Abstract:Background: Tuberculosis and HIV have been closely linked since the emergence of AIDS. The aim of this study is to assess magnitude of Tuberculosis and its associated factors among HIV patients at Felege Hiwot Referral Hospital in Bahir Dar city. Methods: Institutional based Cross-sectional study was conducted in September 2012 in Bahir Dar city. Systematic sampling technique was employed to collect the data; both primary and secondary data were collected by interviewing HIV cases and reviewing their cards. The data were analyzed in bivariate and multivariate analysis using SPSS version 20. Result: The study was conducted among a total of 385 HIV cases. The prevalence of Tuberculosis was 10.1%. This study declared that body mass index (BMI), CD4 count and functional status were significant predictors of tuberculosis (TB). Besides, HIV cases whose BMI less than 18.5 were more than five times more likely to develop TB compared to those with BMI greater than 24.5 (AOR= 5.24, 95%CI:1.01-27.13), individual HIV cases whose CD4 count less than 200 were more than seven times likely to develop Tuberculosis compared to those whose CD4 count greater than 500 (AOR= 7.33, 95%CI:1.57-34.28), besides, the study explored that respondents who were bed redden and ambulatory were more than eight and six times more likely to develop Tuberculosis compared to those respondents who were able to work respectively (AOR=8.61, 95%CI: 1. . Conclusion: This study showed that magnitude of TB among HIV cases was 10.1%. HIV patients, whose BMI less than 18.5, CD4 count <200/µL, ambulatory and bedridden patients should be closely supervised by increasing patient round frequency and providing special nutritious food. TB/HIV co-infected patients should get all services in TB clinic. The Hospital should provide fast triaging systems for coughing patients and reducing their waiting time for services.

Introduction: Malaria and HIV are among the two most important global health problems of this time. All HIV-positive persons (PLHAs) in the household were encouraged to sleep under insecticide treated nets (ITNs) at all times of year. However, the information on utilization and associated factors on these groups have been limited. Objective: the aim of the study was to assess utilization of ITN and associated factors among PLHA, who are members of the three PLHA associations in Bahir City Administration, northwest Ethiopia. Methods: A community based cross-sectional study was conducted from March to May, 2013. A simple random sampling technique was used to select the study participants. Pre-tested and structured questionnaire and observation check list was used to collect the data. Each variable were analyzed by using bi variate logistic regression to know their significance and to assess the separate effects and multi variate analysis was done using backward stepwise logistic regression to control the possible confounding effect for variables with p-value <0.2 in bi variate analysis. Result: Three hundred four304 (76.8%) of PLHA utilized ITNs properly. The main reasons for those who had not have ITN and not utilized ITN were, they did not know where obtained the ITNs 20 (41.7%), ITNs were expensive 16 (33.3%), and no fear of mosquito bite at this time 60(65.2%). Knowledge about malaria risks and ITNs importance (AOR= 2.3; 95% CI 1.23-4.40), formal education (AOR= 2.39; 95% CI 1.40-4.08) and better income was significantly associated with ITN utilizations (AOR= 1.83; 95%CI 1.05-3.20) Conclusion: The PLHA needs special attention on the utilization of ITN. Free provision of ITNs, awareness creation on the utilization of ITN and participate in Income generating activities are supreme important.