Background COVID-19 causes worse outcomes and a higher mortality rate in adults with chronic medical conditions. In addition, the pandemic is influencing mental health and causing psychological distress in people with chronic medical illnesses. Objective To assess the knowledge, practice, and impact of COVID-19 on mental health among chronic disease patients at selected hospitals in Sidama regional state. Method A facility-based cross-sectional study was conducted. A total of 422 study subjects were enrolled in the study using a two-stage sampling technique. Data were coded and entered using Epi Data version 3.1 and exported to SPSS-20 for analysis. Descriptive analysis was used to present the data using tables and figures. Bivariate and multivariate logistic analyses were used to identify factors associated with the initiation of preventive behavior of COVID-19. Variables with a P-value of less than 0.25 in bivariate analysis were considered as candidate variables for multivariable analysis. The statistical significance was declared at a P-value less than 0.05. Result More than half 237 (56.2%, 95% CI: 50.7–60.9) of the study participants had good knowledge of COVID-19. The practice of preventive measures toward COVID-19 was found to be low (42.4%, 95% CI: 37.9–47.2). Being widowed (AOR = 0.31, 95% CI (0.10, 0.92)), secondary and above educational status (AOR = 2.21, 95% CI (1.01, 4.84)), urban residence (AOR = 2.33, 95% CI (1.30, 4.19)) and good knowledge (AOR = 4.87, 95% CI (2.96, 8.00)) were significantly associated with good practice. In addition, more than one-third of the study participants 37% (95% CI 32.7, 41.5) were experiencing anxiety. While more than a quarter of respondents 26.8% (95% CI 22.5, 31.5) had depression. Conclusion and recommendation Despite more than half of the participants had good knowledge, the prevention practice was low. Hence, multiple information dissemination strategies should be implemented continuously among chronic disease patients. In addition, the magnitude of concurrent depression and anxiety in the current study was high.

Background Research indicates that homelessness is associated with an increased risk of suicide. While street homelessness is a global problem, it is a disproportionately serious concern in low- and middle-income countries such as Ethiopia. Despite their high risk of suicidal thoughts and attempts, there has been limited research on this subject among homeless young people in Ethiopia. Therefore, we assessed the prevalence and factors contributing to suicidal behaviour among homeless young people in the southern region of this country. Methods We conducted a community-based cross-sectional study from 15 June to 15 August 2020 involving 798 homeless young adults in four southern Ethiopian towns and cities. The Suicide Behaviour Questionnaire-Revised (SBQ-R) was used to assess suicidal behaviour. Data were coded and entered into Epi-Data version 7 and analysed using SPSS version 20. We conducted a multivariable logistic regression analysis to identify factors associated with suicidal behaviour. Variables with a p-value of < 0.05 were considered statistically significant. An adjusted odds ratio with a 95% confidence interval was determined to indicate the association’s strength. Results The overall prevalence of suicidal behaviour among young homeless individuals was 38.2% (95% CI: 34.8%, 41.5%). The lifetime prevalence of suicidal ideation, planning and attempt was 10.7% (95% CI: 8.6–12.9%), 5.1% (95% CI: 3.6–6.6%) and 3% (95% CI: 1.9–4.3%), respectively. A longer duration of homelessness (1–2 years) (AOR = 2.244, 95% CI: 1.447–3.481), stressful life events (AOR = 1.655, 95% CI: 1.132–2.418) and the stigma associated with homelessness (AOR = 1.629, 95% CI: 1.149–1.505) were significantly associated with suicidal behaviour. Conclusion The results of our study indicate that suicide is a serious public health problem among homeless young people in southern Ethiopia. We have found associations between suicidal behaviour and stressful events, homelessness lasting for one to two years and stigma. Our study suggests that policymakers and programme planners need to develop a strategy for preventing, detecting and managing suicidal behaviour among street-dwelling homeless young adults, a vulnerable and understudied population. A community-based suicide prevention campaign is also essential for street-dwelling homeless young people in Ethiopia.

