Background Low birthweight (LBW) remains the most important risk factor which attributed to mortality of 15–20% of newborns across the globe. An infant with low birthweight is more likely to have stunting in childhood and develop markers of metabolic risk factors at his later age. Furthermore, LBW is a risk for inter-generational assaults of malnutrition as it is the risk for sub optimal growth until adulthood, affecting women’s and male’s reproductive capabilities. Thus, there is enough concern to study the determinants of LBW across different settings. Accordingly, this study was conducted to assess the determinants of low birthweight s in public health facilities of Nekemte town, West Ethiopia. Methods Facility based unmatched case control study was employed from February to April 2017. The data were collected using structured, pretested interviewer administered questionnaire in all public health facilities of Nekemte town. Consecutive live births of less than 2500 g in each of the hospitals and health centres were selected as cases and succeeding babies with weights of at least 2500 g as controls. Data were entered in to Epi-data software version 3.1 and exported to SPSS Version 21 and analyzed using frequency, cross-tabs and percentage. Factors with p -value < 0.25 in Bivariate analysis were entered in to multivariable logistic regression and statistical significance was considered at p -value < 0.05. Result A total 279 (93 cases &186 controls) were included in the study with a mean birthweight of 2138.3 g ± SD 206.87 for cases and 3145.95 g ± SD 415.98 for controls. No iron-folate supplementation (AOR = 2.84, 95% CI, 1.15–7.03), no nutritional counselling (AOR = 4.05, 95%CI, 1.95–8.38), not taking snacks (AOR =3.25, 95%CI, 1.64–6.44), maternal under nutrition (AOR =5.62, 95%CI, 2.64–11.97), anemia (AOR = 3.54, 95%CI, 1.46–8.61) and inadequate minimum dietary diversity score of women MDDS-W (AOR = 6.65, 95%CI, 2.31–19.16) were factors associated with low birthweight . Conclusion Lacking nutrition counselling during pregnancy, lacking iron/folic acid supplementation during pregnancy, not taking snacks during pregnancy, maternal under-nutrition, maternal anemia and inadequate minimum dietary diversity score of women (MDDS-W) were independently associated with LBW. Thus, public health intervention in the field of maternal and child health should address these determinants.

BackgroundA woman’s satisfaction with labour and delivery care service has a good effect on her health and subsequent utilization of the services. Thus knowledge about women’s satisfaction on labour and delivery care used to enhances the services utilization. The objective of this study was to assess the satisfaction of women’s towards labour and delivery care service and identify factors associated it at public health facilities in Arba Minch town and the surrounding district, Gamo Gofa zone, southern Ethiopia.MethodsFacility based cross sectional study was conducted among women who gave birth at public health facility. A total 256 women who gave birth during the study period were included in the study. Data was collected using a structured questionnaire. Satisfaction level was measured using a 5 point- likert scale questions. Data were entered using Epi data version 3.5.1 and analyzed using SPSS 20.0 statistical software. Factor analysis was employed for likert scale questions to extract factor represented each of the scale which facilitate treatment of variable as continuous for further analysis. Bi-variate and multivariable logistic regression analysis was employed to identify association between women’s satisfaction and predicator variables. Statistical significance was declared at P value <0.05 on final model. The strength of association was interpreted using the adjusted odds ratio and 95 % CI.ResultThis study revealed that 90.2 % of women who gave birth in public health facilities were satisfied with labour and delivery care. Factors associated with women’s satisfaction with labour and delivery care services include: not attending formal education [AOR = 8.00, 95 % CI = (1.52, 12.27)] attending antenatal care four times and more [AOR = 5.00, 95 % CI = (1.76, 14.20)] waiting below 15 minutes to be seen by health professional [AOR = 3.37, 95 % CI = (1.14, 9.97)] and not paying for drugs and supplies [AOR = 6.19, 95 % CI = (1.34, 18.59)].ConclusionAlthough majority of women were satisfied with the labour and delivery service they got, their level of satisfaction was influenced by educational status, number of ANC visits, waiting time, and payment for drug and supplies. Thus, public health intervention working on improving delivery care should consider these factors.

Background: Stunting is one of the major causes of morbidity and mortality among under-five children. It is used to assess nutritional status of children by measuring their length/height and age. The purpose of this study was to assess prevalence and factors associated with stunting among children of ages between 24 to 59 months in Butajira town and surrounding district, Gurage zone, Southern Ethiopia.

Quality of delivery care service is an important aspect of maternal healthcare which enhance delivery services utilization by mothers. Assessing quality of delivery services is a global priority particularly in developing countries; however reports on this aspect are scarce, which calls for further study. Therefore, the objective of this study was to assess quality of delivery care at public health facilities in Arba Minch district, Gamo Gofa zone, Southern Ethiopia. A cross sectional facility based study was conducted among women who gave birth at public health facilities in this area. A total of nine health facilities, 27 key informants and 256 women were included in the study. Data were analyzed using SPSS 20.0 statistical software. The overall quality of delivery care was 54.06% and mother's satisfied on delivery care was 90.2%. Shortage of some medical equipment, drugs and supplies, trained man power, few proper partograph records, good client provider interaction, good client satisfaction and low infection prevention practice was observed in our study. As a conclusion poor quality delivery service was observed at public health facilities. Thus, efforts should be made by government for improving facilities capacity and performance of care providers in order to improve the quality of delivery care.