Background: Neonates are more prone to show subtle signs of illness. Most infants are either born at home or are discharged from the health facility early, families should be able to recognize signs of newborn illnesses and bring the newborn infant to the attention of a health worker.

Background: Diabetes mellitus is likely to become one of the most prevalent and economically important diseases of the 21st century. Diabetes mellitus, like any chronic medical condition, impacts on quality of life.

Background: Home delivery is childbirth in a non-clinical setting that takes place in residence than in health institution. Globally, every day more than 800 women died due to complications during pregnancy or childbirth. In Ethiopia, few are known about the factors that affect women's place of delivery after utilization of antenatal care service. Therefore, the aim of this study was to assess the magnitude of home delivery and associated factors among antenatal care booked mothers in Delanta district, North east Ethiopia. Methods:A community-based Cross-sectional study design was conducted from March 15 to 30, 2018. Multistage sampling methods were applied to select 576 respondents among mothers booked for antenatal care. Data was collected through face to face interview using pretested questionnaire. Epi-Data version 3.1 and statistical package for social science (SPSS) version 21 were used for data entry and analysis respectively. Binary and multivariable logistic regression analyses were used to identify any statistically significant association existed between dependent and independent variables. P-value < 0.05 was declared as statistical significance level. Result:The prevalence of home delivery after ante natal care (ANC) follow up among mothers who gave birth in the last one year was 196 (35.2%). The factors associated with home delivery were age of the mothers between 20-24 years (AOR = 0.089, 95% CI [0.043, 0.184]), occupation of the mothers (AOR = 3.422, 95% CI [1.557, 7.524]), nonexposed to media (AOR =1.979, 95% CI [1.149, 3.410]), having first antenatal care) visit (AOR = 3.217, 95% CI [1.575, 6.570]) and distance (time taken) between 90-120 minutes to reach health facility on foot (5.459, 95% CI [1.681, 17.732]). Conclusion and recommendation:The magnitude of home delivery after ante natal care follow up in Delanta district was high. Distance, age and occupation of the mothers, number of ANC visit and non-media exposure were statistically significant association with home delivery. The district should better enhances geographic access to a health facility, gives awareness on the importance of media exposure and the health professionals should visit mothers if they miss the next appointment in ANC follow up care.

Introduction. Adolescents with disability are often presumed erroneously to be sexually inactive. Though they have the same need for sexual and reproductive health (SRH) services as nondisabled people, they are often overlooked by sexual and reproductive health programs, interventions, and studies. Objective. To assess determinant factors of sexual and reproductive health service utilization among in-school adolescents with disability in Jimma zone, southwest Ethiopia. Method. Institution-based cross-sectional study design was employed among in-school adolescents with disability in Jimma zone, Ethiopia, from September 21 to November 30, 2021. A total of 454 participants were included in the study by using the multistage sampling technique. Data were collected by using a structured questionnaire through face-to-face interviews. Data were entered into Epi-data version 4.2 and analyzed by using SPSS version 23. Bivariate and multivariable logistic regression analyses at a 95% confidence interval were performed, and a P value < 0.05 was considered statistically significant. Result. 454 study participants were included in this study with a respondent rate of 97.4%. Only 38 (8.4%, 95% CI: 5.7-10.8%) of in-school adolescents utilized SRH information and education service. The majority (265, 49%) of adolescents with disability knew family planning as sexual and reproductive health services which were followed by voluntary counselling and testing for HIV/AIDS (116, 21.4%). Seventy-eight (17.2%, 95% CI: 13.7-20.5%) of in-school adolescents with disability visited nearby health facilities for VCT services. Male sex ( AOR = 2.32 , 95% CI: 1.18-4.57), favourable attitude ( AOR = 3.11 , 95% CI: 1.59-6.07), and history of sexual intercourse ( AOR = 5.34 , 95% CI: 2.05–13.92) were significantly associated with SRH service utilization. Conclusion. The overall sexual and reproductive health service utilization of in-school adolescents with disability was low when compared with other studies. Physical impairment, male sex, ever had sexual intercourse, good knowledge, and favourable attitudes were determinant factors of SRH service utilization among in-school adolescents with disabilities. So, it is recommended that the Jimma zone administration, government, and NGOs should give attention to SRH services.

Background Pregnancy and childbirth-related complications are unpredictable; however, it is preventable by timely care-seeking to obstetric care service. Objective To assess delay in seeking institutional delivery service utilization and associated factors among mothers attending Jimma medical center, Southwest Ethiopia. Methods Facility-based cross-sectional study design was employed. The sample size was determined by a single population proportion formula. Data were collected from 405 mothers by face-to-face interview and entered using epi-data version 3.1, then exported to SPSS version 23 for analysis. Binary and multivariable logistic regression analysis with 95% CI for odds ratio (OR) was used to identify significant factors. Results The prevalence of delay in seeking institutional delivery service utilization was 189 (46.7%). Husbands’ educational status was found to be significantly associated with a maternal delay in seeking care, (AOR= 4.9; 95% CI=2.1–11.3). Unemployed mothers and mothers with a low income had shown higher odds of delay (AOR= 6.0; 95% CI=1.7–21.2), (AOR=2.1; 95% CI=1.2–3.7) respectively. Similarly, mothers who live >10 kilometers from health facility delayed about 2times, (AOR=1.8; 95% CI= 1.0–3.2). Moreover, the likelihood of mothers with no antenatal care follow-up was found to have higher delay than mothers who have antenatal care follow-up (AOR =2.8; 95% CI =1.1–6.7). Conclusion Delay in seeking institutional delivery service was high. Factors such as the husband’s educational status, distance from the health facility, income, Antenatal care follow-up, and occupation of the mother were found significant factors of delay in seeking care. Therefore, it is important to reduce delay in seeking care for institutional delivery service utilization by working on barriers, plus empowering women, promoting antenatal care, and education.