Abstract Household air pollution remains a major public health concern in Ethiopia, where many households still rely on inefficient and polluting fuels for cooking. Despite national efforts to introduce cleaner energy sources such as biogas, evidence on its impact on respiratory health, particularly among women who are most exposed, remains limited. This study assessed respiratory symptoms among mothers using biogas compared with non-users in Wondo Genet District, Sidama, Ethiopia. A comparative cross-sectional design was employed, and data were collected in April 2023 from 422 mothers (211 biogas users and 211 non-users). Data collection included face-to-face interviews, observation checklists, and particulate matter (PM₂.₅) measurements in 20% of households. The overall prevalence of respiratory symptoms was 48.8%, with a higher prevalence among non-users (63.5%) compared with biogas users (34.1%). Average particulate matter (PM₂.₅) concentrations were significantly lower in biogas-using households (54.2 µg/m3) than in non-user households (152.7 µg/m3). Factors significantly associated with respiratory symptoms included poor attitude [AOR = 1.75, 95% CI 1.02–3.00], poor knowledge [AOR = 2.03, 95% CI 1.15–3.56], cooking inside the house [AOR = 2.71, 95% CI 1.55–4.73], having a smoker in the family [AOR = 4.46, 95% CI 2.50–7.94], and a history of respiratory symptoms [AOR = 1.98, 95% CI 1.11–3.54]. The study recommends strengthening biogas adoption programs, enforcing household air quality control measures, and implementing community-based education to improve knowledge and attitudes toward respiratory health and reduce indoor pollution-related diseases.

BackgroundIn developing countries, animals are often slaughtered and dressed in unsanitary settings, thus endangering the microbiological quality and safety of the meat obtained. In addition, slaughterhouses and retail outlets are the regions most vulnerable to cross-contamination with meat. As a result, the objective of this study was to evaluate slaughterhouse and meat retail shop hygiene practices and to determine the causes of unsanitary meat handling in slaughterhouses and retail shops.Methods165 butcher men from a municipal slaughterhouse and every retail meat store in Hawassa city participated in this investigation, which was carried out using an institution-based cross-sectional study design between March 22 and May 30, 2022. Data was collected through interviewer-administered standardized questionnaires and an observation checklist. Data was entered using Epidata software version 3.1.1, and it was exported for further analysis using SPSS version 25. A cutoff point of P.V < 0.25 was employed for the bivariate model to control possible confounders. A binary logistic regression analysis was conducted to identify independent factors, the findings were displayed as the 95% confidence interval for the crude odds ratio and adjusted odds ratio. The level of significance was assessed using cutoff points of P < 0.05.ResultsThe prevalence of good hygienic practices was 25.5% [95% CI: (18.2-32.1)]. Attitude (fair attitude) [AOR = 0.157; 95% CI: (0.037, 0.659)], cleanness and disinfection of waste container status [AOR = 12.64; 95% CI: (3.936-40.562)], regular supervision by health offices [AOR = 0.176; 95% CI: (0.35-0.894)], health and safety training [AOR = 3.46; 95% CI: (1.054-11.344)], and Removal of personal items during meat processing [AOR = 0.036; 95% CI: (0.008-0.150)] were factors that were significantly associated with poor hygienic practices.ConclusionThe prevalence of good hygienic practices was low. After adjusting for possible confounding factors, attitudes, cleanness and disinfection of waste containers, regular supervision by health offices, health and safety training and Removal of personal items during meat processing (behavioral factor) were significantly associated with hygienic practices. These findings could call for appropriate prevention strategies based on cognitive domains and practice.

Household air pollution, primarily from inefficient and polluting fuels, contains harmful pollutants, including fine particles that damage lung health. While interventions like improved cookstoves have been introduced, significant gaps remain in implementing pollution control measures across various energy sources, households, and individuals. This study assessed respiratory problems among mothers using biogas compared to non-users in Wondo Genet district, Sidama, Ethiopia. A comparative cross-sectional design was used, with data collected in April 2023 from 422 mothers (211 biogas users and 211 non-users). Data collection included face-to-face interviews, observation checklists, and PM2.5 measurements in 20% of households. The study found that the prevalence of respiratory disease was 48.8%. Factors significantly associated with respiratory disease included poor attitude [AOR = 1.75], poor knowledge [AOR = 2.03], cooking inside the house [AOR = 2.71], having a smoker in the family [AOR = 4.46], and a history of respiratory disease [AOR = 1.98]. Non-users had a higher prevalence of respiratory diseases. Key risk factors included indoor cooking, smoking in the household, prior respiratory conditions, and poor knowledge and attitude toward respiratory health. The study recommends developing educational interventions to raise awareness about biogas and health promotion programs to reduce respiratory diseases in the community.

