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Belachew Tegegne,1 Feruza Yimam,2 Zemen Mengesha Yalew,1 Mekuriaw Wuhib,1 Leul Mekonnen,1 Yibeltal Asmamaw Yitayew,3 Sewunet Ademe,1 Dejen Tsegaye,4 Yeshiambaw Eshetie,5 Muluken Chanie6 1Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2Department of Nursing, Tropical College of Medicine, Dessie, Ethiopia; 3Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 4Department of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia; 5Department of Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia; 6Department of Nursing, Debre Tabor Health Science College, Debre Tabor, EthiopiaCorrespondence: Zemen Mengesha Yalew, Tel +251 91-805-7019, Email zeme.mengesha141414@gmail.comBackground: Wound infection is caused by pathogenic organisms invading viable tissue surrounding a localized defect or excavation in the skin or underlying soft tissue. Nurses have a critical role in wound care and dressing selection, and they should strive to stay current in this ever-changing field. To prevent wound infection, it is essential to improve wound-care knowledge and practice.Objective: To assess knowledge and practice of wound care and associated factors among nurses working in government hospitals of South Wollo Zone, Ethiopia.Methods: A hospital-based cross-sectional study design was used among 422 randomly selected nurses in government hospitals in South Wollo. A pretested structured self-administered questionnaire was used to collect data. Data were entered in EpiData 4.4.2 and exported to SPSS 25.0 for analysis. Descriptive statistics and bivariate and multivariate logistic regression were applied. Variables with P value < 0.05 were considered statistically significant for knowledge and good practice of wound care.Results: According to the findings, 40.3% and 51.0% had good knowledge and practice of wound care, respectively. Holding a bachelor’s degree or above (AOR 3.27, 95% CI 1.97– 5.43) and training (AOR 3.71, 95% CI 2.37– 5.81) were significantly associated with knowledge of wound care. More than 10 years of experience (AOR 3.15, 95% CI 1.96– 5.04), training (AOR 3.75, 95% CI, 2.38– 5.85), and not having a patient load (AOR 3.15, 95% CI 1.96– 5.04) were significantly associated with wound-care practices.Conclusion: Nurses’ wound-care knowledge and practice were low. Knowledge and practice on wound care were determined by educatio, training, patient load, and experience. Nurses should get training and share experience.Keywords: wound care, knowledge, practice, Ethiopia

Background Globally, more than 20.5 million infants are born with low birth weight, and the majorities were from Asia and Africa. Even though efforts were made to reduce low birth weight worldwide, it remains a global public health problem, especially in sub-Saharan Africa. Objective To assess low birth weight and associated factors among newborn babies in health institutions in Dessie, Amhara, Ethiopia. Methods An institution-based cross-sectional study was conducted among 358 newborn/mother pairs from March 1 to April 15, 2017, in Dessie town health institutions. The data were collected using a semi-structured interviewer-guided questionnaire. The numbers of newborn/mother pairs surveyed from each health institution were allocated proportionally, and systematic random sampling was used to select the respondents. Epi-info version 7.0 was used for data entry, and Statistical Package for Social Sciences version 20 was used for the analysis. Multivariate logistic regression with adjusted odds ratios and 95% confidence intervals were used to identify significantly associated variables with low birth weight. Results In this study, the prevalence of low birth weight was 15.6%. Maternal age

