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Alemayehu Deressa,1 Mulugeta Gamachu,2,3 Abdi Birhanu,2 Galana Mamo Ayana,1 Temam Beshir Raru,1 Belay Negash,1 Bedasa Taye Merga,1 Lemma Demissei Regassa,1 Fira Abamecha Ababulgu4 1School of Public Health, CHMS, Haramaya University, Harar, Ethiopia; 2School of Medicine, CHMS, Haramaya University, Harar, Ethiopia; 3Departments of Public Health, Rift Valley University, Harar, Ethiopia; 4Department of Health, Behavior, and Society, Faculty of Public Health Institute of Health, Jimma University, Jimma, EthiopiaCorrespondence: Alemayehu Deressa, School of Public Health,Haramaya University, P. O. Box: 235, Harar, Harari, Ethiopia, Tel +251917841709, Fax +251256668081, Email alexdheressa@gmail.com Mulugeta Gamachu, School of Medicine, CHMS, Haramaya University, Harar, Ethiopia, Tel +251917032032, Email gamachumle@gmail.comBackground: In 2020, more than three billion of the world’s population were the risk of being infected with malaria and four out of five deaths were from the African population. However, information is scarce on the association between risk perceptions and malaria prevention behaviors in resource-limited countries, particularly Ethiopia. Therefore, this study aimed to assess malaria risk perceptions and preventive behaviors.Methods: A cross-sectional study design was conducted among 401 elementary school students in Jimma zone, Oromia, Ethiopia, from April 2 to June 8, 2020. Data were collected through interviews using a semi-structured questionnaire. The data were entered into Epi-data 4.6 and analyzed using STATA version 14.2. The descriptive statistics were presented using frequency and percentages. A Cronbach’s α coefficient of 0.7 or higher was used to assess the reliability of each domain. The Generalized Structural Equation Model (GSEM) was employed to examine the relationships and prediction of explanatory variables with risk perception and preventive behaviors of malaria. The model with a lower information criterion was taken as a better-fit

Tadesse Gure Eticha,1 Sagni Girma,2 Galana Mamo,3 Fekede Asefa,3 Abdi Birhanu,4 Bedasa Taye,3 Addisu Alemu,3 Kabtamu Nigussie,2 Abel Gedefaw,5 Tinsae Genet,6 Demisew Amenu,7 Thomas Mekuria,8 Abera Kenay Tura2 1Department of Obstetrics and Gynecology, School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 2School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 4School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 5School of Medicine, College of Health and Medical Sciences, Hawassa University, Hawassa, Ethiopia; 6School of Medicine, College of Health and Medical Sciences, University of Gondar, Gondar, Ethiopia; 7School of Medicine, College of Health and Medical Sciences, Jimma University, Jimma, Ethiopia; 8School of Medicine, St. Paul’s Millennium Medical College Hospital, Addis Ababa, EthiopiaCorrespondence: Tadesse Gure Eticha, Department of Obstetrics and Gynecology, School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia, Tel +251913868714, Email tadebuna@yahoo.comBackground: Although the lactational amenorrhea method (LAM) is one of the most commonly used contraception methods during the first six months of a woman’s postpartum period, there has been little research on its effectiveness in general and particularly in Ethiopia. The purpose of this study was to evaluate the effectiveness of LAM and the experiences of Ethiopian women who used it.Methods: This was a multi-center prospective cohort study of postpartum women from five Ethiopian regions and one city administration. All pregnant women who gave birth in these randomly selected hospitals and five health centers directly referring to the hospitals were invited to the study if they selected LAM and were followed monthly

