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Ethiopian Public Health Association (EPHA) th Abstract Book of the 27 EPHA Annual Conference 22-24 February 2016 Addis Ababa Attaining Universal Health Service Coverage and Sustainable Development Goals Related to Health: Opportunities and Challenges. February, 2016 Addis Ababa 1 Abs 01 Knowledge, Attitude and Practice towards Blood Donation and Associated Factors among Adults in Debre Markos Town, Northwest Ethiopia. Yenework Acham, MPH; Ahmed Esmael, MSc; Kedir Yimam, MPH* *Department of Public Health, Medicine and Health Science College, Debre Markos University, Debre Markos, Ethiopia. Background: Even if the demand for blood supply accelerating in Ethiopia, evidences indicates that severe shortage of blood supplies hitting the vast majority of population. Thus, identifying motivational factors affecting blood donation and recruitment of safe and low risk donors is necessary. Therefore, this study aimed at assessing knowledge, attitude and practice of blood donation and its associated factors. Methods: Community based cross-sectional study was conducted in Debre Markos Town from February to April 2015. Multistage sampling technique with single population proportion formula was employed to get the total sample size of 845. Interviewer administered questionnaire employed for the data collection. Binary logistic regression was fitted to assess the relationship between outcome variables and explanatory variables. Results: In this study, 436 (56.5%), 403 (52.2%) and 124 (16.1%) of respondents were found to be knowledgeable, had favorable attitude and reported the practice of blood donation. Younger age, male sex, having formal education and radio listener were independent predictors of knowledge. Being at high school and above level, having good income, listening radio and being knowledgeable were significantly associated with favorable attitude. The prevalence of practice of blood donation was higher in older age groups, those with certificate and above in educational status, knowledgeable and favorable attitude groups. Conclusion: In this study, the level of knowledge, attitude and practice about blood donation was found to be low. There is a need of an intervention on the independent predictors. Regular blood donation campaigns should be organized at the community level to encourage those who have not time and didn’t get opportunity to donate blood. Key terms: Blood donation, Knowledge, Attitude, Practice 2 Abs 02 Assessment of Breast Self-examination Practice and Associated Factors among Women Attending Health Centers in Addis Ababa, Ethiopia, 2015. Mahlet Mekonnen, MPH, Consultancy Service for the Health limited Ethiopia, Ahmed Ali, PhD., Institute of Pathobiology and Department of Community Health, Addis Ababa University; Firdu Naod, MD, MPH, School of public health and Department of preventive medicine, Addis Ababa University. Background: In resource scarce countries like Ethiopia, Breast self-examination is promoted for early detection of breast cancer to prevent related morbidities and mortalities. Objective: To assess the magnitude of Breast Self-Examination practice and associated factors among women attending the selected public health centers in Addis Ababa, Ethiopia, 2015. Methods: A health facility based cross-sectional study was conducted from March-April/2015 among women between 20 up to 70 years attended in selected public health centers in Addis Ababa, Ethiopia, 2015. Health centers were selected by simple random sampling technique and the study participants were selected using Systematic Random Sampling Technique. Data were collected by using a structured and pretested questionnaire. Data transferred from the Epi info database to SPSS database using stat transfer for analysis. Logistic regression analysis was fitted and odds ratios with 95% Confidence intervals and p-values were computed to identify factors associated with the practice of Breast self-examination. Result: There were 406 respondents, which gives a 96% response rate from the expected 422. From the 14 question designed to assess BSE knowledge of the respondents 88(21.7%) scores the median seven and above. Below one fourth 46(11.3%) of the respondents were ever practiced BSE, from that only 24(6%) regularly practiced. The most common reason for not practicing BSE, they didn’t know how doing it 224 (55.2%). Women who have knowledge of BSE two times more likely practice BSE (Knowledgeable for BSE AOR 2.227 [1.135 – 4.3]) and also women who have confidence to do BSE six times more likely practice BSE (Have perceived confidence AOR 5.645[2.493 – 12.7]). Therefore, the two variables were that statically significant association with the practice of BSE. Conclusion: This study revealed a low level of ever practice BSE and from that few of them regularly practice Breast self-examine in Addis Ababa, Ethiopia. Thus warrant to the concerned bodies for creation of breast cancer awareness campaigns and screening programs at all levels of the health sector to promote early detection and diagnosis in the prevention of breast cancer in women in Ethiopia. 