Background Birth injury is harm that a baby suffers during the entire birth process. It includes both birth asphyxia and birth trauma. In Ethiopia, birth injury has become the leading cause of neonatal morbidity and mortality, accounting around 28%-31.6% of neonatal mortality. The study aimed to assess the prevalence and factors associated with birth injuries among newborns delivered in public hospitals Addis Ababa, Ethiopia, 2021. Methods Institution based cross-sectional study was conducted from February 15th to April 20th, 2021 in selected public hospitals of Addis Ababa, Ethiopia. Random sampling and systematic random sampling were used. Data was entered by using Epi data version 4.0.2 and exported in to SPSS Software version 25 for analysis. Both bivariate and multivariable logistic regressions analyses were used. Finally P-value <0.05 was used to claim statistically significant. Result The prevalence of birth injury was 24.7%. In the final model, birth asphyxia was significantly associated with the short height of the mothers (AOR = 10.7, 95% CI: 3.59–32.4), intrapartal fetal distress (AOR = 4.74, 95% CI: 1.81–12.4), cord prolapse (AOR = 7.7. 95% CI: 1.45–34.0), tight nuchal cord (AOR = 9.2. 95% CI: 4.9–35.3), birth attended by residents (AOR = 0.19, 95% CI: 0.05–0.68), male sex (AOR = 3.84, 95% CI: 1.30–11.3) and low birth weight (AOR = 5.28, 95% CI: 1.58–17.6). Whereas, birth trauma was significantly associated with gestational diabetic mellitus (AOR = 5.01, 95% CI: 1.38–18.1), prolonged duration of labor (AOR = 3.74, 95% CI: 1.52–9.20), instrumental delivery (AOR = 10.6, 95% CI: 3.45–32.7) and night time birth (AOR = 4.82, 95% CI: 1.84–12.6). Conclusion The prevalence of birth injury among newborns has continued to increases and become life-threatening issue in the delivery and neonatal intensive care unit in the study area. Therefore, considering the prevailing factors, robust effort has to be made to optimize the quality obstetric care and follow up and emergency obstetrics team has to be strengthened to reduce the prevalence of birth injury.

IntroductionAll the factors at the institutional, provider, and client levels have an impact on the quality of care. In low- and middle-income countries, poor quality of severe acute malnutrition (SAM) management at health institutions is a major contributor to child morbidity and mortality. This study aimed to determine the perceived quality of care for SAM management among caregivers of under-five children.MethodsThis study was conducted in public health facilities that provide inpatient SAM management in Addis Ababa, Ethiopia. An institution-based convergent mixed-method study design was implemented. Quantitative data were analyzed by using a logistic regression model, while thematic analysis was used to analyze the qualitative data.ResultsA total of 181 caregivers and 15 healthcare providers were recruited. The overall perceived quality of care for SAM management was 55.80% (CI: 48.5–63.10). Urban residence (AOR = 0.32, 95% CI: 0.16–0.66), college and above level education (AOR = 4.42, 95% CI: 1.41–13.86), working as a government employee (AOR = 2.72, 95% CI: 1.05–7.05), readmitted to the hospital (AOR = 0.47, 95% CI: 0.23–0.94), and length of hospital stays &gt;7 days (AOR = 2.1, 95% CI: 1.01–4.27) were found to be significantly associated factors with perceived low-quality care for SAM management. Additionally, lack of support and attention from higher levels of management, and lack of supplements, separate units, and laboratory facilities were among the factors that impede the provision of quality care.DiscussionPerceived quality of SAM management services was low against the national goal of quality improvement to meet the expectations of both internal and external clients. Rural residents, those with more educational qualifications, government employees, newly admitted patients, and patients who stayed longer in hospitals were the most unsatisfied groups. Improving support and logistic supply to health facilities, providing client-centered care, and responding to caregivers' demands may help to improve quality and satisfaction.