Background Pregnancy is a time when women are making many changes, including the patterns of alcohol consumption. Alcohol consumption during pregnancy encourages the risks of mothers and unborn child. Alcohol use during pregnancy can result in prematurity, brain damage, growth restriction, developmental delay and social, emotional and behavioral deficits, particularly in developing countries. Methods A community based cross-sectional study was employed. Structured questionnaires were used to assess the prevalence of alcohol utilization, and socio-demographic as well as economic characteristics of women who have pregnancy experience. Both bivariate and multivariate logistic regression models were employed. Descriptive and inferential statistical analyses were used. Results The study results showed that the prevalence of alcohol use and response rate was high. Factors like age group of women from 35–49 years (AOR = 0.221; 95%CI = 0.057–0.856), illiterate women(AOR = 2.697;95% CI = 1.207–6.026), currently pregnant (AOR = 0.139;95%CI = 0.057 0.343), women currently use alcohol (AOR = 0.021; 95% CI = 0.009 0.049), alcohol use pre-pregnancy (AOR = 0.016; 95% CI = 0.006–0.042), women drinking alcohol with husband during pregnancy (AOR = 0.228; 95% CI = 0.085–0.614), the risk of alcohol consumption during pregnancy is low(AOR = 0.262;95%CI = 0.074–0.925), risk alcohol consumption during pregnancy is medium (AOR = 0.296;95% CI = 0.103–0.849),utilization of alcohol during pregnancy is valuable (AOR = 0.104; 95%CI = .0.013–0.833) were statistically associated with alcohol use during pregnancy. Conclusion The result inferred that there is a high level of alcohol use throughout pregnancy. Due to the differences in the culture and communal means of drinking alcohol, the frequency of alcohol consumption during pregnancy varies among different regional studies and countries.

Background Globally the adolescent and youths are facing different sexual and reproductive health problems like unwanted pregnancy, unsafe abortion, STI including HIV.HIV / AIDS is continue to be a major global health priority. HIV counseling and testing is a key strategic entry point to prevention, treatment, care and support services .HIV/AIDS counseling is “confidential communication between client and a care provider aimed at enabling the client to cope with stress and to take personal decisions relating to HIV/AIDS.VCT give clients an opportunity to explore their HIV risks and to learn their HIV test results in complete confidence.Objective The objective of the study was to asses factors affecting voluntary counseling and testing service utilization among preparatory school students in Gondar town.Methods Institutional based cross-sectional study design was employed. A multistage sampling procedure was conducted in the study area. Data were collected using pretested self-administered questionnaire and the data entered, clean and analyzed by using SPSS version 16 software. Descriptive, bivariate and multivariate analysis were employed. Multivariate analysis with 95% CI was computed to identify factors associated with voluntary counseling and testing service utilization at P-value <0.05.Results A total of 654 study participants were included in the study with the response rate of 97%. The study indicated that 81.7% of study participants knew about voluntary counseling and testing services utilization .But the practice of voluntary counseling and testing was 48.3% with (95% CI: 44.5 -52.1).Based on the finding of multivariate analysis among independent variables, age, place of birth, mother’s educational level and discussed with parents on the issue of VCT were significantly associated with voluntary counseling and testing services utilization.Conclusion Majority of the study participants were not utilize voluntary counseling and testing services, only few respondents ever had VCT test as well as the proportion of students who had discussed on VCT issues with their parent was also very low. Cultural taboos was the main obstacle to students did not discuss with parents on the issue of VCT in the study area. Therefore; it needs great effort all concerned body to improve their services utilization. In broadly family life education should be encourage for the students and parents to promote VCT utilization.

