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Despite the global and local efforts, gender-based violence at workplaces has remained a major public health challenge and pervasive human rights violation worldwide. Nevertheless, there is a paucity of research evidence on gender-based violence in higher educational institutions (HEIs). The main aim of this study was to assess workplace gender-based violence and its associated factors among female staff in public HEIs in eastern Ethiopia. An institution-based cross-sectional study design was conducted among female staff in public HEIs in eastern Ethiopia. Female staff (n = 391) were recruited using systematic sampling techniques from three HEIs. Data were collected by trained female data collectors using a structured pre-tested, self-administered questionnaire. Collected data were entered into EpiData and exported to SPSS for analysis. Descriptive and logistic regression statistical analysis were carried out to compute frequencies and odds ratio at 95% confidence interval (CI). The adjusted odds ratio (AOR) at 95% CI was used to declare a significant association. Workplace gender-based violence among female staff at HEIs was 63.1% (95% CI: 58-68%). Being within the age group of 18-34 years (AOR: 1.71, 95% CI: 1.02-2.85), being single (AOR: 2.24, 95% CI: 1.32-3.80), divorced (AOR: 2.27, 95% CI: 1.03-5.03), working the night shifts (AOR:5.73, 95% CI: 1.87-17.58), Being aware of the reporting procedures of violent incidents (AOR: 1.55, 95% CI: 1.01-2.49) and worried for being a victim of violence (AOR: 1.71, 95% CI: 1.02-2.86) were the factors associated with workplace gender-based violence against female staff in the public HEIs. Workplace gender-based violence among female staff working in the selected public HEIs was found to be unacceptably high. Awareness-raising campaigns against gender-based violence and reporting procedures in case of violent incidents, enforcing existing policies, orientation to employees, safeguarding the night shift female workers, and survivor support services should be implemented by key stakeholders., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Ali et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Delays in illness recognition, healthcare seeking, and in the provision of appropriate clinical care are common in resource-limited settings. Our objective was to determine the frequency of delays in the "Three Delays-in-Healthcare", and factors associated with delays, among deceased infants and children in seven countries with high childhood mortality. We conducted a retrospective, descriptive study using data from verbal autopsies and medical records for infants and children aged 1-59 months who died between December 2016 and February 2022 in six sites in sub-Saharan Africa and one in South Asia (Bangladesh) and were enrolled in Child Health and Mortality Prevention Surveillance (CHAMPS). Delays in 1) illness recognition in the home/decision to seek care, 2) transportation to healthcare facilities, and 3) the receipt of clinical care in healthcare facilities were categorized according to the "Three Delays-in-Healthcare". Comparisons in factors associated with delays were made using Chi-square testing. Information was available for 1,326 deaths among infants and under 5 children. The majority had at least one identified delay (n = 854, 64%). Waiting >72 hours after illness recognition to seek health care (n = 422, 32%) was the most common delay. Challenges in obtaining transportation occurred infrequently when seeking care (n = 51, 4%). In healthcare facilities, prescribed medications were sometimes unavailable (n = 102, 8%). Deceased children aged 12-59 months experienced more delay than infants aged 1-11 months (68% vs. 61%, P = 0.018). Delays in seeking clinical care were common among deceased infants and children. Additional study to assess the frequency of delays in seeking clinical care and its provision among children who survive is warranted., Competing Interests: I have read the journal’s policy and the authors of this manuscript have the following competing interests: CGW received honoraria from the University of St. Andrews for speaking to alumni about CHAMPS and global health work. JAGS reports receiving funding from the Wellcome Trust, UK FCDO, European Union, and the National Institute for Health Research. SM has received grants from the Bill & Melinda Gates Foundation, GSK, Pfizer, Minervax, Novavax, Providence, Gritstone, and ImmunityBio. SM has received honoraria from GSK for lecturing. CGW and SM report serving on data safety monitoring boards for SPEAC (CGW) and PATH and CAPRISA (SM). DT-F reports having received the support of a fellowship from “La Caixa” Foundation (ID 100010434, “LCF/BQ/DR21/11880018”). All other investigators declare no competing interests., (Copyright: This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.)