ObjectiveLittle is known about the extent to which Health Extension Programme (HEP) has played its role to increase service uptake among young girls. This study aims to estimate the status of young girls’ sexual and reproductive health (SRH) services utilisation in rural Ethiopia and to examine the role of health extension workers (HEWs) in this regard.DesignA cross-sectional study.SettingA community-based study among all nine regions of Ethiopia.ParticipantsNine hundred and two young girls aged 15–24 years were included in this study.MethodWe used data from the national HEP assessment, collected from March to May 2019. Multilevel binary logistic regression was used to investigate the association between exposure to HEP and SRH services utilisation of young girls and we reported an adjusted OR with a corresponding 95% CI as measure of the degree of associations.ResultOnly 19.18% (95% CI 16.74% to 21.89%) of young girls used SRH services with significant regional variability (intraclass correlation coefficien=17.16%; 95% CI 6.30% to 39.99%). Exposure to HEP (adjusted OR, aOR 3.13, 95% CI 2.03 to 4.85), knowing about the availability of HEP services (aOR 3.06, 95% CI 1.75 to 5.33) and having good trust in HEWs (aOR 1.82, 95% CI 1.07 to 3.10) and other sociodemographic factors were significantly associated with increased SRH services utilisation.OutcomeSRH service utilisation.ConclusionAlthough the overall SRH service utilization of young girls in rural Ethiopia was very low, HEWs have a great contribution to improving service utilization of young girls through strong health education provided during home visits, school visits and at health posts. More investment along this line has the potential to improve service uptake among young girls. Encouraging HEWs to build trust among this segment of the population and creating awareness of SRH-related services is crucial to improv service uptake.

Background: The outpatient therapeutic program (OTP) of children with severe acute malnutrition (SAM) brought the treatment approach closer to the community. In spite of the high coverage and accessibility, a low recovery rate of OTP is often reported. Thus, the aim of this study was to assess the treatment outcomes and identify predictors of recovery among children aged 6-59 months with SAM enrolled to OTP in Wenago district, Southern Ethiopia. Methods: A facility-based cross-sectional study was conducted by assessing health records and interviewing mothers of 554 children, who were treated between July 2017 and February 2018. A single stage cluster sampling was used to enroll the study participants. The data were coded and entered into EpiData version 3.1, and analyzed by SPSS version 20. Binary logistic regression was used to identify predictors of recovery. All statistical tests in this study were declared significant at P<0.05. Results: The recovery, average weight gain rate and length of stay were 70.4%, 3.9 g/kg/day and 6.67 weeks, respectively. The adjusted odds ratios to recovery of children who were treated with amoxicillin, born from a mother whose age at first marriage was >18 years, from a food secured household and had access to safe water sources were (AOR=3.

Background In developing countries, home delivery increases the risk of maternal and perinatal mortality. Despite this, home deliveries account for a considerable share of deliveries in developing nations such as Ethiopia. Evidence on factors that affect homebirth is required for the measures needed to overcome these conditions. Objective To identify predictors of homebirth among women attending health facilities in Wondo Genet, Sidama Region. Methods Unmatched case-control study was conducted from May to June 2021 among 308 mothers (102 cases and 206 controls) who recently delivered and visited either postnatal care or sought immunization service at public health facilities of Wondo Genet. A structured interviewer-administered questionnaire was used to collect data. Epi-Data version 3.1 was used for data entry, and the Statistical Package for the Social Sciences (SPSS) version 20 was used for data analysis. Bivariate and multivariate logistic regression analyses were used to identify the determinants of homebirth. The association between the outcome variable and independent variables was declared statistically significant at a P-value < 0.05 with a 95% Confidence Interval (CI) in a multivariable model. Results Rural residence [AOR: 3.41; 95%CI: 1.58–7.39], lifetime physical IPV [AOR: 2.35; 95%CI: 1.06–5.17], grand-multiparity [AOR: 5.36; 95%CI: 1.68–17.08], non-use of contraception before recent pregnancy [AOR: 5.82; 95%CI: 2.49–13.60], >30 min to reach health facility [AOR: 2.14; 95%CI: 1.02–4.51], and lack of facemask [AOR: 2.69; 95%CI: 1.25–5.77] were statistically significant predictors of homebirth. Conclusion and recommendation The access gap to maternity services should be narrowed between rural and urban women. Healthcare programs concerning women’s empowerment could help reduce persistent intimate partner violence. Family planning needs to be promoted, and multiparous women should be counseled on the adverse obstetric consequences of homebirth. The devastating effect of the coronavirus disease 2019 pandemic on maternity services should be prevented.