IntroductionThe traffic air pollution caused by transportation is a growing global problem that contributes to millions of deaths each year. Despite its importance, information on pollutant concentration is limited in many developing cities, especially in Ethiopia. This study aimed to determine the concentration levels and spatial and temporal variations of traffic air pollutants in Hawassa and to investigate the influence of metrological parameters on the concentration of traffic air pollutants.MethodsA real-time monitoring system of Aero-Qual Series 300/500 was used to monitor pollutants, and 24 monitoring sites were included on both heavy and low-traffic volume roads. The study monitored morning and afternoon times over 24 days to comprehensively characterize the temporal variations.ResultsThe results showed that the mean PM2.5 concentration on heavy- and low-traffic volume roads was 161.6 ± 26.1 μg/m3 and 95 ± 14.2 μg/m3, respectively, whereas the PM10 concentration was 178.7 ± 20.3 μg/ m3 and 102.3 ± 17.6 μg/m3, respectively. Similarly, the mean NO2 concentrations on roads with heavy and low traffic volumes were 86.4 ± 14.4 μg/m3 and 61.7 ± 14.2 μg/m3, respectively. Significantly higher, concentrations were recorded on traffic light roads, followed by main asphalt roads, for both types of traffic air pollutants. The ratio of PM2.5/PM10 was higher (0.924), in which the pollution sources attributed to anthropogenic sources. Kendall’s tau-b correlation analysis suggested that Meteorological parameters (temperature and relative humidity) were positively correlated with traffic air pollutants. Likewise, stepwise multiple linear regression analysis confirms that the concentrations of traffic air pollutants had a positive relationship with metrological parameters.ImplicationsThe findings of this study therefore showed the need for regular air quality monitoring of the urban areas to copping out the adverse public health impacts. And, it highlighted an urgent need for long-term monitoring of traffic air pollution and the development of emission control programs that can be readily implemented to decrease the emissions from anthropogenic sources. Also, it brings a sense of collaboration among stakeholders to tackle the effects of air pollution by providing an inclusive and sustainable development agenda for Hawassa.

BACKGROUND:Indoor environments, particularly in schools, are a significant source of bacterial exposure, posing a public health risk. The aim of this study was to investigate the bacterial load and associated factors in the indoor environments of governmental and private primary schools in Hawassa, City, Ethiopia, 2023. METHODS:A comparative cross-sectional study design was used in March, 2023; in 56 randomly selected classrooms focusing in five governmental and five private primary schools in Hawassa, City. The bacterial load was estimated using the settle-plate method of passive air sampling. Differences in the mean bacterial load between government and private primary schools were evaluated using a non-parametric test. Multiple linear regression analysis using log-transformed data was performed. RESULT:The average bacterial load in government primary schools was 8684.84 CFU/m3; while in private schools, it was 4396.43 CFU/m3. The isolated bacterial species included coagulase-negative Staphylococcus species (CoNS), gram-negative Bacillus species, gram-positive Bacillus species, and Staphylococcus aureus. A significant difference in the mean bacterial load (p=0.002) was observed between government and private primary schools with private primary schools showing lower levels. In government schools, the bacterial load was significantly associated with classroom cleanliness, occupant density, cleaning frequency, and classroom area. Conversely, the bacterial load in private schools showed strong association with the occupant density, cleaning frequency, relative humidity, and ventilation conditions. CONCLUSION:In government and private primary schools, the level of bacterial loads exceeded the WHO -criteria. This study revealed significant differences in indoor bacterial loads between government and private primary schools, with private schools showing lower levels. The correlation between bacterial load and environmental factors was distinct in each setting. As a recommendation; improving cleanliness, layout optimization, ventilation improvement, and hygiene education for both sectors, with regular air quality monitoring are crucial for tracking progress.

