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Hayelom Berhe,1 Wanzahun Godana,2 Negussie Boti Sidamo,2,3 Gebremaryam Temesgen Birgoda,4 Lielt Gebresillasie,5 Sultan Hussen,2 Selamawit Gebeyehu2 1Department of Nursing, Hossana College of Health Science, Hossana, Ethiopia; 2School of Public Health, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia; 3Department of Public Health, PHARMA College, Wolaita Sodo Campus, Wolaita Sodo, Ethiopia; 4Departments of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 5Department of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Wolaita, EthiopiaCorrespondence: Gebremaryam Temesgen Birgoda; Negussie Boti Sidamo, Email degnesh31@gmail.com; Hanehalid@gmail.comBackground: HIV/AIDS remains one of the world’s serious public health challenges. Patients with limited support from their family and community often experience social damage, poor adherence, compliance and are prone to additional psychosocial problems. This study aimed to assess the level of perceived social support and factors among adults living with HIV/AIDS.Methods: Facility-based mixed study (sequential explanatory) design was conducted among 423 adults living with HIV/AIDS attending chronic care follow-up at public hospitals in Gamo zone, southern Ethiopia. Respondents were selected by systematic sampling technique. The bivariable and multivariable ordinal logistic regression was used to determine associated factors. All assumptions applied to ordinal logistic regression including multicollinearity, proportional odds, model fitness and pseudo R2 were checked. Level of significance was declared at p-values < 0.05 and 95% CI.Results: Proportion of perceived social support of participants was 128 (30.7%), 197 (47.2%) and 92 (22.1%) with low, moderate and high levels of perceived social support, respectively. Females [(APOR = 2.42, 95% CI:(1.63– 3.58), P < 0.001)], no formal education [(AOR = 0.49, 95% CI: (0.30– 0.789), P = 0.004)], fair adherence [(APOR = 2.07, 95% CI: (1.17– 3.49), P = 0.006)], no comprehensive knowledge about HIV [(APOR = 0.40, 95% CI: (0.26– 0.62), P < 0.001)], and no disclosure status [(APOR = 0.64, 95% CI: (0.43– 0.95), P = 0.028] were significantly associated with perceived social support. Qualitative findings revealed that disclosure and adherences involving income generation activities are beneficial to perceived social support.Conclusion: This study showed that one from three of the participants had low perceived social support. Low perceived social support was associated with adherence, disclosure status of individual, educational status and knowledge about HIV/AIDS. Family, friends, health care providers and significant others should provide necessary support and inform people living with HIV/AIDS (PLWHA) about social support.Keywords: perceived social support, HIV/AIDS, adults, adherence

Negussie Boti Sidamo,1 Sultan Hussen,1 Tamiru Shibiru,2 Meseret Girma,1 Mulugeta Shegaze,1 Abera Mersha,3 Teshale Fikadu,1 Zeleke Gebru,1 Eshetu Andarge,1 Mustefa Glagn,1 Selamawit Gebeyehu,1 Bilcha Oumer,4 Gebremaryam Temesgen5 1School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 2School of Medicine, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 3School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 4Department of Midwifery, College of Health Sciences, Arba Minch, Ethiopia; 5Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaCorrespondence: Negussie Boti SidamoSchool of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaEmail Hanehalid@gmail.comBackground: Since the occurrence of the COVID-19 pandemic, different public health measures have been implemented to prevent and control the further spread of the disease. However, barriers that influence the effective implementation of public health measures were not explore in Ethiopia especially in study Area. Therefore, this study tried to fill this gap by exploring the barriers to effective implementation of public health measures for prevention and control of the COVID-19 pandemic in the Gamo Zone of southern Ethiopia.Methods: The study employed a qualitative study with a phenomenology approach among purposely selected 30 individuals in the community and selected institutions. Key informant interview was used to collect the data. The data were transcribed verbatim and translated into the English language. The transcribed data were read several times to clearly understand the content for further analysis. The analysis of the data was conducted based on the modified Tanahashi framework.Results: The study identified different barriers under five main themes: accessibility, acceptability, availability, contact and use, and effective implementation of public health measures related to barriers. The main barriers to effective implementation of public health measures were resistance to change, negligence, lack of community engagement, insufficient training for front line workers, poor supportive supervision, poor law enforcement, and lack of continuous community awareness creation. Beside, acceptability related barriers like cultural and religious norms and availability related barriers like shortage of personal protective equipment and shortage of skilled health professional have also lion share barriers for implementation of the public health measures.Conclusion: The study identified different personal, institutional, and societal level barriers for effective implementation of public health measures for the COVID-19 pandemic. Therefore, proper and targeted continuous community awareness creation with further mandatory law enforcement activities should be implemented by the concerned bodies to mitigate individual and societal level barriers. In addition, the government with relevant stakeholders should give due attention to equip and protect the frontline professionals by availing the necessary logistic and provision of continuous capacity-building activities.Keywords: COVID-19, effective implementation, public health measures, modified Tanahashi model, barriers, Gamo zone