Desalegn Abebaw Jember,1 Zeleke Argaw Menji,2 Yibeltal Asmamaw Yitayew3 1Department of Pediatric Nursing, St. Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia; 2College of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia; 3Department of Pediatric and Child Health Nursing, College of Medicine and Health Science, Wollo University, Dessie, EthiopiaCorrespondence: Yibeltal Asmamaw Yitayew Email yibie.asmamaw@gmail.comBackground: Globally, more than 20.5 million infants are born with low birth weight, and the majorities were from Asia and Africa. Even though efforts were made to reduce low birth weight worldwide, it remains a global public health problem, especially in sub-Saharan Africa.Objective: To assess low birth weight and associated factors among newborn babies in health institutions in Dessie, Amhara, Ethiopia.Methods: An institution-based cross-sectional study was conducted among 358 newborn/mother pairs from March 1 to April 15, 2017, in Dessie town health institutions. The data were collected using a semi-structured interviewer-guided questionnaire. The numbers of newborn/mother pairs surveyed from each health institution were allocated proportionally, and systematic random sampling was used to select the respondents. Epi-info version 7.0 was used for data entry, and Statistical Package for Social Sciences version 20 was used for the analysis. Multivariate logistic regression with adjusted odds ratios and 95% confidence intervals were used to identify significantly associated variables with low birth weight.Results: In this study, the prevalence of low birth weight was 15.6%. Maternal age < 20 years (AOR: 3.78, 95% CI, 1.02– 13.97), rural residence (AOR: 3.49, 95% CI, 1.48– 8.24), having antenatal care follow-up (AOR: 3.79, 95% CI, 1.08– 13.23), gestational age < 37 weeks (AOR: 3.82, 95% CI, 1.55– 9.42), and females (AOR: 3.37, 95% CI, 1.17– 9.72) were significantly associated with low birth weight.Conclusion: The proportion of LBW in this study is comparable to the estimated global prevalence. Maternal age, residence, antenatal care, gestational age, and sex were significantly associated variables with low birth weight. Therefore, special attention should be given to antenatal care services and preventive strategies for preterm delivery.Keywords: birth weight, low birth weight, non-low birth weight, newborn, Ethiopia

Background: Burn injury is a major global public health problem accompanied by a high risk of mortality and morbidity. Sufficient knowledge in the epidemiological pattern is necessary to prevent burn injury, but in many developing countries, including Ethiopia, the epidemiological patterns of burn injuries given low attention. Methods: The institutional-based retrospective cross-sectional study design was conducted from March-April 2017. A total of 102 burn patients were selected in a simple random sampling method. Data were collected retrospectively from patients’ medical records using a data extraction tool among children’s attended Felege Hiwot referral hospital with burn injury from 2011 to 2016. Data were cleaned, coded, and entered in Epi-data version 3.1, then exported to Statistical Package for Social Sciences version 21 for analysis. Result: The overall prevalence of burn injury among children was 0.46%. In all age groups, the prevalence of burn injury was higher among females. Scald burn injuries account for 42.2%, and 41.61% of burn injuries involved multiple body parts. The majority of children (75.5%) presented with second-degree burns, and the mean TBSA (total body surface area) burned was 12.56 ±8.91. The majority of patients (77.5%) seek health care within

Background Vertical transmission of Human Immunodeficiency Virus (HIV) is the primary route of infection among children. Ethiopia is among the top ten countries in the world with the highest burden of HIV infections among children. Therefore we aimed to assess mother to child transmission (MTCT) of HIV and associated factors among HIV exposed infants (HEIs). Methods A cross-sectional study was conducted using retrospective data collected from HEIs paired with their mothers who had received the services in prevention of mother to child transmission (PMTCT) programs from January 2014 to December 2017 in public health facilities in Dessie town. Data of a total of 313 HEIs paired with their mothers were obtained by using semi-structured data extraction proforma from their medical records. The data were processed in Epi-info version 7.1.2.0 and analyzed using SPSS version 22. Crude and adjusted odds ratios with their 95% confidence intervals and p-value were used to identify significant factors. Results The prevalence of HIV among exposed infants was 3.8%. Absence of maternal antenatal care visit (AOR = 4.6, 95% CI: 1.17-17.99), home delivery (AOR = 4.2, 95% CI: 1.04 -16.76), absence of antiretroviral intervention to the mother (AOR= 5.7, 95% CI: 1.10-29.36), and failure to initiate nevirapine prophylaxis for the infant (AOR = 5.3, 95% CI: 1.11 -25.44) were significant factors of MTCT of HIV. Conclusion Prevalence of MTCT of HIV was low (3.8%) in Dessie town public health facilities. Having ANC visit, delivery at health facility, maternal ARV drug intake, and infant ARV prophylaxis were the significant protective factors against MTCT of HIV. Promoting ANC service utilization among pregnant women and providing counseling as well as setting up linkage with PMTCT and giving ARV intervention to all HIV positive pregnant women and timely initiation of NVP prophylaxis to all HEIs should be recommended by the minister of health and health facilities.

