Background: In spite of recent advances in health care, neonatal sepsis is still one of the major causes of morbidity and mortality in neonates and is an ongoing major global public health challenge. Its incidence of mortality varies from health institution to health institution and within the same health institution at varied times and depends on predisposing factors. So the aim of this study was to determine the time to death and its predictors among neonates admitted with neonatal sepsis. Methods: An institutional based retrospective cohort study was conducted among 500 randomly selected neonatal charts. The data was entered using Epi data version 3.1, and exported to and analyzed at STATA version 14. Bivariable and multivariable cox regression analysis were conducted to identify predictors of mortality. Association was summarized using adjusted hazard ratio (AHR) and statistical significances were declared at 95% CI and P-value <0.05. Proportionality assumption was tested by global test based on Schoenfeld residuals analysis. Results: During the follow up time, 58 (11.6%) neonates were died with neonatal sepsis while the rest were censored. In this study the overall death incidence rate was 20.5 per 1000 neonate days. Comorbidity (AHR: 1.81, 95%, CI: 1.04, 3.17), late initiation of exclusive breast feeding over one hour (AHR: 2.29, 95%CI: 1.13,4.63), history of intra-partum fever(AHR: 7.37 95%CI: 2.28,23.79), Birth weight (AHR: 3.37, 95%CI: 1.54, 7.34) and place of delivery(AHR: 3.83, 95%, CI: 1.24, 11.83) were found potential independent predictors of mortality among neonates with neonatal sepsis.Conclusion: In this study, high death incidence rate was observed. The mean time to death among neonates was 4.41 days. With regard to predictors: birth weight, comorbidity, late initiation of exclusive breast feeding over one hour, history of intra partum fever and place of delivery were significant predictors of mortality among neonates admitted with neonatal sepsis.

Background: Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care service in 2016. This study examined the association between antenatal care and timely postnatal care checkup among reproductive age women in Ethiopia.Methods: The study used the 2016 Ethiopian Demographic and Health Survey data. The sample consisted of 4,081 women who give birth within the last two years prior to survey. Chi-square test and multivariable logistic regression were used to examine the association between antenatal care and timely initiation of postnatal care.Results: Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkup compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% Confidence Interval (95%CI) 1.42–4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22–4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03–2.60), perceived distance to the nearby health facility as significant barrier (aOR: 1.55; 95%CI: 1.15–2.09), primiparous (aOR: 0.34; 95%CI: 0.19–0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21–95.77).Conclusion: Timely initiation of postnatal care within two days of delivery in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve timely initiation of postnatal care.

Background Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care services in 2016. Objective This study examined the association between antenatal care and timely postnatal care checkup among reproductive-age women in Ethiopia. Methods The study used the 2016 Ethiopian Demographic and Health Survey data. The current study included 4,081 women who give birth in the two years preceding the survey. Chi-square test and multivariable logistic regression analyses were used to examine the association between antenatal care and timely initiation of postnatal care. Results Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkups compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% CI 1.42–4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22–4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03–2.60), perceived distance to the nearby health facility as a significant barrier (aOR: 1.55; 95%CI: 1.15–2.09), primiparous (aOR: 0.34; 95%CI: 0.19–0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21–95.77). Conclusion The prevalence of timely initiation of postnatal care in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve the timely initiation of postnatal care.

Background: Adherence to healthy meal plan can delay and prevent complications from diabetes. However, feeding habits of the patients is not well known in many developing countries including Ethiopia. Objective: The purpose of this study was to assess the dietary adherence and associated factors among diabetes patient at Felege Hiwot Referral Hospital, Bahirdar City Northwest Ethiopia. Methods: Institution-based cross-sectional study was conducted among systematically selected 385 diabetes patients from March to April, 2017 at Felege-Hiwot Referral hospital, Bahir Dar Northwest Ethiopia. Quantitative data were collected by using a pre-tested and structured questionnaire. To supplement their experiences, views and perception, participants were selected purposely for in-depth interviews. Logistic regression was used to identify associations between dependent and explanatory variables. Statically significant was considered at p value < 0.05 with 95% CI. The qualitative data were analyzed in content line by line with quantitative findings. Results: The overall proportion of poor dietary adherence among diabetes patients was 46.8% (95% CI: 41.1- 52.0). Living in rural (AOR=3. 75;95% CI: 2.12-6.63), duration of diabetes less than 5 years (AOR=2. 81; 95% CI: 1.22-6.50), didn’t get nutrition education (AOR=5. 88; 95% CI: 3.30-10.48), poor social support (AOR=3. 84; 95% CI: 1.74-8.46) and didn’t make choices on food when they ate out (AOR=3. 49; 95% CI: 2.09-5.81) were significantly associated with poor dietary practice. Conclusion: Considerable numbers of diabetes patients in this study were non-adhered to the recommended diet and to improve their dietary practice; attention should be given to nutrition education. Keywords: Nutrition education , Diabetes, Diet, Ethiopia.