Background: Ethiopia is one of the sub-Saharan African countries where the young population is densely found. Many studies reveal that the magnitude of risky sexual behavior is high in the youth. The consequences of risky sexual behavior developed during youth life may affect the sexual behavior in adult life, such as increasing the risk of acquiring and transmitting sexually transmitted infections, and predisposing to unwanted pregnancies. Our objective was to assess the risky sexual behaviors among daily laborers in Arjo-Didessa Sugar Factory, Jimma Arjo district, East Wollega zone, Southwest Ethiopia. Methods: An institution-based cross-sectional study was conducted among 422 randomly selected daily laborers in the Arjo-Didessa sugar factory. For the quantitative and qualitative study, a simple random and purposive sampling technique, respectively, was employed to select the study participants. After data collection, data were checked manually for completeness, and then cleaned and entered into EPI info version 7. Statistical analyses like descriptive, bivariate, and multivariate logistic regression were performed using SPSS version 24 to determine the association between predictors and outcome variables with the help of the calculated frequencies and odds ratio with 95% confidence interval, while a p-value of less than 0.05 was taken as statistically significant. Results: The mean age of study participants was 22.15 and standard deviation of ±2.9 years. Among the study participants who responded to having sex in the past 12 months, 171 (57%) with 95% confidence interval (0.51, 0.63) had ever experienced risky sexual practices. The findings of this study indicated that age from 20 to 24 years (adjusted odds ratio = 3.9, 95% confidence interval: 1.19–12.90), marital status (single) (adjusted odds ratio = 5.5, 95% confidence interval: 1.98–15.70), khat chewing (adjusted odds ratio = 7.12, 95% confidence interval: 2.2–23.4), influence of alcohol for sex (adjusted odds ratio = 3.7, 95% confidence interval: 1.1–12.23), watching pornographic films (adjusted odds ratio = 4.2, 95% confidence interval: 1.5–12.2), and having income less than US$17 (adjusted odds ratio = 0.03, 95% confidence interval: 0.01–0.77) and US$17–US$52 (adjusted odds ratio = 0.23, 95% confidence interval: 0.06–0.85) were significantly associated with risky sexual behavior. Conclusion: This study indicated that there are high-risk sexual practices among the study population. Age, marital status, income level, khat chewing, the influence of alcohol consumption to have sex, and pornographic viewing were found to be predisposing factors of the risky sexual behaviors among daily laborers at the Arjo-Didessa sugar factory. Enhancing sexual education and consulting the targeted groups for the behavioral change is highly advisable, which can reduce the consequences of risky sexual practices that prevailed in the study area.

Background: Millions of people throughout the world are using substances such as alcohol, nicotine, cocaine, methamphetamine, morphine, marijuana, heroin and many others. Substance use by people in all parts of the world, particularly adolescents, has long been of scientific, political and public concern. Objective: -the main aim of this study was to prevalence of substance use & associated factors among Nekemte preparatory school students in 2019. Methodology:-. School based cross-sectional study was conducted among students at Nekemte preparatory school from March 20-30, 2018. Multistage stratified sampling method was employed to select 372 study participants. Collected data was cleaned and entered in to Epi info version 3.5.3 and transported to SPSS (statistical package for social sciences) version 20 for analysis. Descriptive statistics and logistic regression was done to indentify factors associated with substance use in the study area. Result: The overall prevalence of current substance use was (19.1%). Being male students [AOR, 95%CI; 4.64(2.18, 9.75)], ever encountered pressure from friends to use substances [AOR, 95% CI; 2.61(1.03, 6.63)], having substance user parents [AOR, 95%CI; 6.4(2.87, 14.30)] and having many substance user friends [AOR, 95%CI; 6.2(2.82, 13.75)] were significantly associated with substance use among students in the study area. Conclusion & Recommendation: The current prevalence of substance use among preparatory school students of this study area was low. The most commonly used substances were alcohol, khat and tobacco. Being male students, pear pressure, living with parents use substance & friends were found to affect substance use among Nekemte preparatory school students. Awareness creation sessions; Information, Education &Communication intervention should be intensified to further reduce Substance use among students.

Background: Ante natal care is a key entry point for a pregnant woman to receive abroad range of promotion and preventive health services. Objective: was to assess the quality of antenatal care services at public health facilities of western Ethiopia. Methods: Facility-based cross-sectional study was conducted from May 30th to June 30th, 2016. All public health facilities in the zone were audited, 316 medical records were reviewed, and 316 pregnant women were interviewed. The data was entered using EPI Data version 3.1 and analyzed using SPSS version 20.0. Descriptive statistics, binary, and multiple logistic regressions were conducted. Variables with a P-value of <0.05 were considered as statistically significant predictors of the outcome variable.Results: A total of 316 pregnant women were enrolled in the study. All facilities were categorized as “good” by the possession of necessary equipment, 3/4 by basic amenities and 87.34% by general and gynecologic examination. The information was provided for 222(86.21%), which is categorized as poor.252 (79.7%) of the women were satisfied with ANC. A urine sample taken during ANC visit AOR 3.36(1.70, 6.61) and counseling on food eaten during pregnancy AOR 2.27(1.16, 4.45) were predictors of client satisfaction on ANC. Conclusions: The majority of pregnant women were satisfied with the ANC they received. A urine sample taken during the ANC visits and being counseled on the types of food eaten during pregnancy were predictors for client satisfaction on ANC. Concerned bodies need to improve laboratory tests and information provision.

Background: Premarital sexual practice is a sexual intercourse performed before formal marriage. Premarital sexual practice increases adolescents risk for having multiple sexual partner, infection with (Human Immuno Deficiency Virus) HIV, other (sexually transmitted desease) STDs and unintended pregnancy.Objectives: Was to assess the prevalence of premarital sexual practice and associated factors among secondary school (9-12 grade) students in Jimma Arjo district. Methods: Inistitutional based cross-sectional study design was conducted among adolescent students from may 1st to 15th using a pre-tested and structured questionnaire. Systematic random sampling technique was employed to select study participants. The collected data was cleaned and entered into(statistical package for social science) SPSS version 20. Factors associated with pre marital sexual practice were identified by multiple logistic regression analysis.Resulst: Over all premarital sexual practice was 24.4%. Being alcohol drinker(AOR[95%CI]=3.78[1.49,22.08]),havingboy/girlfriend(AOR[95%CI]=5.07[3.74,26.47]), (beingmale??) (AOR[95%CI]=2.9[1.78,37.8]); urban residence (AOR[95%CI]=6.44 [1.95,25.84]). Conclusion: In this study the premarital sexual practice was high. Being male sex, urban residence,using alcohol use and having boy /girl friend significantly affect premarital sexual practice. Therefore, school and community basedhealth information, education and communication need to be intensified to reduce the premarital sex and further health concequences.