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Reta Dewau,1 Elsabeth Addisu,2 Tilahun Dessie,3 Tesfaye Birhane,2 Sisay Eshete Tadesse,4 Amare Muche,2 Yitbarek Wasihun Feleke,5 Baye Akele,6 Melaku Yalew,2 Kemal Ahmed Seid,7 Yitayish Damtie,2 Bereket Kefale,2 Zinet Abegaz Asfaw,2 Bezawit Adane,1 Wondwosen Mebratu,1 Ayechew Ademas,8 Niguss Cherie,2 Assefa Andargie,1 Muluken Genetu Chanie,9 Asnakew Molla,9 Metadel Adane8 1Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2Department of Reproductive health, School of Public health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 3Department of Paediatrics, School of Medicine, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 4Department of Public Health Nutrition, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 5Department of Health Education, School of Public health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 6Department of Clinical Laboratory, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 7Department of Infectious Disease, School of Public health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 8Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 9Department of Health Service Management, School of public health, College of Medicine and Health Sciences, Wollo University, Dessie, EthiopiaCorrespondence: Elsabeth Addisu, Email elsabethko@gmail.comBackground: Vaccines are a powerful choice to stop disease outbreaks, including covid-19. However, people are hesitant to take vaccinations due to uncertainty about side effects. So, this study aimed to assess covid-19 vaccine side-effect and its associated factors among healthcare workers in Dessie comprehensive specialized hospital, in Ethiopia.Methods: An institution

Anissa Mohammed Hassen,1 Foziya Mohammed Hussien,1 Zinet Abegaz Asfaw,1 Hussien Endris Assen2 1Department of Public Health, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia; 2Department of Anesthesia and Critical Care, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaCorrespondence: Anissa Mohammed HassenDepartment of Public Health, School of Public Health, College of Medicine and Health Science, Wollo University, PO Box 342, Dessie, EthiopiaTel +251 921257471Email anisa.moh26@gmail.comBackground: Female breast cancer is becoming an emerging public health problem which accounts for 33% of all cancers in women and 23% of all cancer cases in Ethiopia. The majority of women with breast cancer are diagnosed at later stages due to delayed presentation to seek treatment.Objective: To determine the prevalence and factors associated with patient delay at presentation among breast cancer patients at Dessie Referral Hospital, the only oncology center in North East Ethiopia.Methods: We conducted an institution-based cross-sectional study among 204 female patients with pathology-confirmed breast cancer at the only oncology center of North East Ethiopia from January to June 2020. An interviewer administered questionnaire and a medical record data extraction tool were used to address the objective of the study. Patients were said to be delayed for diagnosis if the time duration between first clinical presentations to first clinical consultation was more than 3 months. Then, bivariable and multivariable logistic regression was employed to analyze the association between dependent and independent variables.Results: Among a total of 209 eligible participants, 5 refused to participate with a response rate of 97.6%. The proportion of patients with delayed presentation was 103 (50.5%), with the median time taken to visit a healthcare provider after recognition of the first symptom was 4 months. Age above 40