Background Despite the fact that the disease has spread throughout the world, with millions infected and killed, global COVID-19 vaccine coverage remains low, particularly in developing countries including Ethiopia. Epidemiological data is insufficient to assess the amount of COVID-19 up take, willingness for vaccination, and associated factors. Objective This study aimed to assess COVID-19 up take, willingness for vaccination and associated factors among patients attending chronic follow up in the referral hospitals of Bahir Dar, Ethiopia, 2022 Method A hospital-based cross-sectional study was conducted among 400 patients attending chronic follow up in the referral hospitals of Bahir Dar from May 09 - June 09/2022. A systematic random sampling technique was used to select participants. Data was gathered using a pre-tested questionnaire, and checked for its consistency and accuracy. The data were entered to Epi data version 4.6 and analyzed using SPSS version 23. Descriptive analysis was performed to find the frequencies and percentages. Binary logistic regression analysis was done to assess the association between the dependent and independent variables. Variables having p-value < 0.25 in the bi-variable analysis were fitted into the multi-variable logistic regression. Finally, variables with p-value < 0.05 in the 95% confidence interval (CI) in the multi-variable binary logistic regression were considered as significant factors associated with the outcome variables. Results From a total of 423 participants, 400 (95% response rate) were included for analysis. The COVID-19 vaccine up take was less than 50% (46.8%), while the willingness for vaccination was 60.5%. About 56% and 68% of the respondents had good knowledge and favorable attitude respectively. Older people with age groups > 64 years were 2.7 times more likely to be vaccinated. Similarly, those people living in the urban area had 3.94 times increased COVID-19 vaccination. Furthermore, the probability of being vaccinated among respondents with good knowledge and favorable attitude were 70% and 79%, respectively. The willingness for vaccination was increased among those individuals with favorable attitude (AOR: 1.82). In contrast, urban people were less likely to be willing for COVID-19 vaccination (AOR: 0.46). The majority of the respondents (19.7% for vaccination to 35.7% for willingness for vaccination) misunderstood that the vaccine may aggravate their disease condition. Conclusion and recommendation The overall COVID-19 vaccine up take and willingness for vaccination was low compared to what was estimated by WHO. The majority of the respondents had good knowledge and favorable attitude. Age, residence, knowledge and attitude were factors associated with COVID-19 vaccine up take, while residence and attitude were associated with the willingness for vaccination. Increase accessibility of the vaccine, health education, strengthening vaccination campaign and community-based researches are recommended.

Background Psychosocial distress is a long-term burden for cancer survivors, which has an impact on their quality of life and oncologic prognosis. Although the national cancer prevention and control program in Ethiopia has made efforts in cancer prevention, control, and management by implementing the national cancer control plan 2016–2020, no enough evidence about psychosocial distress among adult cancer patients. So it is critical to understand the magnitude of psychosocial distress and the factors that contribute to it. Objective To assess the prevalence of psychosocial distress and associated factors among adult cancer patients at oncology units in the Amhara regional state, Ethiopia. 2022. Methods A multi-center institutional based cross-sectional study was conducted among a sample of 605 adult cancer patients from April 30-June 22, 2022. A systematic random sampling technique was employed to select the study units. And data were collected through interviewers administered questionnaires by using the validated and pretested tools. Distress was assessed using the Questionnaire on Stress in Cancer Patients Revised 10. Both bivariable and multivariable logistic regression was used to describe the association between dependent and independent variables. Independent variable with p-value less than 0.25 in the bivariable logistic regression analyses were entered into multivariable logistic regression model. Variables with p-value < 0.05 in the multivariable logistic regression analyses were considered as statistically significant associated factors of psychosocial distress. Result A total of 593 adult cancer patients took part in this study with mean age of 46.86 ± 14.5 years. The overall prevalence of psychosocial distress was 63.74%. Variables such as being female (AOR = 1.98, 95% CI: 1.24–3.17), patients who lives in rural areas (AOR = 2.3, 95% CI: 1.49–3.54), community based health insurance utilization (AOR = 0.34, 95% CI: 0.23–0.51), patients on chemotherapy treatment (AOR = 2.72, 95% CI: 1.38–5.39), patients with comorbidity (AOR = 3.2, 95% CI: 1.67–6.10), and symptom burdens such as severe fatigue (AOR = 1.65, 95% CI:1.09–2.39) and severe nausea (AOR = 2.07, 95%CI: 1.43-3.00) were statistically associated with psychosocial distress. Conclusion and recommendation: In general, the findings of this study showed a relatively high magnitude in which around two-thirds of patients experienced psychosocial distress. It is better to establish and enforce the integration and coordination of psychosocial-oncology service programs at national level with parallel guidelines and policies.

The provision of patient-centered care is challenging around the globe, including in Ethiopia. There is a scarcity of information on this issue. Therefore, this study aimed to assess patients' perceptions of patient-centered care and associated factors among patients admitted to public and private hospitals in Bahir Dar city. Methods: A facility-based comparative cross-sectional study was conducted from May 8-June 15, 2022. Using a multistage sampling approach, the study participants were selected. An interviewer was used to collect the data. Bi-variable and multivariable logistic regressions were used to analyze the data. Statistical significance was declared using a p value< 0.05. Results: Overall, 53.7% of patients reported poor patient-centered care. And it was higher among public hospitals (66.3%) than private hospitals (40.3%). Length of stay (AOR = 4.2; 95% CI [1.1, 15.3] and AOR = 4.3; 95% CI [1.4, 13]), intimacy with providers (AOR = 2.4; 95% CI [1.2, 4.6] and AOR = 3.9; 95% CI [1.1-9.6]), privacy during care (AOR = 4.2; 95% CI [1.93, 8.9]and AOR=3.3;95% CI: [1.5-7]), easy access to service (AOR=2.76;95% CI [1.33, 5.74] and AOR=3.8;95% CI [1.15, 12.7]) were associated with patient-centered care in public and private hospitals respectively. Awareness of the disease (AOR = 2.3; 95% CI [1.12, 4.8]), information on plans of care (AOR = 4.6; 95% CI [1.9, 10]), and being involved in decisions (AOR = 2.7; 95% CI [1.28, 5.9]) were associated factors in private hospitals. The following factors were associated with the practice of patient-centered care only in public hospitals: residence (AOR = 2.9; 95% CI [1.4, 5.5]), medication information (AOR = 2.88; 95% CI [1.34, 6.2]), and external appearance of hospital (AOR = 2.27; 95% CI [1.04, 4.97]). Conclusion:This study showed that the practice of patient-centered care in public hospitals was poor compared to that in private hospitals. Hence, hospitals should train their staff regarding a culture of patient-centered care in order to deliver high-quality and safer care.