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Background: Neonatal mortality is a significant problem in many low-resource countries, yet for every death there are many more new-born who suffer a life-threatening complication but survive.Neonatal near miss has been proposed as a tool for assessment of quality of care in neonates who suffered any life-threatening condition. However, there was limited evidence on magnitude of neonatal near miss and determinant factors in Ethiopia. The aim of this study was to assess proportion and associated factors of neonatal near miss among deliveries at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019. Methods: Institutional based cross sectional study was conducted from February 1, 2019 to April 30, 2019 among 404 live births. Structured and pretested questioner used for mothers and structured checklist for neonates. Bivariate and multivariate logistic regressions model were fitted to identify factors associated with neonatal near miss. An adjusted odds ratio with 95 % confidence interval (CI) was computed to determine the level of significant. Result: Proportion of neonatal near miss was found to be 23.3 % with 95% CI: (19.1% -27.7%). PrimiparousAdjusted odds ratio(AOR):2.01, 95%CI:(1.03-3.95), referral linkage AOR:3.23, 95%CI:(1.89-5.513), maternal perception of reduced fetal movementAOR:5.95, 95%CI:2.47-14.33, premature rupture of membrane AOR: 3.10, 95%CI: (1.27-5.59), prolonged labor AOR: 3.00, 95%CI:(1.28-7.06), obstructed labor/cephalo-pelvic disproportion AOR: 4.05; 95%CI: (1.55-10.57) and non-reassuring fetal heart rate pattern AOR: 3.75, 95%CI: (1.69-8.33) were significantly associated with neonatal near miss.Conclusion: Proportion of neonatal near miss in the study area was found to be higher than studies in WHO neonatal near miss systemic review. Efforts needed to continue compressive maternal and neonatal care to avoid preventable causes of neonatal morbidity and mortality . BackgroundNeonatal near miss is defined as a newborn who presented a severe complication in the first 28 days of life almost died but survived during the neonatal period [1,2].The near miss concept and indicators provide useful information to evaluate the quality of care and set priorities for further assessments and improvement of health care [1,3].Identification of neonatal near miss cases was based on two groups of criteria (pragmatic and management criteria). The pragmatic criteria; (Birthweight < 1750 g , Apgar score < 7 at 5 minutes and gestational age at birth < 33 complete weeks) and management criteria; ( parenteral antibiotic therapy up to 7 days and before 28 days of life,

Background and objectives: There are many newborns who suffer a life-threatening complication in many lowresource countries. Neonatal near miss has been proposed as a tool to evaluate and improve the quality of neonatal care. However, there has been limited evidence on magnitude of neonatal near miss and determinant factors in Ethiopia. The aim of this study was to assess proportion and associated factors of neonatal near miss among neonates delivered at

Background: Long-acting reversible contraceptive discontinuation is the removal or switch to other methods before completion of duration due to any issue. Discontinuation of these methods exposes a woman to unwanted pregnancy, unsafe abortions, and unplanned births that affect millions of women worldwide. Despite the improvement in the availability and utilization of these methods, discontinuation is becoming high. There is no study conducted on discontinuation and associated factors of long-acting reversible contraceptives in Bahir Dar city, Northwest Ethiopia.Objective: This study aimed to assess the proportion and associated factors of discontinuation of Long-Acting Reversible Contraceptives among women in health facilities of Bahir Dar city, Northwest Ethiopia from April 1 to May 30/ 2021. Methods: health facility-based cross-sectional study was conducted on 415 participants from April 1 to May 30/ 2021. Data were collected through a face-to-face interview-guided questionnaire by using a systematic random sampling technique. Epi Data version 3.1 and Statistical Package for Social Sciences version 25 were used for data entry and analysis respectively. Bivariable and multivariable logistic regression analysis were employed; a P-value of less than 0.05 was considered a statistically significant factor for discontinuation Results: The overall proportion of discontinuation of long-acting reversible contraceptives was 66.3% (95% CI: 61.42-69.13). No formal education (AOR=.49; 95% CI:0.30-0.82), primary school education (AOR=.39; 95% CI:0.18-0.81), desire to be pregnant in the near future (AOR=2.57; 95% CI:1.64-4.02), no past history of modern contraceptive utilization (AOR=2.01; 95% CI:1.19-3.38), lack of counseling about benefits (AOR=1.68; 95% CI:1.08-2.62) and side effects (AOR=1.95; 95 CI:1.21-3.16) were the associated factors for discontinuation.Conclusion: The overall discontinuation of long-acting reversible contraceptives among women was low compared to Ethiopian Demographic Health Survey 2016. Education, the desire of pregnancy shortly, no history of contraceptive utilization, lack of counseling about the benefits, and side effects were factors for discontinuation. Therefore, health professionals better give counseling, implement early management of side effects and reassure clients of any concerns.

Background Worldwide teenage pregnancies develop many devastating complications, both the mother and the neonate like developing anemia, nutritional deficiency, pregnancy induced hypertension, preterm baby, inadequate weight gains and obstructed labor, fistula and sepsis. Reproductive health concerns of adolescents the main emphasis area which increasing international attention in recent years. Therefore, we intended to assess the magnitude and its associated factors of teenage pregnancy in Bahir Dar city administration health institutions, northwest, Ethiopia, 2017. Methods A health institution based a cross-sectional study was conducted among pregnant mothers from February 20-March 27, 2017 in Bahir Dar city administration. Five hundred forty-nine participants were selected by face to face interview and medical card review by using systematic random sampling technique every four intervals for each health institution. Bivariate and multivariate data analysis was performed using Statistical Package for the Social Sciences (SPSS) Windows version 21 and level of significance of association was determined at P- value < 0.05. Result The study identified 12.2%with (95%CI (9.5, 14.9)) of pregnant women were teenagers. Multivariable logistic regression analysis showed that: [(AOR (95% CI)) rural residency 3.21(1.234, 9.345), age at first marriage < 18 years 9(7.823, 17.571) and not using contraception prior to this pregnancy 5.22(3.243, 11.675)] were significantly associated with teenage pregnancy. Conclusion The magnitude of teenage pregnancy was comparable to the 2016 Ethiopian demographic health survey finding. Rural residency, age at first marriage and not using of contraception prior to the current pregnant were significantly associated with teenage pregnancy. As per the findings, awareness creation to the rural population, advocating utilization of contraception, avoid early marriage and put the mindset the effect of teenage pregnancy for those are needed.