Introduction The hepatitis B vaccine is the backbone of hepatitis B prevention. All health care workers must receive a full-dose (3-dose vaccine series) to achieve >90% protection against hepatitis B virus. There is limited evidence available on vaccination coverage of HBV among health care workers in Ethiopia. Therefore, the objective of this study was to estimate the national full-dose hepatitis B vaccination coverage and the associated factors among health care workers in Ethiopia. Methods Studies were retrieved from PubMed, EMBASE, Web of Science, SCOPUS, CINAHL, and Google Scholar by using a combination of search terms with Boolean operators. The quality of each study was evaluated independently by three authors using the modified Newcastle-Ottawa Scale (NOS) for cross-sectional studies. Statistical analyses were performed using STATA™ Version 14 software. Meta-analysis was carried out using a random-effects (DerSimonian and Laird) method. The heterogeneity test was conducted by using I-squared ( I 2 ) statistics. Leave-one-out sensitivity analysis was performed. Results A total of 15 articles with 5734 participants were included in this systematic review and meta-analysis. The pooled prevalence of full-dose hepatitis B virus vaccination coverage among health care workers in Ethiopia was 20.04% (95% CI: 13.83, 26.26); I 2 = 98.9%). Being male sex ( p = 0.002), having work experience of less than 5 years ( p < 0.001), educational level of diploma and below ( p = 0.003), health care providers who received training on infection prevention ( p < 0.001), and those who had a history of exposure to blood and body fluids ( p = 0.001), were factors significantly associated with full-dose hepatitis B virus vaccination. Conclusion The national full-dose hepatitis B vaccination coverage among health care workers was low. Training of health care workers in infection prevention, particularly in hepatitis B and testing and providing hepatitis B vaccination for newly recruited staff and every 5 years for those long-term workers were recommended to increase the uptake of the vaccine.

Background: The nutritional status of lactating women is very important since it also affects the health of their children. However, there was limited information on maternal nutrition status in low-income countries like Ethiopia, especially in the study area.Objectives: Determine magnitude of undernutrition and associated factors among lactating womenMethods: Institutional based cross-sectional study was conducted among 422 lactating women in Dire Dawa town health facilities from February 10/02/2019 – March 30/ 03/2019.Result: Prevalence of undernutrition was 22 %. Women who age 15-25 years were four times more likely undernourished than older [AOR=4.04(CI: (1.74, 9.40)]. Unable to read and write Women were almost five times more likely to be undernourished than formal education [AOR=4.76 CI: (2.31, 9.81)]. Women who have family size >7 were six times more likely to be undernourished than family size < 3 [AOR=5.53 CI :( 1.15, 26.53)]. Women not take additional food during lactating were 4.5 times more likely undernourished than take additional food [AOR=4.56 CI (1.50, 13.9)]. DD score < 5 were four times more likely to be undernourished than (>= 5) DD [AOR= 4 CI: (2.02, 7.90)].Conclusion: Prevalence of undernutrition in the study area was high: Factors associated with underweight were: Age of lactating women, Education status, Family size, Additional food during lactation and DD score. Thus, multi-sectoral collaboration targeted at improving women’s educational status and increasing food during lactation need to be emphasized.

Background Patient preference has preceded the use of health care services, and it has been affected by different hospital attributes. Meanwhile, the number of patients receiving vital health intervention is particularly low in Ethiopia. Therefore, this study aimed to determine the effect of hospital attributes on patient preference for outpatients in the Wolaita area in September 2020. Methods A discrete choice experimental study was applied to determine the effect of hospital attributes on patient preference with a sample size of 1077. The experimental survey was conducted among outpatient attendants selected through a systematic random sampling approach. Six key attributes (competence of healthcare providers; availability of medical equipment and supplies; cost of service; wait time; distance; and hospital reputation) deduced from various hospital attributes were used to elicit the patient preferences. The data was collected from participants through the Open Data Kit application. A random effect probit model with marginal willingness to pay measure and partially log-likelihood analysis was applied to extract important attributes. We used STATA version 15 software for analysis, and the fitness of the model was verified by the calculated p-value for the Wald chi-square with a cut-point value of 0.05. Result One thousand forty-five patients who received outpatient care participated in the study. The random effect probit results have shown that all hospital attributes included in the study were significantly valued by patients while choosing the hospital (p-value < 0.001). Meanwhile, based on marginal willingness to pay and partial log-likelihood analysis, the competence of health care providers was identified as the most important attribute followed by the availability of medical equipment and supplies in hospitals. Conclusion and recommendation The results suggested that the quality of health care providers and availability of medical equipment and supply in hospitals would be primary interventional points for improving the patient preference of hospitals. Assessment, education, and training are recommended for enhancing the quality of health care providers. And stock balance checks, inspections, and accreditation are believed to be valuable for improving the availability of equipment and supply in hospitals.