Bushra Aliyi,1 Yadeta Dassie,2 Alemayehu Deressa,2 Adera Debella,3 Abdi Birhanu,4 Mulugeta Gamachu,4,5 Addis Eyeberu,3 Gelana Mamo Ayana,2 Hamdi Fekredin,2 Ibsa Mussa2 1Zonal Health Office, Eastern Hararghe, Oromia, Ethiopia; 2School of Public Health, CHMS, Haramaya University, Harar, Ethiopia; 3School of Nursing and Midwifery, CHMS, Haramaya University, Harar, Ethiopia; 4School of Medicine, CHMS, Haramaya University, Harar, Ethiopia; 5Departments of Public Health, Rift Valley University, Harar, EthiopiaCorrespondence: Alemayehu Deressa, School of Public Health, CHMS, Haramaya University, PO Box 235, Harar, Ethiopia, Tel +251917841709, Fax +251256668081, Email alexdheressa@gmail.comBackground: The demand for health-related information has increased dramatically in recent years. Media is crucial in reaching health messages to audiences, especially those who are distant and rural. Therefore, the study aimed to assess demands, access, and factors associated with access to health messages through mass media in the rural community of Kersa District of East Hararghe, Eastern Ethiopia.Methods: A mixed-methods study was conducted from October 15 to November 20, 2020. A quantitative cross-sectional and a qualitative phenomenological study design were applied. A total of 578 participants were included by using a systematic sampling technique. Collected data were entered into Epidata version 3.1 and analyzed using SPSS version 22.0. A multivariate logistic regression analysis model was used and reported using an adjusted odds ratio (AOR) with a 95% confidence interval (CI). Statistical significance was set at p < 0.05. For qualitative, six-focused group discussions (FGDs) were used and then analyzed thematically.Results: Overall, the demand of and access to health messages through mass media was 32.5% (95% CI=28.5– 34.2%) and 26.6% (95% CI=24.6– 28.7%), respectively. Factors such as having electric services (AOR=2.36, 95% CI=2.13– 5.41), ha

Addisu Alemu,1 Elias Yadeta,2 Alemayehu Deressa,1 Adera Debella,2 Abdi Birhanu,3 Helina Heluf,2 Ahmed Mohammed,3 Fila Ahmed,1 Andinet Beyene,3 Tamirat Getachew,2 Addis Eyeberu2 1School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 2School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaCorrespondence: Addis Eyeberu, School of Nursing and Midwifery, Haramaya University, 138, Dire Dawa, Harar, Ethiopia, Tel +251910005436, Email addiseyeberu@gmail.comBackground: Uterine rupture is the most dangerous complication of labor and contributes to high maternal mortality. Despite efforts to improve basic and comprehensive emergency obstetric treatment, women continue to suffer from disastrous maternal outcomes.Purpose: This study aimed to assess the survival status and predictors of mortality among women with uterine rupture at public hospitals in the Harari Region, Eastern Ethiopia.Patients and Methods: We conducted a retrospective cohort study among women with uterine rupture in public hospitals in Eastern Ethiopia. All women with uterine rupture were followed for 11 years retrospectively. Statistical analysis was conducted with STATA version 14.2. Kaplan–Meier curves together with a Log rank test were used to estimate the survival time and show the presence of differences among groups. Cox Proportion Hazard (CPH) model was used to determine the association between independent variables and survival status.Results: There were 57,006 deliveries in the study period. We found that 10.5% (95% CI: 6.8– 15.7) of women with uterine rupture have died. The median recovery and death time for women with uterine rupture were 8 and 3 days with interquartile range (IQR) of 7– 11 days and 2– 5 days, respectively. Antenatal care follow-up (AHR: 4.2, 95% CI: 1.8– 9.79), education st

Abdi Birhanu,1 Tilahun Bete,2 Addis Eyeberu,3 Tamirat Getachew,3 Elias Yadeta,3 Abraham Negash,3 Magarsa Lami,3 Tegenu Balcha,3 Addisu Sertsu,4 Adera Deballa3 1School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 2Department of Psychiatry, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3Department of Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 4Department of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaCorrespondence: Abdi Birhanu, Haramaya University, P.O. Box: 235, Harar, Ethiopia, Email abdiibiree@gmail.comIntroduction: Psychoactive substance use is a growing health problem in both developing and developed countries. Despite adolescents being at high risk of practicing risky behaviors including substance use, there is no adequate information on the problem in the Harari Region, in the Eastern part of Ethiopia. Hence, the present study aimed to identify the burden of current substance use in high school adolescent students of Harari Region, Ethiopia, from 10th April to 10th May 2022.Methods: A school-based cross-sectional study was employed on a total of 1498 randomly selected adolescent students. Poisson regression was used for the assessment of substance use over the last three months among adolescent students. The substance use burden was reported by IRR (incidence rate ratio) at a 95% Confidence interval. The final model fitness was checked using Akaike information criterion (AIC) and Bayesian information criterion (BIC) reports. The variables that had less than 0.05 P-value were declared to be statistically significant.Results: The overall psychoactive substance use was 373 (24.9%, 95% Confidence Interval (CI); 22.8– 27.1%). The substances included khat (21.6%, 95% CI; 18.6– 23.6%), alcohol drinking (1.8%; 95% CI; 1.3– 2.6%), and smoking (1.2%, 95% CI; 0.75– 1.9%). Being male (IRR (Incidence R