Assessing bloodmeal sources and sporozoite infection rates in mosquito vectors is essential for understanding their role in malaria transmission. This study investigated these factors in Hawassa, Southern Ethiopia—an area recently invaded by Anopheles stephensi—through adult mosquito collections conducted between January and April 2023 using BG-Pro traps, CDC Light Traps, and Prokopack Aspirators. A total of 738 female Anopheles mosquitoes were collected, including An. arabiensis (72.9%), An. pharoensis (13.4%), An. stephensi (7.5%), and An. coustani (6.2%). Human Blood Index (HBI) values were 23.3% for An. arabiensis, 43.8% for An. pharoensis, 8.3% for An. stephensi, and 25.0% for An. coustani. Plasmodium infection was detected in 8% of An. arabiensis and 4.7% of An. pharoensis, while An. stephensi and An. coustani were uninfected. The findings highlight the presence of multiple competent malaria vectors, with significant infection rates observed in both primary and secondary species, underscoring the need to include secondary vectors in control and surveillance programs. The detection of An. stephensi alongside native vectors adds complexity to malaria control efforts, reinforcing the importance of continuous monitoring to understand the changing dynamics of vector populations and their roles in transmission.

Introduction: Municipal solid waste collectors are at risk of experiencing work-related health problems due to the waste they handle and the physical effort they put in. Work-related injuries among domestic waste collectors have been the subject of scant research in developing nations. Therefore, it is necessary to describe work-related injuries in these subpopulation groups. Objective: This study aimed to determine the prevalence and associated factors of work-related injury among municipal solid waste collectors in Hawassa city, Southern Ethiopia. Methodology: A cross-sectional study was conducted from January 11 to 30, 2022, with all the registered municipal solid waste collectors (411). Three diploma environmental health professionals assisted in collecting data using a pretested structured interviewer-administered questionnaire; 1 Bachelor of Science environmental health professional served as a supervisor. Statistical Package for the Social Sciences (SPSS) version 20.0 was used to enter, clean, code, and analyze the data. Associations between independent and dependent variables were assessed, and the strength of the associations was presented by using Adjusted Odds Ratio (AOR) and 95% confidence intervals (CI). According to the bivariable analysis, all independent variables associated with a P -value <.25 were entered into a multivariable logistic regression model. Variables in the multivariable regression analysis were considered significant if their P -value was less than 0.05. Results: In this study, the prevalence of work-related injuries within the last 30 days was 12.9% (95% CI: 9.5, 16.3), while the prevalence over the last 12 months was 59.4% (95% CI: 54.7, 64.0). After adjusting for possible confounding factors, age 18 to 24 years [AOR = 1.72;95% CI: (1.07, 2.76)], lack of personal protective equipment (PPE) utilization [AOR = 2.30; 95% CI: (1.44, 3.68)], chewing khat (yes) [AOR = 2.32;95% CI: (1.32, 4.08)], drinking alcohol (yes) [AOR = 1.80; 95% CI: (1.003, 3.24)] and job dissatisfaction [AOR = 2.26, 95% CI: (1.44, 3.54)] were shown to be significantly associated with work-related injury. Conclusion: The prevalence of work-related injuries was high. Age 18 to 24 years, chewing khat, drinking alcohol, lack of PPE utilization, and job dissatisfaction were significantly associated with work-related injury. Based on the findings of this study, we suggest that addressing these risk factors could help to reduce work-related injuries.

Background: Unsafe meat handling in butcher shops exacerbates microbial contamination, contributing to widespread food-related infections, particularly in developing countries like Ethiopia. In Ethiopia, microbial contamination in the meat supply chain is pervasive due to limited knowledge, inadequate hygiene practices, insufficient training, poor enforcement of food safety standards, and the absence of advanced diagnostic tools and regular microbial testing. This study aimed to assess the microbial load of meat, its contact surfaces, and meat handling practices of butcher shop workers in Hawassa city, Ethiopia. Methods: A cross-sectional study was conducted from March to April 2023 among butcher shop workers in Hawassa city, Ethiopia. One hundred forty-four (144) swab samples were collected, and the microbial load was evaluated by serial dilution method and counted using standard procedures. A total of 52 workers were interviewed to assess meat handling practices. Descriptive statistics were used to analyze survey and laboratory data. Results: The findings of this study revealed that the levels of Total Plate Count, Enterobacteriaceae , and staphylococci from meat samples collected from the butchers were 6.14, 5.58, and 5.23, respectively. The levels of Total Plate Count, Enterobacteriaceae , and staphylococci in the swab samples collected from knives, chopping boards, and weighing boards were 5.66, 5.27, and 5.28; 5.61, 5.33, and 5.03; and 5.29, 4.97, and 4.91, respectively. In the butcher shops, 83% of the meat was exposed to flies without protection, and 64% of meat handling equipment was not disinfected. Conclusions: The Total Plate Count, Enterobacteriaceae and staphylococci levels in meat samples and swab samples collected from knives, chopping boards, and weighing boards were above acceptable levels. These findings suggest the presence of potential pathogenic microorganisms, likely due to poor personal hygiene of the workers, inadequate cleaning and sterilization in the butcher shops, and cross-contamination from sources, including paper money handled, and skin contact.