Background Proper utilization of integrated community case management service has a significant contribution in reducing the under-five children mortality. However, the utilization of integrated community case management service is low especially in developing countries like Ethiopia. Therefore, this study was planned to assess the utilization of integrated community case management service and associated factors among mother/caregivers who have sick children aged 2–59 months in Boloso Sore Woreda, Southern Ethiopia. Methods Community-based cross-sectional study design was done from January 15-February 15, 2018. Face to face interview was conducted using pre-tested structured questionnaire. Bivariable and multivariable logistic regression analysis were carried out to assess the association between independent and outcome variables. Odds ratio along with 95% confidence interval and p-value <0.05 were estimated to measure the strength of the association and statistical significance. Results The magnitude of the utilization of integrated community case management service was 25.3%. Mothers/caregiver’s education of secondary and above (AOR=4.15, 95% CI: 1.94–8.90), mothers/caregivers having good knowledge about childhood illness (AOR=2.00, 95% CI: 1.08–3.69), the previous visit of mothers/caregivers to health post (AOR=2.92, 95% CI: 1.01–8.54), short distance to health post (AOR=2.42, 95% CI: 1.02–5.76), the child with cough (AOR=2.52, 95% CI: 1.13–5.63) and mother’s/caregiver’s perception of high severity of illness (AOR=2.51, 95% CI: 1.19–5.27) were significantly associated with utilization of integrated community case management service. Conclusion The magnitude of the utilization of integrated community case management was low in the study area. Mother/caregiver’s education of secondary and above, having good knowledge of childhood illness, history of mother’s/caretaker’s visit to the health post, short distance to the health post, and perceived high severity of disease and presence of cough were factors significantly determining service utilization. Therefore, health education should be provided to mothers by Health Extension Workers, community leaders, and organizations.

Introduction Post cesarean section surgical site infection increases both the duration of a patient’s hospital stay and unplanned hospital costs. It can delays recovery, prolongs hospitalization, necessitates readmission, and adds to hospital bills and other morbidities as well as mortalities. Method Facility-based case-control study was conducted from 1st March to 20th April, 2019 among all the mother records enrolled from 1st January to 31st December, 2018 at Public hospitals in Dire Dawa administration. The records of the mothers’ who had post-cesarean section surgical site infection (119) was extracted by a census and every three consecutive controls (357) for each case were collected by trained data collectors using a structured data extraction tool. Variables which had p-value <0.25 in bivariate analysis were considered as candidates for multivariable analysis. Statistical significance was declared at P-value ≤0.05 with adjusted odd ratio and 95% confidence interval in the multivariable logistic regression model. Result Age 20–34 years (AOR:5.4; 95%CI:2.35,12.7), age >35 years (AOR:8.9; 95%CI:1.8,43.9), ≥4 per vaginal examinations (AOR: 4.2; 95%CI:2.16,8.22), current history of Chorioamnionitis (AOR:5; 95%CI:1.05,23.9), previous history of cesarean section (AOR:6.2; 95%CI: 2.72,14.36), provision of antibiotics prophylaxis (AOR:3.2; 95%CI:1.81,5.62), perioperative HCT level <30% (AOR:6.9; 95%CI:3.45,14.1) and duration of rupture of membrane >12 hours (AOR:5.4; 95%CI:1.84,15.87) were the independent determinants of post-cesarean section surgical site infection. Conclusion Increased in age of the mother, higher number of per vaginal examination, having a history of chorioamnionitis, having previous history of cesarean section, not receiving antibiotics prophylaxis, lower perioperative hematocrit level and longer duration of rupture of membrane were statistically significant in multivariable analysis. Therefore; emphasis should be given for mothers who have higher age category, previous cesarean scar and history of choriamnionitis. In addition; provision of antibiotics should be comprehensive for all mothers undergoing cesarean section.