CI; 2.47,46.64), and similarly, those who felt little fear were 4.28 times more likely to experience side effects(AOR = 4.28, 95% CI; 1.28, 14.39). Conclusion Significant numbers of the respondents experienced side effects post COVID-19 vaccination. It is recommended to provide pre-awareness about the side effects to reduce observed anxiety related to the vaccine. It is also important to plan monitoring and evaluation of the post-vaccine effect using standard longitudinal study designs to measure the effects directly.

Introduction: Use of substances such as alcohol, khat and tobacco has become one of the rising major public health and socio-economic problems worldwide. Many people at risk for or already infected with HIV abuse alcohol, contributing to the difficulties in preventing the spread of the infection and treating infected patients.Objective: The objective of the study was to assess prevalence of Substance use and associated factors among Retro Viral Infected (RVI) Patients on Antiretroviral Treatment (ART) at Assela Teaching Hospital, Assela Ethiopia. Methodology:A cross sectional study was conducted from June to August 2016 among 418 RVI patients who were on ART follow up at Assela Teaching Hospital. The participants were selected systematic random sampling. Socio demographic data and other relevant data was collected using semi structured questionnaire. The data was coded, cleaned and entered using Epi Info 3.5.3 then exported to Statistical Package for the Social science (SPSS) version 21 for further analysis. Descriptive statistics and logistic regression analysis was used. Results:The prevalence of substance use at least once in their lifetime among RVI patient was 27.5% whereas the prevalence of current substance use was 3.8% and Alcohol was predominantly abused drug. Alcohol was the being male and friend or family substance use was strong predictors of substance abuse among the respondents. Conclusion and recommendation:This study revealed that the prevalence of substance use among RVI patient was significant. We recommend that awareness creation about the influence of substance use on HIV by health professionals have invaluable benefit.