Air pollution is a pressing problem and causes millions of deaths each year related to its effects on respiratory health worldwide. Despite its significant impact, information on air pollution in many cities, including Hawassa city, remains limited. The aim of this study was to determine the concentrations and variations of traffic-related air pollution, as measured by carbon monoxide, and its relationship with temperature, relative humidity, traffic flow, and road routing in Hawassa City. We monitored carbon monoxide (CO) concentrations in Hawassa city, Ethiopia, for 24 days using real-time monitors with carbon monoxide sensor head. A total of 24 different roads (12 high-traffic congested roads and 12 low-traffic congested roads) were included as monitoring sites. We conducted 1 hour monitoring at each monitoring site in the morning and afternoon to characterize the temporal variations. Accordingly, the average carbon monoxide concentrations varied temporally at different times. In addition, the average carbon monoxide concentrations on paved main roads, traffic light roads and low-traffic flow roads were 4.87 ± 0.6 ppm, 5.38 ± 0.8 ppm and 1.62 ± 0.53 ppm, respectively. The study also identified factors that correlated positively with carbon monoxide concentration, including temperature, relative humidity, traffic flow and road routing. The study concludes that long-term monitoring of carbon monoxide concentrations is necessary to fully characterize the health effects. The study also provides valuable insights for urban planners when implementing measures to mitigate the negative effects.

In Ethiopia, like that of the other developing countries, pesticides are widely used for a variety of purposes, but their unsafe use causes a major environmental and health hazard. The aim of this study was to assess pesticide use practice and its associated factors among the rural community of Malga district, Sidama region, southern Ethiopia. A community based cross-sectional study was conducted from February to March 2021 at Malga District. Data were collected from 549 farmers by a structured and pretested interviewer-administered questionnaire. Binary and multivariable logistic regression was used for the data analysis. Adjusted odds ratios and their 95% confidence intervals (CIs) were calculated to determine the association between safe practices of pesticide use and several related factors. Safe practice of pesticide use was observed in 193 (35.2%). The participants who had primary education [AOR = 5.605, 95% CI: 3.309, 9.495], secondary education and above [AOR = 9.847, 95% CI: 5.007, 19.368], used pesticide for 10 years and above [AOR = 6.790, 95% CI: 3.589, 12.843], used pesticide between 6 and 10 years [AOR = 1.913, 95% CI: 1.166, 3.141] pesticide bought from any shop [AOR = 2.320, 95% CI: 1.364, 3.947], agricultural office [AOR = 7.187, 95% CI: 3.654, 14.137] were associated with safe use of pesticides. The safe practice of pesticide use was low in the study area. Continuous training programs should be implemented on the safe practice of pesticide use to the local farmers.

