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Yosef Zenebe,1 Baye Akele,2 Mulugeta W/Selassie,3 Mogesie Necho1 1Department of Psychiatry, Wollo University, Dessie, Ethiopia; 2Department of Pharmacy, Wollo University, Dessie, Ethiopia; 3Department of Pediatrics and Child Health Nursing, Wollo University, Dessie, EthiopiaCorrespondence: Yosef Zenebe, Email yosef.zenebe79@gmail.com; yosef.zenebe@wu.edu.etBackground: Neurocognitive impairment (NCI) is one of the most common neurological complications in HIV-positive individuals, particularly in resource-limited countries. Neurocognitive impairments can occur at any stage of HIV infection, although the risk increases as the infection progresses. However, in Africa, there are few studies with highly variable and inconsistent results. Therefore, this study aimed to determine the prevalence and factors associated with NCI among HIV-positive people in Africa.Methods: For this systematic review and meta-analysis, we used PubMed/Medline, Scopus, Web of Science, the Cochrane Library, Embase, and PsycINFO to comprehensively search a number of papers. Studies reporting the prevalence of NCI and its factors were included in the estimation of the pooled prevalence. A consistent data extraction format was created in Microsoft Excel to extract the data, which was then imported into STATA 11 statistical software for analysis. The heterogeneity was evaluated using the I2 test, and a random effect meta-analysis model was employed to calculate the pooled prevalence of NCI because the included studies showed significant heterogeneity.Results: In all, Africa had a pooled prevalence of NCI of 45.15% (95% CI: 36.86, 53.43). According to the subgroup analysis of this study, West Africa had the lowest frequency, at 42.40% (95% CI: 22.03, 62.77), whereas Central and South Africa had the highest prevalence, at 49.33% (95% CI: 10.72– 87.95).Conclusion: In Africa, the cumulative prevalence of NCI was high. Being a woman, not having a formal education, those with only an elementary education, being older, having late-stage HIV, and abusing drugs were all often associated with NCI. The average burden of NCI in Africa is high and that would be a significant figure for interventional actions in the area.Keywords: Africa, meta-analysis, NCI, HIV

Yimer Endris,1 Mulugeta W/Selassie,2 Afework Edmealem,3 Sewunet Ademe,3 Wondwossen Yimam,3 Yosef Zenebe4 1Department of Adult Health Nursing, Tropical College of Medicine, Dessie, Ethiopia; 2Department of Pediatrics and Child Health Nursing, Wollo University, College of Medicine and Health Sciences, Dessie, Ethiopia; 3Department of Comprehensive Nursing, Wollo University, College of Medicine and Health Sciences, Dessie, Ethiopia; 4Department of Psychiatry, Wollo University, College of Medicine and Health Sciences, Dessie, EthiopiaCorrespondence: Mulugeta W/Selassie, Email alzunfa@yahoo.comIntroduction: Nurse–physician collaboration is an integral part of quality improvement in health care. Collaboration enables individuals to work together to achieve defined and common health purposes. There is limited evidence related to nurse–physician inter-professional collaboration and its associated factors in Ethiopia, particularly in Dessie city public hospitals.Objective: To assess nurse–physician inter-professional collaboration and associated factors at public hospitals in Dessie city, Ethiopia, 2021.Methods: An institutional-based cross-sectional study was conducted among nurses and physicians at public hospitals in Dessie city. A self-administered questionnaire was used for data collection. Stratified simple random sampling techniques were used to select study participants proportional to the sample size allocation. The final sample size was 260 and allocated proportionally to Dessie Comprehensive Specialized Hospital and Boru Meda General Hospital. The data were entered and analyzed using EPI-data version 4.6 and SPSS version 26 software respectively. During analysis, p-values less than 0.25 in binary logistic regression were entered into multivariable logistic regression. Finally, p-values less than 0.05 in multi-variable logistic regression were considered statically significant.Results: The mean score for inter-professional collaboration was 97.40 ± 19.6SD. In this study, inter-professional collaboration among nurses and physicians was 44.2%. This study showed that favorable attitude [AOR=3.205; CI: 1.781– 5.766], respondents working in the gynecological department [AOR=0.210; CI: 0.052– 0.849], satisfied organizational support [AOR=2.062; CI: 1.140– 3.729] and urban residents [AOR=3.996; CI: 1.069– 14.931] were factors associated with nurse–physician inter-professional collaboration.Conclusion: In this study, nurse–physician inter-professional collaboration was low. Training on the importance of health teamwork, timely monitoring and evaluation of organizational support, and professional empowerment towards a favorable attitude of nurse–physician inter-professional collaboration shall be provided at hospital levels. Routine assessment and timely intervention of the gynecological department for nurse–physician inter-professional collaboration shall be done at hospital levels. Moreover, both quantitative and qualitative research shall be performed for future research.Keywords: inter-professional, collaboration, nurse, physician, associated factors