Negussie Boti,1 Sultan Hussen,1 Gistane Ayele,1 Abera Mersha,2 Selamawit Gebeyehu,1 Mekidm Kassa,1 Tesfaye Feleke,1 Gebremaryam Temesgen3 1School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 2School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 3Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaCorrespondence: Negussie Boti Tel +251-920-997-752Email Hanehalid@gmail.comBackground: Mental health disorders have identified as being one of the public health issues throughout the world. Recent evidence reveals that more than 21 million people diagnosed with schizophrenia. However, there is little information about community perception and attitude towards people with Schizophrenia in Ethiopia.Objective: The aim of this study was to assess the community perception and attitude towards people with Schizophrenia among residents of Arba Minch Zuria Districts, Southern Ethiopia.Methods: A community-based cross-sectional study was conducted among 617 randomly selected adults. Interviewer-administered standard tool was used to collect the data. Descriptive statistics like frequency, mean, and median computed. A binary logistic regression model used to identify factors affecting community perception and attitude towards people with schizophrenia.Results: Of the study population, 469 (76%) of respondents had good perception and 390 (63.2%) had positive attitudes towards people with schizophrenia. The study participants identified talkativeness and self-neglect behaviors as the most common manifestations of schizophrenia. Besides, this study identified substance misuse and head injury as the perceived cause and spiritual or traditional methods as a preferred treatment for people with schizophrenia. Moreover, the study participants preferred spiritual or traditional methods for the treatment of schizophrenia. Young age [AOR=2.03, 95% CI: 1.21, 3.40], females [AOR=2.32, 95% CI: 1.58, 3.41], good perception towards people with schizophrenia [AOR=4.95, 95% CI: 3.25, 7.54] and no formal educational status [AOR=2.75, 95% CI: 1.33, 5.70], and primary education [AOR=3.72, 95% CI: 1.87, 7.39] were significantly associated with the attitude towards people with schizophrenia.Conclusion: The findings of this study indicate that approximately one-third of the residents had unfavorable attitudes towards people with schizophrenia. Therefore, giving special attention to male, elders and those who were educated, and individuals who have poor perceptions of people with schizophrenia is crucial.Keywords: perception, attitude, schizophrenia, Arba Minch Zuria District, Southern Ethiopia

Kidanemariam Alem,1 Sefinew Gebeyehu,2 Yibeltal Arega3 1Department of Biostatistics, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia; 2Department of Statistics, College of Natural and Computational Sciences, Adigrat University, Adigrat, Ethiopia; 3Department of Statistics, College of Natural and Computational Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Kidanemariam Alem Email kidanemariam2012@gmail.comObjective: The aim of this study was to identify the risk factors and treatment types for asthma severity among adult patients by applying a retrospective study design.Materials and Methods: The symptoms of asthma and corresponding medication prescription were addressed by descriptive statistics, and an ordinal logistic regression model was applied to identify the risk factors of asthma severity based on the data obtained from chronic follow-up of 422 adult asthma patients from September 11, 2012, to July 8, 2016, at the University of Gondar Teaching Hospital (UOGTH).Results: From 422 study units, the more commonly presenting asthma symptoms were coughing and wheezing expressed by 52.13% and 50.9%, respectively. For the treatment type given to the patients, oxygen and prednisolone were highly distributed drugs to the patients in chronic illness, medication and follow-up clinic of the University of Gondar Teaching Hospital (UOGTH) which were expressed by 73.5% and 35.5%, respectively. The proportional odd logit model was used to analyse asthma severity in patients; patients who were female (OR=1.68), a rural resident (OR=1.56), regular physical exercise (OR=2.39), allergen to pet (OR=3.17), had asthma in childhood (OR=2.27), had a family history (OR=1.89), and had depression (OR=2.31) were more likely to increase asthma severity than others, and patients who were in case with regular cooker, dry season was less likely to increase asthma severity.Conclusion: Generally, the study presented the most common asthma symptoms and treatment types correspondingly. The study also showed that demographic, environmental, genetic, and health-related factors have a significant effect on asthma severity.Keywords: asthma severity, risk factors, symptom, medication, ordinal logistic regression