Background: Consumption of polluted surface waters are leading to waterborne diseases, especially in developing countries, which results in the deaths of millions of people annually around the world. Ethiopia, like the rest of developing countries, suffers a lot of water-associated health problems. Chemical disinfectants are in use to disinfect water with some drawbacks like expensiveness, unavailability, and detrimental effect on human health. Researchers are on the search for non-expensive and locally available methods, and natural plants are the ones in the study. Thus, this study is designed to test Escherichia coli (E. coli) removal efficiency of Moringa stenopetala ( M. stenopetala ) and Cadaba farinosa ( C. farinosa ) from surface water. Methods: A cross-sectional study was conducted from June to July 2021. A 14 L water sample was collected from Lake Hawassa. A 30, 60, and 100 mg weights of the leaf and seed powder dosages of M. stenopetala and C. farinosa at contaminant settling times of 30, 60, and 90 minutes were used. Each 1-L water sample was treated with each of the dosages. E. coli count, temperature, pH and turbidity were measured using standard methods for water and wastewater analysis. Statistical package for social sciences (SPSS) version.23 was used for analysis. Treatment differences between plant parts and association between variables were also tested. Result: The result indicated that raw water samples having 18 initial E. coli colonies per 100 mL of water showed zero E. coli colonies per 100 mL of water after treatment with 30 mg dosage of M. stenopetala seed, 30 mg dosage of C. farinosa seed, and 60 mg dosage of M. stenopetala leaf after 90 minutes of settling time, but C. farinosa leaf was unable to reduce E. coli colonies to 0 per 100 mL of water. M. stenopetala leaf showed the highest turbidity reduction of 83.3% at 60 mg dosage. A pH of 7.30 and 8.50 and a temperature of 20°C to 23.5°C were recorded. There was a significant difference in E. coli removal between C. farinosa seed and leaf. Turbidity was identified as a factor that positively affects E. coli removal during M. stenopetala seed and leaf. Dosage and settling time were also identified as predictors of E. coli removal. Conclusion: M. stenopetala and C. farinosa have antimicrobial properties against E. coli , but only M. stenopetala showed E. coli , turbidity, and pH values within the recommended World Health Organization standards. So, we suggest M. stenopetala as a promising natural disinfectant that needs attention from organizations working on the water. Keywords Bacteria removal , water treatment , natural plants , coagulation , disinfection

Background: Occupational injuries are still a major public health problem and one of the leading causes of disability, morbidity, and mortality. This study aimed to assess occupational injuries and associated factors among workers in the small-scale woodworking industry in Hawassa city, southern Ethiopia. Materials and Methods: An institutional-based cross-sectional study was conducted among 418 randomly selected small-scale woodworking industry workers. Questionnaires and an observational checklist were used to collect data. The data was entered into Epi data version 3.1 and analyzed using SPSS version 21. Multivariate logistic regression analysis with 95% CI and P < .05 was used to identify factors associated with occupational injury. Results: The prevalence of at least one occupational injury in the previous 12 months among small-scale woodworking industry workers was 41.6% [95% CI: 36.9-46.4]. Work experience 1 to 2 years [AOR = 2.8, 95% CI: 1.49-5.2], working more than 48 hours per week [AOR = 2.2, 95% CI: 1.41-3.49], lack of occupational safety and health (OSH) training [AOR = 2.5, 95% CI: 1.35-4.75], and non-use of personal protective equipment (PPE) [AOR = 3.3, 95% CI: 1.85-5.83] were factors significantly associated with occupational injury. Conclusions: In this study, the prevalence of occupational injuries among workers in the small-scale woodworking industry was high. Lack of OSH training, non-use of PPE, work experience of 1 to 2 years, and working more than 48 hours per week were all factors that contributed to occupational injuries. Therefore, workers in the small-scale woodworking industry should receive ongoing occupational safety and health (OSH) training, and personal protective equipment (PPE) should be provided and monitored.

Background: Consumption of polluted surface waters are leading to waterborne diseases, especially in developing countries, which results in the deaths of millions of people annually around the world. Ethiopia, like the rest of developing countries, suffers a lot of water-associated health problems. Chemical disinfectants are in use to disinfect water with some drawbacks like expensiveness, unavailability, and detrimental effect on human health. Researchers are on the search for non-expensive and locally available methods, and natural plants are the ones in the study. Thus, this study is designed to test Escherichia coli (E. coli) removal efficiency of Moringa stenopetala ( M. stenopetala ) and Cadaba farinosa ( C. farinosa ) from surface water. Methods: A cross-sectional study was conducted from June to July 2021. A 14 L water sample was collected from Lake Hawassa. A 30, 60, and 100 mg weights of the leaf and seed powder dosages of M. stenopetala and C. farinosa at contaminant settling times of 30, 60, and 90 minutes were used. Each 1-L water sample was treated with each of the dosages. E. coli count, temperature, pH and turbidity were measured using standard methods for water and wastewater analysis. Statistical package for social sciences (SPSS) version.23 was used for analysis. Treatment differences between plant parts and association between variables were also tested. Result: The result indicated that raw water samples having 18 initial E. coli colonies per 100 mL of water showed zero E. coli colonies per 100 mL of water after treatment with 30 mg dosage of M. stenopetala seed, 30 mg dosage of C. farinosa seed, and 60 mg dosage of M. stenopetala leaf after 90 minutes of settling time, but C. farinosa leaf was unable to reduce E. coli colonies to 0 per 100 mL of water. M. stenopetala leaf showed the highest turbidity reduction of 83.3% at 60 mg dosage. A pH of 7.30 and 8.50 and a temperature of 20°C to 23.5°C were recorded. There was a significant difference in E. coli removal between C. farinosa seed and leaf. Turbidity was identified as a factor that positively affects E. coli removal during M. stenopetala seed and leaf. Dosage and settling time were also identified as predictors of E. coli removal. Conclusion: M. stenopetala and C. farinosa have antimicrobial properties against E. coli , but only M. stenopetala showed E. coli , turbidity, and pH values within the recommended World Health Organization standards. So, we suggest M. stenopetala as a promising natural disinfectant that needs attention from organizations working on the water.