Background Community-based health insurance schemes are becoming increasingly recognized as a potential strategy to achieve universal health coverage in developing countries. Ethiopia is a low income country with more of health spending out of pocket payment by households. Health insurance is also expected to provide financial protection because it reduces the financial risk associated with falling ill. Therefore; financial risk in the absence of health insurance is equal to the out-of-pocket expenditures because of illness. Method Cross-sectional community based study design was conducted by using a pretested structured questionnaire. Multi-stage cluster, simple random and systematic sampling techniques was used to select 296 households as study units which were allocated to the kebeles proportionately. The sampled households were selected using simple random sampling technique. Bivariate and multivariate logistic regression was used for analysis of variables and 95% confidence level and P value <0.05 was used to measure strength of association. Results A total of 296 sampled study participants, 285 participated in this study with a response rate of 96.3%.From this, (90.9%) were willing to join and (89.8%) of them were willingness to pay CBHI. the benefits of join the scheme were as follows, (86.8%) were reduce OOP expenditure, (8.3%) of them improve health status, (2.3%) were reduce the risk of severity and (2.6%) foster productivity. Conclusions This study showed that the proportion of willingness to join CBHI was higher than the findings of others study in the country and it is encouraging for planned strategy to expanding the scheme throughout the country. The main challenges utilization of health services in government health institutions were absence of available medicine, poor service delivery, lack of enough laboratory, health professional’s lack of good behavior and shortage of ambulance services. To alleviate such problem the government should be encourage access to health services.

Background: The aims of this study was to assess knowledge and attitudes of reproductive women (15-49) towards alcohol consumption during pregnancy in West Gojjam of Amhara region.Methods: Community based cross sectional study design was employed. The structured questionnaires were used to assess the knowledge and attitude of alcohol consumption among reproductive women during pregnancy. The sample size was calculated by using a single population proportion formula. Accordingly, the calculated sample size was 380 after adding 10% for non-response rate.Descriptive statistics, binary and multivariable logistic regressions was employed. Adjusted Odds Ratios together with corresponding 95% confidence intervals was used to interpret the findings.Results: The majority of women 308(82.4%) were know the problems of drinking alcohol during pregnancy from 374 total study participants. Knowledge of women with regard to problems of drinking alcohol during pregnancy were associated literate women (AOR=0.416; 95%CI=0.207-0.836) and risk of alcohol consumption during pregnancy low (AOR=9.468; 95% CI=3.466-25.868).Addationally,attitude of women for consumption of alcohol have significant effect on health associated with occupation status a housewife ((AOR=4.620; 95% CI= (1.255-17.012), had own business(AOR=17.344;95% CI=1.821165.148), alcohol consumption for 3-4 days a week(AOR=11.278;95%CI =1.231-103.287),relative encourage diriking alcohol (AOR=0.309;95%=0.110-0.868), Women who had previously health problems (AOR=0.330;95% CI=0.152-0.717), women who perceive the risk of alcohol consumption have beneficial effect on health is medium(AOR=7.112; 95% CI =3.108-16.270), attitudes of women towards alcohol consumption have beneficial effect on health is high (AOR= 4.902;95% CI =1.474-16.297),women who agree on the consumption of alcohol during pregnancy is valuable(AOR=0.082;95% CI =0.023-0.287).Conclusion: The study revealed that, the knowledge of women on the health effect of alcohol consumption during pregnancy high. Their attitude also towards alcohol consumption is low and medium. Interventions focused on creating awareness about the harmful effects of alcohol consumption on pregnancy should implemented.

Objective: The study was aimed to assess factors affecting contraception utilization among preparatory school students in Gondar town, Amhara region, Ethiopia. Methods: An institutional-based cross-sectional study design was employed. A multistage sampling procedure was employed in the study area. The data were entered, clean and analysis using statistical package for social science (SPSS) version 16 software. Descriptive, bivariate, and multivariate analyses were employed. Multivariate analysis with 95% confidence interval (CI) was computed to identify factors associated with contraception service utilization at p<0.05. Results: The response rate of this study was 97%. The result showed that 90.4% of study participants knew about contraception services utilization. However, the practice of contraception was only 24% (95% confidence interval (CI): (20.8%-27.4%). Based on the finding of multivariate analysis among explanatory variables, age, media exposure, marital status, and ever had girl or boyfriends were significantly associated with contraception services utilization. Conclusion: Interventions are needed to improve adolescent sexual and reproductive health such as promote parent adolescent communication, strengthening of youth centers, working with community and religious leaders, and increase the accessibility of services which are important to encourage adolescent contraception service utilization.