Zemen Mengesha Yalew,1 Yibeltal Asmamaw Yitayew,2 Ebrahim Seid Mohammed,3 Tesfaye Bezabih Gezihagne3 1Department of Comprehensive Nursing, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia; 2Department of Pediatrics and Child Health Nursing, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia; 3Department of Journalism and Communication, College of Social Sciences, Wollo University, Dessie, EthiopiaCorrespondence: Yibeltal Asmamaw Yitayew Email yibie.asmamaw21@gmail.comBackground: Despite the efforts made to mitigate the spread of COVID-19 in Ethiopia, new cases continue to rise. Therefore, to overcome the devastating effects of the outbreak, health communication and the community’s knowledge, perception, and behavioral responses towards COVID-19 should be assessed.Methods: A community-based cross-sectional study design was conducted from June 15 to July 30, 2020, with 827 and 18 participants for the quantitative and qualitative study, respectively. The data were collected using ODK collect and exported to SPSS version 25 for analysis. Multivariate logistic regression was computed, and variables that had a significant association were interpreted at p < 0.05 with a 95% CI. Additionally, the qualitative data were collected using in-depth interview and then transcribed, translated, and analyzed using thematic content analysis.Results: The majority (97.8%) of respondents obtained information about COVID-19 through broadcast media, and 58.5% of the participants had good knowledge of COVID-19. Likewise, 51.3%, 60.9%, 73.8%, 35.1%, and 74.2% of participants had high perceived susceptibility, severity, benefit, barrier, and self-efficacy to COVID-19, respectively. Additionally, 54.3% of respondents had good behavioral responses to COVID-19. Kombolcha town residents (AOR: 4.32, 95% CI, 2.02– 9.2), aged from 25 to 34, and 35 to 44 years old (AOR: 2.62, 95% CI, 1.37– 5.0), and (AOR: 2.23, 95% CI, 1.11– 4.46), respectively, secondary or above education (AOR: 2.38, 95% CI, 1.17– 4.86), good knowledge of COVID-19 (AOR: 2.07, 95% CI, 1.42– 3.02), high perceived self-efficacy (AOR: 4.90, 95% CI, 3.10– 7.75), and low perceived barriers (AOR: 3.17, 95% CI, 2.12– 4.74) to COVID-19 preventive measures were significantly associated with the behavioral responses to COVID-19.Conclusion: In this study, the behavioral responses to COVID-19 were relatively low. Therefore, continuous awareness creation is needed to scale up the community’s knowledge and perceived self-efficacy. Furthermore, the general public, especially young people, should follow the government’s COVID-19 prevention and control rules and regulations.Keywords: COVID-19, health communication, knowledge, perception, behavioral response, Ethiopia

Additional file 2.

Additional file 1.

Patient experience of nursing care is the perception of the patient about the real existing nursing service. Addressing patient experience of nursing care is very important to improve nursing service quality because it identifies the factors that affect the nursing care quality better than patient satisfaction. Therefore, this study aimed to assess patient experience in nursing care and associated factors among adult admitted patients in Debre Markos and Dessie referral hospitals. An institution-based cross-sectional study was conducted from March 1, 2019, to March 30, 2019, among 528 consecutively selected adult admitted patients. Data were cleaned, coded, and entered in Epi-data version 3.1 then exported to Statistical Package for Social Sciences version 25 for analysis. Multivariate logistic regression, with a 95% CI was used to identify variables that had a significant association. The overall good patient experience in nursing care was 64%. Duration of admission ≥22 days (adjusted odds ratio [AOR] = 2.67, 95% CI = 1.013-7.025) and free service (AOR = 3.69, 95% CI = 2.381-5.730) showed a positive association with patient experience in nursing care. However, admission in gynecology ward (AOR = 0.43, 95%CI = 0.257-0.707), secondary education (AOR = 0.53, 95% CI: 0.308-0.907), and college or above education (AOR = 0.55, 95%CI = 0.320-0.957) showed a negative association with patient experience in nursing care.

