BackgroundHealth management information system (HMIS) is a system whereby health data are recorded, stored, retrieved and processed to improve decision-making. HMIS data quality should be monitored routinely as production of high quality statistics depends on assessment of data quality and actions taken to improve it. Thus, this study assessed accuracy of the routine HMIS data.MethodsFacility based cross-sectional study was conducted in Southern Nations Nationalities and People’s region in 2017. Document review was done in 163 facilities of different levels. Statistical Package for the Social Sciences (SPSS) for windows version 20 was used to perform data analysis. Data accuracy was presented in terms of mean and standard deviation of data verification factor.ResultsThough inaccuracy was noted for all data elements, 96.9 and 84.7% of facilities reported institutional maternal death and skilled birth attendance within acceptable range respectively while confirmed malaria (45.4%), antenatal care fourth visit (46.6%), postnatal care (55.2%), fully immunized (55.8%), severe acute malnutrition (54.6%) and total malaria (50.3%) were reported accurately only by about half of facilities. Antenatal care fourth visit was over reported by 24% while total malaria was under reported by 28%. Reasons for variations included technical, behavioral and organizational factors.ConclusionsMajority of facilities over reported services while under reporting diseases. Data quality should be monitored routinely against data quality parameters quantitatively and/or qualitatively to catch-up country’s information revolution agenda.

Introduction: A worldwide estimated annual case of cervical cancer is 493,000 and ends with 273,500 annual deaths. In developing countries, it accounts for about 85% of both its morbidity and mortality. According to the report from World health organization, globally in 2012, cervical cancer incidence was 7.9%, mortality 7.5% and five-year prevalence was 9%. In sub-Saharan Africa the incidence was 25.2%, mortality 23.2% and five-year prevalence was 27.6%. In Ethiopia the incidence was 17.3%, mortality 16.5% and five-year prevalence was 18.2%. Results: from the screened clients, 16.5% had cervical cancer. From the screened and diagnosed clients those with multiple sexual partners had 40 times higher odd of cervical than those with no multiple sexual partners. This study revealed that being Human immune deficiency virus positive (AOR=9.033: 95%: CI 4.537, 17.985), sexually transmitted infection history (AOR=8.364:95% CI: 5.639, 12.405) and early age at initiation of sexual intercourse (AOR=8.968:95%: CI 5.588, 14.393) have statistically significantly associated with cervical cancer in multivariate analysis Conclusion: Of screened clients, 16.5% were with acetone white lesion and the risk factors for cervical cancer were having multiple sexual partners, human immune deficiency virus positive, history of sexually transmitted infection and early age at initiation of sexual intercourse. Early screening on mass campaign and focus from the government and other stake holders by strengthening both cancer prevention and control program and implementation strategies through due attention on the associated risk factors of the study. Methods

No abstract

Background: Changes in the total fertility rate-lifetime births per woman have dramatic effects on population size. More than 100 million women in developing countries, or about 17 present of all married women would prefer to avoid a pregnancy but are not using any form of family planning.Method: Cross-sectional study including both quantitative and qualitative surveys. Multistage stratified sampling was employed considering all governmental and private non health post-secondary institutions.Result: Mothers level of education has a significant gross effect on awareness of emergency contraception (OR=0.848, P<0.01). Respondents who had no experience of communicating with their respective mother was lower by 62.6% as compared with those who had experience of discussion about reproductive health issues with their mothers (OR=0.374, P<0.001). Those who had no experience of communicating with their respective partner was less by 71.2 (OR=0.288, P<0.01) as compared to those who had no experience. Female students who never had sexual intercourse was less by 71.4% as compared with their counter parts (OR=0.286, P<0.05). Those who had no experience of discussion with their respective mothers and who had no experience of discussion with sexual partner were found less by 59.1% (OR=0.409, P<0.01) and 64.8% (OR=0.352, P<0.001) respectively. Respondents who have no intention to use modern contraceptives and who had poor knowledge of EC was less by (OR=0.272, P<0.05) and OR=0.194, P<0.01) respectively. Conclusion:Building providers' capacity through in-service and pre-service trainings with emphasis on methods regimen available for different products and method of teaching and counseling of clients according to the method guideline became very vital.

Background: The problem of home delivery and maternal mortality is still the problem which is ubiquitous in most developing countries like Ethiopia. Trendy home delivery practices due to cultural norms, beliefs, perceptions and knowledge of women were deterrent to maternal health service utilization. Methods:A community based cross sectional study with internal comparison was conducted on 756 women who have delivered in the last two years. Descriptive, bivariate and multivariate analyses were used to analyze the data. Odds ratio with 95% CI was estimated to assess the predictors of institutional delivery services.Result: Only 14.5% of the mothers delivered by skilled birth attendants, while a significant majority 83.3% gave birth at home. Maternal Knowledge about dangerous health problems related to pregnancy AOR (95% CI): 2.59(1.03,6.54), Lack of maternal knowledge about free delivery service AOR (95% CI): 0.02(0.01,0.06), Exposures to radio at least once a week AOR (95% CI):3.41(1.18, 9.89), husbands attendance during ANC AOR (95% CI): 4.08(1.25,13.32), knowledge of child birth need health professional help AOR (95% CI):3.60 (1.40,9.30), Expecting birth complication during delivery AOR (95% CI): 3.68(1.41,9.65), preference of hot food AOR (95% CI): 0.03(0.01,0.12), a need to buried placenta immediately at home AOR (95% CI): 0.02(0.01,0.05) were important predictors of institutional delivery services. Conclusion:The study indicates that there is low utilization of institutional delivery service. Knowledge of mothers, exposure to radio, husband attendance at ANC, preference of hot food, a need to buried placenta immediately at home were found to be factors affecting utilization of institutional delivery services.