Background: Evidence-based Practice is the application of the best scientific evidence for clinical decision making in professional patient care. Most of the time, Nursing care practice in Ethiopia is based on experience, tradition, intuition, common sense and untested theories. There is lack of information on the level of utilization of evidence based practice by nurses in Ethiopia. Methods: An institutional based cross sectional study design was employed from March 10 to April 1, 2018. Stratified random sampling was deployed to select 270 respondents. Data was collected using a pretested, structured and self-administered questionnaire and in-depth interview guide. Data were entered using Epi-data version 3.1 and analyzed by SPSS version 20. Bivariate and multivariable logistic regressions were under taken to identify the associated factors. Results: In total, 253 returned questionnaires which makes response rate of 93.7%. More than half 131(51.8%) of respondents used evidence-based practice. Further the study indicated that, being head nurse was 5.2 times AOR=5.227, 95%CI=(1.252, 21.819) more likely used EBP than staff nurses. Being knowledgeable about EBP was 2.1 times AOR=2.084, 95%CI=(1.118,3.886) more likely used EBP than those not knowledgeable about EBP. Conclusion: The utilization of EBP among nurses working in public hospitals of Jimma zone was 51.8%. Nevertheless, only 16.5% of respondents often utilized EBP in their clinical practice.

Background Successful health care and clinical services essentially depend on patients’ realization of ones’ rights, and health workers’ and facilities’ fulfillments and protections of these rights. However, little is documented about how patients and health workers perceive patients’ rights during care-seeking practices. Methods A qualitative study was conducted in four hospitals in Ethiopia through 8 focus group discussions with patients and 14 individual interviews with diverse groups of patients, caretakers, and 14 interviews with health workers. Participants were recruited through a purposive sampling method to meet the saturation of ideas about patients’ rights. The sampled patients, caretakers, and professionals were enlisted from various departments in the hospitals. The data analysis was assisted by ATLAS.ti 7.1.4 Results The study identified three major categories of healthcare rights (clinical, socio-cultural, and organizational), incorporating supporting elements of education, engagement, and empowerment. Study participants reported detailed rights the patients would have during hospital visits which included the right to timely access to care and treatment, adequate medications) with full respect, dignity, and without any discrimination. Patients widely perceived that they had the right to tell their illness history and know their illness in the language they can understand. It was also widely agreed that patients have the right to be educated and guided to make informed choices of services, procedures, and medications. Additionally, patients reported that they had the right to be accompanied by caretakers together with the right to use facilities and resources and get instructions on how to utilize these resources, the right to be protected from exposure to infections and unsafe conditions in hospitals, right to get a diet of their preference, and right to referral for further care. Nevertheless, there was a common concern among patients and caretakers that these rights were mostly non-existent in practice which were due to barriers related to patients (fear of consequence; a sense of dependency, feeling of powerlessness, perceptions of low medical literacy), health workers (negligence, lack of awareness and recognition of patient rights, undermining patients), and facilities’ readiness and support, including lack of guiding framework. Conclusions Perceived patients’ rights in the context of hospital visits were profoundly numerous, ranging from the right to access clinical and non-clinical services that are humanely respectful, fulfilling socio-cultural contexts, and in a manner that is organizationally coordinated. Nonetheless, the rights were not largely realized and fulfilled. Engaging, educating, and empowering patients, caretakers, and health care providers supported with policy framework could help to move towards patient-centered and right-based healthcare whereby patients’ rights are protected and fulfilled in such resource-limited settings.

Background: World Vision Ethiopia is now implementing timely and targeted Counseling, Channel of Hope, Information, Education and communication on Basic Health Service Package using Faith Based Organization with the goal of Contribution in reduction of mothers and New born morbidity and death through further strengthening of the Supportive Supervision and Primary Health Care Unit. The community’s norms, practice, knowledge, accessibility and attitude towards of excellence of service delivered were significant to making choice on utilization of Maternal and Neonate health services. These social gradients apply across family planning, antenatal care assisted delivery and post delivery services.Objective: To assess the norms and practices of Gewata communities toward MCH services during pregnancy, labour and post-partum, South West Ethiopia from March 29- April 20, 2019.Methods: Ethnography study design was employed to describe the norms and practices of Gewata communities toward MCH services during pregnancy, labour and post-partum time. Data were collected through non- probability technique namely in-depth interviews and FGDs. A Total of 14 in-depth interview were and 4 FGD were employed each have 8 members/participants among (Pregnant mothers, Lactating mothers, Health Extension Workers (HEWs) and Health Development Agent Leader (HDAL). Study participants were selected purposively based on maximum variation criteria-based selection. Findings: Currently, it is unhidden reality that the qualities of services, Religious principles, Educational level, Accessibilities of the services, Infrastructure facilities, religious leader perceptions and traditional views have an impact on norms and practice MCH services during pregnancy, delivery and post partum period. On the other hand, the Weradas’ Maternal and Child services are showing some improvements from previous with the improvement of Gewata woreda transportation which mainly indicate impact of infrastructure development on services utilizations. The main tasks ahead include integrating and networking religious healing with modern medical services, improving the underdeveloped medical service infrastructures, improving under developed transportation/road infrastructures and networks, make fit medical services with culture of the community and rising the community’s consciousness of the advantages of Maternal and Child health services.