BackgroundDespite policy actions and strategic efforts made to promote sexual and reproductive health service uptake of youths in Ethiopia, its utilization remains very low and little information was found on the extent to which school youths utilize available reproductive health services in Nekempt town. This study was aimed to assess utilization of Sexual and Reproduactive Health (SRH) services and its associated factors among secondary school students in Nekemte town, Ethiopia.MethodA school based cross-sectional study design was conducted from April 18 to 22, 2016. Multistage cluster sampling technique was used to select a total of 768 students who attended secondary schools. Sexual and reproductive health services utilization was measured using one item asking whether they had used either of sexual and reproductive health services components during the last one year or not. The data was entered using EpiData Manager with Entry Client and further analysis was done using SPSS version 21 software. Descriptive statistics, cross tabulations, biviarate and multivariate logistic regression analyses were used. All variables were set by p-values less than 0.05 and reported by Adjusted Odds Ratio with its 95%CI.ResultOut of the 768 study subjects, 739 participants underwent all the study components giving response rate of 96%. About 157 (21.2%) school youths reported that they utilized SRH services. On multivariable logistic regression analysis after adjusting for other variable, discussion with health workers (AOR 3.0, 95%CI [1.7–5.2]), previous history of perceived Sexually transmitted infections (STIs) symptoms (AOR 2.6, 95%CI [1.2–5.5]), being ever sexually experienced (AOR 5.9, 95%CI [3.4–10.2]) and exposure to information from school teachers (AOR 0.36, 95%CI [0.2–0.6]) were found to be independent determinants of sexual and reproductive services utilization among secondary school youths. Inconvenient times, lack of privacy, religion, culture, and parent prohibition were barriers to SRH service uptake cited by the school youths.ConclusionsThe overall utilization of sexual and reproductive services was low among school youths in the town. Discussion with health workers, history of perceived STIs symptoms, sexual experience and information were the association factors of sexual and reproductive service utilization among secondary school youths.

Background To improve the quality of services, satisfying patients is the primary goal of the Ethiopian reform programme. Objectives To assess patient satisfaction and associated factors among clients admitted to obstetrics and gynecology wards of public hospitals in Mekelle town. Method: Institution-based cross-sectional study design was conducted on 413 participants using systematic sampling methods. Data were collected from March 9 to May 8, 2016, using structured questionnaires. Data were entered and cleaned in Epidata 3.1 and analysed using SPSS V20 with binary logistic regression model. Result. The observed satisfaction rate was 79.7% at 95% CI (75.8%, 83.6%). Clients were dissatisfied towards well-describing side effects of medication, informing what the medication is used for before prescribing and administering, cleanness of toilet and washroom, and access to drinking water, latrine, and hand-washing facility. Respondents live in rural area, stayed < 4 days, admitted for the first time, admitted in Mekelle General Hospital, and who reported their feeling on ways privacy was assured were more likely satisfied than their counterparts. Conclusions The observed satisfaction rate is high. So, policymakers, Regional Health Bureau, hospital managers, caregivers, and researchers should plan and work together to keep track of patient satisfaction. Areas patients are dissatisfied should also improve.

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Typhoid fever (TF) is a systemic infection caused by the bacterium, Salmonella typhi. Globally, 22 million illnesses and 216,000 deaths occurred annually. The woreda WAS have alerted the outbreak on 27 July, 2016. The objective of this study was to investigate typhoid fever outbreak in Dera Kebele of Ofla woreda, Tigray Region, Ethiopia. Here, a suspected TF case was defined as any person with gradual onset of remittent fever in the first week, headache, arthralgia, anorexia, constipation and or abdominal pain. 45 cases were compared to 90 controls via unmatched case-control study (1:2) using pretested structured questionnaire. Cases were selected randomly. Nine blood and water samples from two sites were collected for microbiological analysis. Data were entered into Epi info 3.5.1 and analyzed using SPSS version 16; multivariate logistic regression was utilized to identify independent factors associated with TF contraction. The significance of association was constructed using odds ratio with its 95% confidence intervals. Results revealed that a total of 98 cases with one death were identified within one week (August 1 to 8, 2016). Overall, 23.2 per 1000 population attack rate with 37 per 1000 population of highest age-specific attack rate in the age group 25-44 were reported. Faecal coliforms were isolated from two water samples and all the nine blood samples were reactive for Salmonella Typhi H (Flagella) and O (somatic) antigen. Not washing hand after toilet [AOR 4.7; 95% CI (1.75-12.6)] and unhygienic house and environment [AOR 3.09; 95%CI (1.36-7.06)] were risk factors for contracting disease but not storing food for later use [AOR .28; 95 %( 0.12, 0.67)] was protective factor. Thus, not washing hand after toilet and unhygienic house and environment were risk factors; hence not storing food for later use was a protective factor. Monitoring environmental sanitation, food hygiene and hand washing practices should be promoted to prevent the disease.