3 Keywords: Breast self-examination Abs 03 Willingness to Receive Text Message Medication Reminders among Patients on Antiretroviral Treatment in North West Ethiopia: A Cross-sectional Study. Mihiretu M. Kebede, BSc, MPH-HI, Advanced Diploma, University of Gondar; Atinkut Alamirrew, MSc; Mulusew Andualem, MSc. 4 Background: Non-adherence to Antiretroviral Treatment (ART) is strongly associated with virologic rebound and drug resistance. Studies have shown that the most frequently mentioned reason for missing ART doses is the forgetfulness of patients to take their medications on time. Therefore using communication devices as reminder tools, for example alarms, pagers, text messages and telephone calls could improve adherence to ART. The aim of this study is to measure access to cellphones, willingness to receive text message medication reminders and to identify associated factors of ART patients at the University of Gondar Hospital, in North West Ethiopia. Methods: An institution based cross sectional quantitative study was conducted among 423 patients on ART during April 2014. Data were collected using structured interviewer- administered questionnaires. Data entry and analysis were done using Epi-Info version 7 and SPSS version 20 respectively. Descriptive statistics and multivariable logistic regression analysis were used to describe the characteristic of the sample and identify factors associated with the willingness to receive text message medication reminders. Results: A total of 415 (98% response rate) respondents participated in the interview. The majority of respondents 316 (76.1%) owned a cellphone, and 161(50.9%) were willing to receive text message medication reminders. Positively associated factors to the willingness were the following: Younger age group (AOR = 5.18, 95% CI: [1.69, 15.94]), having secondary or higher education (AOR = 4.61, 95% CI: [1.33, 16.01]), using internet (AOR = 3.94, 95% CI: [1.67, 9.31]), not disclosing HIV status to anyone other than HCP (Health Care Provider) (AOR = 3.03, 95% CI: [1.20, 7.61]), availability of radio in dwelling (AOR = 2.74 95% CI: [1.27, 5.88]), not answering unknown calls (AOR = 2.67, 95% CI: [1.34, 5.32]), use of cellphone alarm as medication reminder (AOR = 2.22, 95%CI [1.09, 4.52]), and forgetting to take medications (AOR = 2.13, 95% CI: [1.14, 3.96]). Conclusions: A high proportion of respondents have a cell phone and are willing to use it as medication reminders. Age, educational status and using internet were the main factors that are significantly associated with the willingness of patients to receive text message medication reminders. Abs 04 Factors Associated with Loss to Follow-Up among Women in Option B+ PMTCT Programme in Northeast Ethiopia: A Retrospective Cohort Study. Israel Mitiku, MPH, Wollo University; Mastewal Arefayne, MSc; Yonatal Mesfin, MSc. 5 Introduction: Ethiopia has recently adopted lifelong antiretroviral therapy (ART) for all HIV infected pregnant and breastfeeding women (Option B+ strategy), regardless of CD4 count and/or clinical stages. However, the exact timing and predictors of loss to follow-up (LTF) is unknown. Thus, we examined the levels and determinants of LTF under Option B+ among pregnant and breastfeeding women initiated on a lifelong ART for PMTCT in Ethiopia. Methods: We conducted a retrospective cohort study among 346 pregnant and breastfeeding women who started ART at 14 public health facilities in northeast Ethiopia from March 2013 to April 2015. We defined LTF as 90 days since the last clinic visit among those not known to have died/transferred out. We used Kaplan-Meier and Cox proportional hazards regression to estimate cumulative LTF and identify the predictors of LTF respectively. Results: Of 346 women included, 88.4% were pregnant, and the median follow up was 13.7 months. Overall, 57 (16.5%) women were LTF. The cumulative proportions of LTF at 6, 12 and 24 months were 11.9, 15.7, and 22.6%, respectively. The risk of LTF was higher in younger women (adjusted hazard ratio [aHR]18-24yeasr/30-40 years: 2.3; 95%CI: 1.2-4.5), in those attending hospitals compared to those attending health centers (aHR:1.8; 95%CI: 1.1-3.2), in patients starting ART on the same day of diagnosis (aHR:1.85; 95% CI: 1.1-3.2) and missing CD4 cell counts at ART initiation (aHR:2.3; 95% CI: 1.2-4.4). Conclusions: The level of LTF we found in this study is comparable with previous findings from other resource-limited settings. However, high early LTF shortly after ART initiation is still a major problem. LTF was high among younger women, those initiating ART on the day of HIV diagnosis, those missing baseline CD4 count, and those attending hospitals. Thus, targeted HIV care and treatment programs for these patients should be part of future interventions to improve retention in care under option B+ PMTCT programme. Abs 05 Assessment of Storage and Utilization of printed Information, Education and communication (IEC) Materials, and Associated Factor in Health facilities of Bench Maji Zone, South West Ethiopia.