Background:Consumption of polluted surface waters are leading to waterborne diseases, especially in developing countries, which results in the deaths of millions of people annually around the world. Ethiopia, like the rest of developing countries, suffers a lot of water-associated health problems. Chemical disinfectants are in use to disinfect water with some drawbacks like expensiveness, unavailability, and detrimental effect on human health. Researchers are on the search for non-expensive and locally available methods, and natural plants are the ones in the study. Thus, this study is designed to test Escherichia coli (E. coli) removal efficiency of Moringa stenopetala (M. stenopetala) and Cadaba farinosa (C. farinosa) from surface water.Methods:A cross-sectional study was conducted from June to July 2021. A 14 L water sample was collected from Lake Hawassa. A 30, 60, and 100 mg weights of the leaf and seed powder dosages of M. stenopetala and C. farinosa at contaminant settling times of 30, 60, and 90 minutes were used. Each 1-L water sample was treated with each of the dosages. E. coli count, temperature, pH and turbidity were measured using standard methods for water and wastewater analysis. Statistical package for social sciences (SPSS) version.23 was used for analysis. Treatment differences between plant parts and association between variables were also tested.Result:The result indicated that raw water samples having 18 initial E. coli colonies per 100 mL of water showed zero E. coli colonies per 100 mL of water after treatment with 30 mg dosage of M. stenopetala seed, 30 mg dosage of C. farinosa seed, and 60 mg dosage of M. stenopetala leaf after 90 minutes of settling time, but C. farinosa leaf was unable to reduce E. coli colonies to 0 per 100 mL of water. M. stenopetala leaf showed the highest turbidity reduction of 83.3% at 60 mg dosage. A pH of 7.30 and 8.50 and a temperature of 20°C to 23.5°C were recorded. There was a significant difference in E. coli removal between C. farinosa seed and leaf. Turbidity was identified as a factor that positively affects E. coli removal during M. stenopetala seed and leaf. Dosage and settling time were also identified as predictors of E. coli removal.Conclusion:M. stenopetala and C. farinosa have antimicrobial properties against E. coli, but only M. stenopetala showed E. coli, turbidity, and pH values within the recommended World Health Organization standards. So, we suggest M. stenopetala as a promising natural disinfectant that needs attention from organizations working on the water.

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: In developing countries, open defecation is still a major health issue. While there has been a great deal of empirical research on latrine coverage. But little is known about household latrine utilization behavior. The objective of this study was to assess latrine utilization and associated factors among Community-Led Total Sanitation and Hygiene (CLTSH) implemented kebeles in Gurage Zone, Southern Ethiopia. Methods: A community-based cross-sectional study was conducted on 585 randomly selected households in Gurage Zone’s rural Community-Led Total Sanitation and Hygiene (CLTSH) implemented kebeles. The data were entered into Epi-data version 3.1 and analyzed in SPSS version 20. A binary logistic regression analysis was used to identify factors associated with latrine utilization, and a P -value < .05 was used to declare significance. Results: In this study, 65.8% of households used latrines [95% CI: 61.8%-69.8%]. The odds of using a latrine were higher in households with less than 5 family members [AOR = 2.53, 95% CI: 1.33-4.84], in households with no vegetation around their latrines [AOR = 4.56, 95% CI: 2.27-9.18], households with clean latrines [AOR = 2.19, 95% CI: 1.17-4.12], households with latrines located <6 m from the dwellers [AOR = 5.94, 95% CI: 3.13-1.27], households with latrines located 6 to 10 m from the dwellers [AOR = 3.94, 95% CI: 1.93-8.03], households head not attending formal education [AOR = 0.24, 95% CI: 0.13-0.44], households without school children [AOR = 0.15, 95% CI: 0.08-0.28], households owned latrine for less than 1 year’s [AOR = 0.24, 95% CI: 0.12-0.49], Households owned latrine for 1 to 3 year’s [AOR = 0.39, 95% CI: 0.25-0.64], and latrine that does not require maintenance 1.94 [AOR = 1.92, 95% CI: 1.04-3.61], were significantly associated with latrine utilization. Conclusion: The findings of this study revealed that open field defecation is still practiced by households in CLTSH implemented kebeles. Therefore, to improve latrine utilization, community awareness must be raised through regular training on proper latrine construction, latrine usage, and sanitation and hygiene practices. Keywords Community led total sanitation , hygiene , latrine utilization

