Background: Most postpartum women and newborns do not utilize postnatal care due to less emphasis given especially in developing countries. Understanding individual and community-level factors associated with postnatal care will help to design appropriate strategies and policies for improving service utilization. Therefore, this study aimed to assess individual and community-level factors associated with postnatal care utilization in Ethiopia.Method: This study used the Ethiopian Demographic and Health Survey (EDHS) data of 2016. A total of 4489 women who gave birth 2 years before the survey were included. Two-stage stratified cluster sampling technique was used. The analysis was done using Stata version 14.0 after checking for basic assumptions of multilevel logistic regression. Multilevel mixed-effects logistic regression was used to identify determinants of postnatal care utilization. An adjusted odds ratio with a 95% confidence interval was used to show the strength and direction of the association. Results: Husband with secondary education [AOR = 0.17, 95% CI = (0.04, 0.68)], four or more antenatal care visit [AOR = 10.77, 95% CI = (2.65, 43.70)], middle wealth quintile [AOR = 3.10, 95% CI = (1.12, 8.58)] were individual level factors. Community level education [AOR = 2.53, 95% CI = (1.06, 6.06)] and community level of health service utilization [AOR = 2.32, 95% CI = (1.14, 4.73)] were the predictors at community level.Conclusion: Wealth index, number of antenatal care visits, husband education, community level of education and health service utilization were significantly associated with PNC service utilization. Provision of quality antenatal care, improvement of the educational status of women and husband involvement in PNC are important strategies to increase PNC service utilization.

Background: Poor hygiene behaviours create a serious public health threat to school children. One of the major problems faced by school children are infections. The primary causes of infections are associated with poor water supply, poor sanitation and poor hygiene behaviors which can lead to decreased academic performance and increased likelihood of dropout; this, in turn, prevents children from attaining the numerous economic and health benefits associated with educational attainment. Thus, the study aims to assess hygiene behaviors and influencing factors among primary school children in Delanta District, North East Ethiopia, 2020.Methods: An institution based cross-sectional study was conducted among 407 primary school students of Delanta District, from February 1to29, 2020. The participants were selected using systematic random sampling technique. Data were collected using pre-tested interviewer administered structured questionnaire. Descriptive statistics using frequency, proportion, summary measures were done. Binary and multivariate logistic regressions were also done to identify independent variables associated with hygiene behaviors among primary school children. P value less than 0.05 and adjusted odds ratio with 95% confidence interval non-inclusive of one was considered as statistically significant. Results: A total of 407 respondents were included with a response rate of 100%. The prevalence of positive hygiene behavior was 59.7 %( 95% CI 54.6%, 64.1%). Out of the total respondents 205 (50.4%) had knowledge on water handling practices whereas 236 (58%) of the respondents had knowledge on latrine utilization but 258 (63.4%) of respondents did not know the proper hand washing practices. In the multivariable logistic regressions analysis, taking training on hygiene and sanitation (AOR 2.2; 95% CI 1.3, 3.6), having awareness on hand washing practices (AOR: 1.92, 95% CI (5.5, 15.7) and having knowledgeable on latrine utilization (AOR: 1.96, 95% CI 1.02, 2.67) demonstrated a statistically significant association with the hygiene behavior. Conclusion: The overall findings revealed that the students had adequate knowledge on water handling and latrine utilization but poor knowledge on hand washing practices and a greater number of school children did not aware on water handling and hand washing practices. Therefore, focused strategies should be designed on promoting knowledge of school children on toilet use and hand washing practices.

Background Poor hygiene behaviours create a serious public health threat to school children. One of the major problems faced by school children are infections. The primary causes of infection are associated with poor water supply, poor sanitation, and poor hygiene behaviors, which can lead to decreased academic performance and increased likelihood of dropout; this, in turn, prevents children from attaining the numerous economic and health benefits associated with educational attainment. Thus, the study aims to assess hygiene behaviors and influencing factors among primary school children in Delanta District, North East Ethiopia, 2020. Methods An institution-based cross-sectional study was conducted among 407 primary school students of Delanta District, from February 1to29, 2020. The participants were selected using a systematic random sampling technique. Data were collected using pretested interviewer administered structured questionnaires. Descriptive statistics using frequency, proportion, and summary measures were done. Binary and multivariate logistic regressions were also done to identify independent variables associated with hygiene behaviors among primary school children. P value less than 0.05 and an adjusted odd ratio with 95% confidence interval noninclusive of one were considered as statistically significant. Results A total of 407 respondents were included with a response rate of 100%. The prevalence of positive hygiene behavior was 59.7%( 95% CI 54.6%, 64.1%). Out of the total respondents, 205 (50.4%) had knowledge on water handling practices whereas 236 (58%) of the respondents had knowledge on latrine utilization but 258 (63.4%) of the respondents did not know the proper hand washing practices. In the multivariable logistic regression analysis, taking training on hygiene and sanitation (AOR 2.2; 95% CI 1.3, 3.6), having awareness on hand washing practices (AOR: 1.92, 95% CI (5.5, 15.7) and having knowledgeable on latrine utilization (AOR: 1.96, 95% CI 1.02, 2.67) demonstrated a statistically significant association with the hygiene behavior. Conclusion The overall findings revealed that the students had adequate knowledge on water handling and latrine utilization but poor knowledge on hand washing practices and a greater number of school children did not aware on water handling and hand washing practices. Therefore, focused strategies should be designed on promoting knowledge of school children on toilet use and hand washing practices.