Background: Lower respiratory tract infections are a leading cause of morbidity and mortality worldwide, particularly in children younger than five years. Even if the burden of lower respiratory tract infections in children under-five years had decreased dramatically in the last ten years, it is still the main cause of morbidity and mortality in under five years old children in developing countries. So, this study was aimed to assess lower respiratory tract infections and associated factors among under-five children visiting Wolaita Sodo University Teaching and Referral Hospital.Methods: A cross-sectional study was conducted from April 1-30, 2019, among under-five children attended the Pediatrics outpatient department of Wolaita Sodo University Teaching and Referral Hospital. The data was collected using a semi-structured pre-tested interviewer guided questionnaire. Epi -info (version 7.1.2.0) was used for data entry, and Statistical Package for Social Sciences version 20 was used for analysis. Bivariate and multivariate logistic regression, crude and adjusted odds ratio with their 95% confidence interval were computed. Finally, p-value Result: The prevalence of acute lower respiratory tract infections among under-five children was 40.3% (95%CI: 35.7%- 44.9%). Unvaccinated children (AOR: 2, 95% CI, (1.27-3.16)), non-exclusive/replacement feeding (AOR: 1.85, 95% CI, (1.18-2.91)), households mainly used unclean fuel for cooking (AOR: 2.12, 95% CI, (1.07-4.19)), absence of separate kitchen (AOR: 1.7, 95% CI, (1.09-2.65)), and absence of window in the kitchen room (AOR: 1.69, 95% CI, (1.07-2.68)) showed significant association with acute lower respiratory tract infection.Conclusion: The prevalence of acute lower respiratory tract infections was 40.3%. Unvaccinated children, non-exclusive/replacement feeding, households mainly used unclean fuel for cooking, absence of a separate kitchen, and absence of window in the kitchen room showed significant association with acute lower respiratory tract infection. Therefore, special attention should be given for the environmental sanitation and family health component of the health extension packages.

Background Vertical transmission of Human Immunodeficiency Virus (HIV) is the primary route of infection among children. Ethiopia is among the top ten countries in the world with the highest burden of HIV infections among children. Therefore we aimed to assess mother to child transmission (MTCT) of HIV and associated factors among HIV exposed infants (HEIs). Methods A cross-sectional study was conducted using retrospective data collected from HEIs paired with their mothers who had received the services in prevention of mother to child transmission (PMTCT) programs from January 2014 to December 2017 in public health facilities in Dessie town. Data of a total of 313 HEIs paired with their mothers were obtained by using semi-structured data extraction proforma from their medical records. The data were processed in Epi-info version 7.1.2.0 and analyzed using SPSS version 22. Crude and adjusted odds ratios with their 95% confidence intervals and p-value were used to identify significant factors. Results The prevalence of HIV among exposed infants was 3.8%. Absence of maternal antenatal care visit (AOR = 4.6, 95% CI: 1.17–17.99), home delivery (AOR = 4.2, 95% CI: 1.04 −16.76), absence of antiretroviral intervention to the mother (AOR= 5.7, 95% CI: 1.10–29.36), and failure to initiate nevirapine prophylaxis for the infant (AOR = 5.3, 95% CI: 1.11 −25.44) were significant factors of MTCT of HIV. Conclusion Prevalence of MTCT of HIV was low (3.8%) in Dessie town public health facilities. Having ANC visit, delivery at health facility, maternal ARV drug intake, and infant ARV prophylaxis were the significant protective factors against MTCT of HIV. Promoting ANC service utilization among pregnant women and providing counseling as well as setting up linkage with PMTCT and giving ARV intervention to all HIV positive pregnant women and timely initiation of NVP prophylaxis to all HEIs should be recommended by the minister of health and health facilities.