Background College students’ academic performance plays an important role in producing the best quality graduates who was become great leaders and manpower for the country contributing to the nation’s economic and social development . From our best knowledge there is information gap that shows students academic achievement and associated factors in study area.Objective To assess college students academic achievement and associated factors among level 3 and 4 students at Mizan Aman College of health science Bench Maji Zone, South west Ethiopia.Methods Institution based cross sectional study design was employed. 265 students were randomly selected from different departments of college. Interviewer administrated Structured questionnaires adopted from tools used by other studies was used to collect data. Ethical clearance was obtained from Ethical review committee of Mizan Aman College of health science research and publication office. Objective of the study explained to participants and informed consent was obtained before conducting interview.Result: - From a total of 265 sample size, 250 were completed interview and giving 94% response rate. Student’s academic performance which is measured based on whether the students have passed or not the center of competency examination in Mizan Aman collage of health science. Those who passed was found to be 53.3%. In multivariate logistic regression analysis three variables were statistically significant with low student’s academic performance. Those who had habit of reading in library (AOR=3.13, 95% CI: 2.02, 9.27), Attending class regularly (AOR=2.20, 95% CI: 1.28-3.80) and having no history of substance use (AOR=4.14 95% CI 1.65, 22.79) were found to be significantly associated with students academic performance. Conclusion and recommendation According to this study, student’s academic achievement was low which needs further attention to work on reading habits of students, behavioral changes such as restraining from substance use. Regular class attendance is significant factor to influence students’ academic achievement positively or negatively. Therefore, college deans department co-coordinators as well as instructors should focus on students class attendance regularly.
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