Background: In developing countries, open defecation is still a major health issue. While there has been a great deal of empirical research on latrine coverage. But little is known about household latrine utilization behavior. The objective of this study was to assess latrine utilization and associated factors among Community-Led Total Sanitation and Hygiene (CLTSH) implemented kebeles in Gurage Zone, Southern Ethiopia. Methods: A community-based cross-sectional study was conducted on 585 randomly selected households in Gurage Zone’s rural Community-Led Total Sanitation and Hygiene (CLTSH) implemented kebeles. The data were entered into Epi-data version 3.1 and analyzed in SPSS version 20. A binary logistic regression analysis was used to identify factors associated with latrine utilization, and a P-value < .05 was used to declare significance. Results: In this study, 65.8% of households used latrines [95% CI: 61.8%-69.8%]. The odds of using a latrine were higher in households with less than 5 family members [AOR = 2.53, 95% CI: 1.33-4.84], in households with no vegetation around their latrines [AOR = 4.56, 95% CI: 2.27-9.18], households with clean latrines [AOR = 2.19, 95% CI: 1.17-4.12], households with latrines located <6 m from the dwellers [AOR = 5.94, 95% CI: 3.13-1.27], households with latrines located 6 to 10 m from the dwellers [AOR = 3.94, 95% CI: 1.93-8.03], households head not attending formal education [AOR = 0.24, 95% CI: 0.13-0.44], households without school children [AOR = 0.15, 95% CI: 0.08-0.28], households owned latrine for less than 1 year’s [AOR = 0.24, 95% CI: 0.12-0.49], Households owned latrine for 1 to 3 year’s [AOR = 0.39, 95% CI: 0.25-0.64], and latrine that does not require maintenance 1.94 [AOR = 1.92, 95% CI: 1.04-3.61], were significantly associated with latrine utilization. Conclusion: The findings of this study revealed that open field defecation is still practiced by households in CLTSH implemented kebeles. Therefore, to improve latrine utilization, community awareness must be raised through regular training on proper latrine construction, latrine usage, and sanitation and hygiene practices.

Introduction COVID-19 incidence is increasing and different measures have been adopted to control the spread of the pandemic in Ethiopia. Among these measures, enhancing the knowledge, positive attitudes, and proper practices of prevention measures about the disease is a basic strategy to control it. However, community compliance to control measures is largely dependent on their knowledge, attitudes, and practices (KAP) towards COVID-19. Objective To assess the current level of KAP towards COVID-19 pandemic and predictors among the rural dwellers in Sidama regional state, Southern Ethiopia; 2020. Methods This community-based prospective cross-sectional study was carried out from May 1-30, 2020 on a sample of 1,278 adult populations in Sidama regional state, Southern Ethiopia. A multi-stage sampling technique was used to choice the study participants. The data were collected using a structured interviewer-administered questionnaire. We have entered data using Epi data version 3.1 and all analyses were done using SPSS version 25. KAPs scores of study participants based on their independent variables were compared using Chi-square test, t-test or one-way analysis of variance (ANOVA) as required. Bi-variable and multivariable logistic regression analyses were used to identify factors associated with KAP. The important assumptions of the logistic regression model were checked to be satisfied. Adjusted odds ratios (AOR) with a 95% confidence interval (CI) were calculated to assess the existence and strength of associations. Results From a total of 1,214 study participants, the overall attained knowledge, attitude and practice score about COVID-19 were 90%, 82.4% and 65%, respectively. Among these, 43.9%, 37.5%, and 24.4% of the study participants had demonstrated good knowledge, high attitude and proper practice, respectively. The mean knowledge scores were significantly different between sex, categories of marital status, educational levels, main occupation, and the monthly income quintiles of the study participants (p<0.05). Similarly, the mean attitude scores significantly varied across educational levels, main occupations and marital status (p<0.05). Based on multivariable logistic regression analysis, main occupation of the government employees, education level of diploma and above, highest and second highest wealth rank were positively associated with COVID-19 prevention and control practice. Conclusions The majority of study participants had showed good knowledge and optimistic attitude toward COVID-19. But, the level of practice lower than that expected to maximize effective control measures. Further public education interventions and community sensitization campaigns are required for rural adult population in the Sidama regional state, Ethiopia.

