Objective Diabetes mellitus is a chronic illness that requires ongoing patient self-management and support to prevent acute complications and to reduce the risk of long- term complications. The objective of the study was to assess diabetic self-care practice and its predictors among adults with diabetes mellitus on follow up at hospitals of Arsi zone, southeast Ethiopia. Results Above half (53.3%) of diabetic patients had good self-care practice. Younger age (AOR: 8.95, 95% CI 1.89,42.48), earning a high income (AOR: 2.495, 95% CI 1.0,5.85), having a family history of diabetes (AOR: 4.5, 95% CI 1.3, 15.5), long duration since the diagnosis of diabetes (AOR: 2.14,95% CI 1.127,4.05), not having diabetic complications (AOR: 3.87, 95% CI 2, 7.48), and having glucometer (AOR: 4.08, 95% CI 1.78 l, 9.33) were significantly associated factors with good diabetic self care practice. Efforts should be made to prevent complications of diabetes mellitus, to support patients who are aged and who have no glucometer at their home to promote good self-care practice. Particularly, health care providers should give special attention to newly diagnosed patients.

Turnover is a voluntary cessation of membership of an organization by an employee. Employee retention is one of the challenges facing several organizations in both the developed and developing countries of the world. It is profitable to proactively react for possible staff turnover intentions. This research was carried out to determine the prevalence of academic staff turnover intention and the factors contributing for it among Madda Walabu University academic staff. An institution based cross-sectional study involving both qualitative and quantitative data collection methods was employed. A structured self-administered questionnaire was used to collect the quantitative data from the respondents. A semi-structured questionnaire, guided by a trained interviewer was used to collect data from an in-depth interview. The interview was carried out on six purposively selected faculty members. The data obtained from both methods were triangulated in the discussion. Binary and multiple logistic regression analysis was used using SPSS version 16. A total of 217 academicians responded to the questionnaire. One hundred sixty four, (75.6%) respondents intended to leave Madda Walabu University and 24.4% of academic staff intended to retain their position or post. A bad work environment (lack of facilities like offices, chairs, internet and toilets) was the most frequently cited reason for leaving (71.3%) followed by 63.4% due to poor management and leadership and 63.4% due to inadequate salary. Academic staff who had worked five or more years in Madda Walabu University were 4.5 times more likely to leave their institution [AOR = 4.5, 95% CI: 1.37, 14.9]. The prevalence of academic staff intending to leave was found to be very high and as a result, Madda Walabu University will be in an alarming state of staff turnover. Before this happens, there should be staff retention mechanisms in place to improve the work environment, management and leadership and remuneration methods to retain senior and skilled academicians.

Introduction Diabetes mellitus is a chronic illness that requires continuing medical care and ongoing patient self-management, education and support to prevent acute complications and to reduce the risk of long-term complications. Therefore, this study aims to assess the self-care knowledge, attitude and associated factors among outpatients with diabetes mellitus in Arsi Zone, Southeast Ethiopia. Materials and methods A cross sectional study was employed in Arsi Zone, Southeast Ethiopia from April to June 2017 among 290 patients with diabetes mellitus. Structured questionnaire was employed through face to face interview. Bivariate and multivariate regression was done and a statistical significance was declared at p value < 0.05. Results Among 290 respondents, 64.8% and 27.6% of them had good knowledge and good attitude towards self-care in this study respectively. Being married (AOR: 3.41, 95% CI: 1.480–8.095), being employed in occupation (AOR: 5.8, 95% CI: 2.26–14.67) and living in higher socioeconomic status (AOR: 2.0, 95% CI: 1.096–3.322) are the independent factors associated to good knowledge of respondents towards self-care whereas living in lower socioeconomic status(AOR: 0.478, 95% CI: 0.262–0.874), having informal education (AOR: 4.002, 95% CI: 1.941–8.254), not having family history of diabetes mellitus (AOR: 0.422, 95% CI: 0.222–0.803) and having short duration of diagnosis (AOR: 3.209, 95% CI: 1.537–6.779) were significantly associated factors to have poor attitude towards self-care. Conclusion Majority of the study participants had good knowledge towards diabetes self-care practice while a significant number of the participants had unfavorable attitude towards diabetes self-care. Being married, being employed and living in higher socioeconomic status were the determinant factors of knowledge towards the diabetes self-care practice while having informal education and having short duration of diagnosis were the significant factors associated to the unfavorable attitude towards diabetes self-care practice. Therefore, efforts should be made on enhancing patients’ socioeconomic status and equipping with diabetic self-care centered health information particularly for those patients with short duration of diagnosis.

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