BACKGROUND: Premarital sex increases the risk of unintended pregnancy and sexually transmitted infections including HIV if unprotected and contraception is not used. Thus, the objective of this study was to assess premarital sex in the last twelve months and its predictors among regular undergraduate students of Wollega University. METHODS: A cross-sectional survey using pretested, structured questionnaire was conducted on a total of 704 regular undergraduate students of Wollega University from February to March, 2014. We used multistage sampling technique to recruit study participants. Binary and multivariable logistic regressions were performed using SPSS version 20 to assess predictors of premarital sex. Statistical significance was determined through a 95% confidence level. RESULTS: Wollega University youths who had premarital sex in the last twelve months were 28.4%; 55.5% of them did not use condom during last sex while 31.3% engaged in multiple sex. Being male .2(1.31-3.56)] were associated with increased odds of premarital sex in the last twelve months. CONCLUSION: Nearly one-third of regular undergraduate students of the university were engaged in premarital sex in the last twelve months. Being male, using social media frequently and alcohol use were associated with increased odds of premarital sex in the stated period. Thus, higher institutions have to deliver abstinence messages alongside information about self-protection.

Article Information HIV positive individuals may or may not have intention to have children. They could also have different degrees of utilization and demand for contraception. The desire of HIV infected persons to have children in the future has implication for the transmission of HIV to sexual partners or newborns. The study was designed to assess the fertility desire and contraceptive utilization among PLWHAs on ART in Hossana town. Institutional based cross sectional study supplemented by in-depth interview was conducted from January to March 2010 on total sample of 321 who were on ART. Women 18-49 years and men 18-59 years were included. Data was entered by using EPI info 2000 then exported and analyzed by SPSS 17.0. Total of 117 (36.45%) of respondents were desiring children. Respondents with no children (AOR 60.89, 95% CI 8.02-462.05), those who intended to use family planning in the future (AOR 4.35, 95% CI 1.61-11.73) were more likely to desire children. 102(31.8%) were using family planning. Being married (AOR 7.83, 95% CI 1.08-56.79), having three or more children (AOR 4.54, 95% CI 1.12-18.48), and having knowledge on mother to child transmission (AOR 4.29, 95% CI 1.98-9.26) plan to have children in the future (AOR 0.29, 95% CI 0.1-0.82) were significantly associated with family planning. A high proportion of HIV positive individuals desired children. A better and evidence based understanding of fertility intentions and demand for contraception was needed to promote and protect women and men living with HIV/AIDs to make informed decisions about reproduction and to have access to appropriate sexual reproductive health services.

Article Information Understanding fertility desire and reproductive health care needs of HIV positive men and women in the era of better access to antiretroviral therapy and improved health status is important in planning and organizing appropriate health services. To assess the fertility desire and reproductive health care needs of men and women living with HIV/AIDS in Nekemte town, East Wollega, Ethiopia. A facility based comparative cross-sectional study was conducted among PLHIV both men and women from February to March 2010 on a total sample of 592 respondents in Nekemte town using structured questionnaires complimented by an in-depth interview. Men had higher desire to have a child than women (40.5% versus 30.7%). Men and women who were sexually active in the six months prior to survey were 78.4% and 61.8% respectively. Being male (AOR: 1.

Background: About 24% of married woman have unmet need for Family Planning in Sub-Saharan Africa and 25.3% of currently married women had unmet need for family planning in Ethiopia. Objective: To assess the level of unmet need for family planning and related factors among currently married 15-49 years old women in Sibu Sire District, November 2016. Methods: A cross-sectional study was conducted. Multi-stage sampling technique to select 616 study units was used. Qualitative data was collected by focus group discussion and in-depth interview. Quantitative data was entered into SPSS version 20 and transcripts of the recorded discussions have been coded and analyzed manually. A p-value<0.05 was considered as statistically significant. Result: Total unmet need for family planning among study group was 20.94%, and (13.14%, 7.8% for spacing and limiting respectively). Educational status of respondent (AOR=2.6, 95% CI: 1.3, 5.1), visiting health facility (AOR=3.6, 95% CI:1.9, 6.8), visited by health care workers at their home (AOR=3.7, 95% CI: 2.1, 7.3), attitude of respondents towards Family Planning use (AOR=9.1 95% CI: 4.9, 16.5), discussion with partners about Family planning (AOR=2.9, 95% CI: 4.1, 5.7), number of living children (AOR=5.5, 95% CI: 1.2, 25.1) and exposure to medias (radio/television) (AOR=4.7 95% CI: 2.8, 8.5) were predictors of unmet need for Family Planning. Conclusion and Recommendations: The total unmet need for family planning is still high. Integrating family planning with other health care service in health facility and emphasizing on delivery of important messages through public media were recommended activities to overpass the gap demand and unmet need for family planning.

Article InformationThe objective of the study was to identify factors affecting utilization of prenatal care and skilled birth attendant in East Wollega zone. Prenatal care and skilled birth attendant are crucial factor which affects the health and wellbeing of the mother and newborn and help the women to access skilled assistance, drugs, equipment and referral linkages. Even though, antenatal care coverage was relatively high in Oromia region (31.3%), skilled birth attendant utilization was low (8%). A total of 320 respondents were included in the study and data were collected using structured questionnaires. Data were first checked manually for completeness and then coded and entered into Epi Info version 6.04 and analyzed using SPSS version 20.0. Bivariate analyses between dependent and independent variable was performed using binary logistic regression separately. To control the effect of confounding variables, multiple logistic regressions were done. Multivariable logistic regression was used to identify predictors' of prenatal care.