Objectives: The aim of this study was to assess the inappropriate use of antibiotics, its reasons and contributing factors among communities of Yirgalem town, Sidama regional state, Ethiopia. Methods: The study was conducted in Yirgalem town from 1 March to 30 March 2019. A cross-sectional study with interviewer administered structured and pretested questionnaire was used. A multistage sampling procedure was employed involving a total of 568 participants who used antibiotics in the past 1 year prior to the study period. Data were entered into Epi data version 3.1, and then exported to statistical package for social science version 20 for analysis. Descriptive statistics, bivariate and multivariate logistic regression analysis were done. p -value < 0.05 was used to consider significant variables. Results: The magnitude of inappropriate use of antibiotics was 37.9% (95% confidence interval (34.0, 41.5)). Main reason(s) for inappropriate use were long delays in health facility, cost-cutting and busy day’s program. Being employed (adjusted odds ratio = 3.45, 95% confidence interval (1.98, 6.02)), age 25–34 years (adjusted odds ratio = 2.89, 95% confidence interval (1.43, 5.84)), being male (adjusted odds ratio = 1.90, 95% confidence interval (1.20, 3.02)), seeking modern healthcare in private clinic (adjusted odds ratio = 2.54, 95% confidence interval (1.20, 5.36)), delayed waiting time in healthcare facilities (adjusted odds ratio = 4.87, 95% confidence interval (2.17, 10.91)), experienced with similar symptom/disease (adjusted odds ratio = 3.02, 95% confidence interval (1.89, 4.83)) and family size above five (adjusted odds ratio = 8.92, 95% confidence interval (3.56, 22.38)) were predictors positively associated with inappropriate use of antibiotics. Conclusion: The magnitude of inappropriate antibiotics use was high. Attention should be given to community education through involvement of the private health sector and healthcare providers about rational use of antibiotics.

Abstract Background: As the World Health Organization situation report of November 14, 2021, globally there were over 252 million confirmed cases and over 5 million deaths attributable to the COVID-19 pandemic. How COVID-19 is transmitted put health care professionals (HCPs) at higher risk of contracting the disease because of their work conditions. Information regarding knowledge, attitude, and practice (KAP) towards the disease among HCPs are of higher importance to devise interventions that will tackle the pandemic.Methods: A facility based cross-sectional study was conducted from September 29 to October 07, 2020, among randomly selected 422 health care professionals. Epi-data and SPPS software were used for entry and analysis of the data respectively. Frequencies, percentages, and charts were used to describe the KAP of HCPs towards the disease. Binary logistic regression was conducted to identify factors that are associated with the KAP of HCPs. Variables with a p-value less than 0.05 were declared as significantly associated.Results: 406 HCPs have participated in this study. Less than half (45%) HCPs had sufficient knowledge about COVID-19. HCPs aged 30 or more years, working in health centers, and HCPs that received an orientation or training regarding COVID-19 had significantly higher knowledge. About 77% HCPs had a positive attitude towards COVID-19. Educational level and knowledge about COVID-19 were significant predictors of attitude. About three-fifths (59%) of study participants had good practice towards COVID-19. Types of health facilities, work experience, and orientation or training status were significantly associated with the practice.Conclusion: This study found a low proportion of HCPs having sufficient knowledge about COVID-19. About four in ten HCPs had poor practice towards COVID-19. Training, monitoring and supervision, knowledge and skill-sharing activities should be given due emphasis to tackle the pandemic in the region.