Introduction Depression and anxiety are prevalent psychological disorders that significantly affect physical,emotional, and social well-being, reducing quality of life and increasing medical costs. These issues are especiallychallenging for cancer survivors, complicating treatment management, affecting adherence, and potentiallyimpacting survival rates. Thus, this umbrella review aimed to evaluate the global prevalence of pain, depression, andanxiety, as well as their determinants among cancer patients.Method An exhaustive umbrella review was conducted to systematically assess the prevalence and determinants ofpain, depression, and anxiety among cancer survivors worldwide by analyzing systematic reviews and meta-analyses.The review involved a thorough search of multiple databases and included studies published in English up to July2024 that reported on these symptoms. The process involved screening and selecting studies based on specificcriteria, assessing the risk of bias using the AMSTAR tool, and analyzing data with statistical methods to determineoverall prevalence and identify predictors. This comprehensive approach aimed to provide a detailed understandingof these psychological issues in cancer survivors and guide future research and interventions.Result The global summary prevalence of depression among cancer survivors was 33.16% (95% CI 27.59–38.74),while anxiety had a prevalence of 30.55% (95% CI 24.04–37.06). Pain prevalence after treatment was 39.77% (95%CI 31.84–47.70). Before treatment, 65.22% (95% CI 62.86–67.57) of cancer patients reported pain, which persistedin 51.34% (95% CI 40.01–62.67) during treatment. The analysis also found that during the COVID-19 pandemic,depression and anxiety rates among cancer patients were at their highest, with prevalences of 43.25% (95% CI41.25–45.26) and 52.93% (95% CI 50.91–54.96), respectively.Conclusion The umbrella review found that depression and anxiety prevalence among cancer survivors was33.16% and 30.55%, respectively, with significantly higher rates during COVID-19 at 43.25% and 52.93%. Key factorscontributing to depression included poor social support, advanced cancer stage, and inadequate sleep, while anxietywas significantly linked to advanced cancer stage and poor sleep quality.
Clinical trial number Not applicable.Keywords Cancer, Oncology, Pain, Depression, Anxiety, Cancer survivors, Systematic review, Meta-analysis, Umbrellareview

Study region: The study area is located in the East Gojjam zone, Amhara, Ethiopia; the area coversthe Choke Mount and is surrounded by the Abbay River.Study focus: The primary focus of the study was assessing the possible groundwater sites in theselected area using the Analytical Hierarchy Process (AHP) with the Geographic InformationSystem (GIS) approach for groundwater exploration and investigation.New hydrological insights for the region: Water is a very important resource used to the day-to-dayactivities in our life, which is found naturally on the surface and subsurface of the Earth. Thestudy area is a part of a nation-wide economically significant region in Ethiopia and the Horn. Thearea is the primary water supply (Choke Mountain) for the Ethiopian Grand Ethiopian Renais-sance Dam (GERD) receives the highest water supply from this region. The results of the studyshow that the groundwater potential zones in the area are mapped as poor, moderate, high, andvery high groundwater potential areas. The Validations of the results were made using theborehole log data, and reasonably accepted the rationality of the adopted methodology. Theconsidered parameters, as well as their evaluation of the production of the groundwater potentialMap, were confirmed. The produced Groundwater potential map is very important for IrrigationEngineers, domestic water supply studies, agricultural studies, environmentalists, and futuregroundwater conservation strategies.
Keywords: GIS, AHP, Groundwater potentials, East Gojjam, Ethiopia

Introduction: Growth monitoring and promotion services are strategies to promote child health and reduce child mortality. Even though Ethiopia is attempting different strategies to cope with the low rate of GMP utilization, the problem is still unresolved.
Objective: Determine the pooled proportion of GMP utilization and its contributing factors among children less than two years in Ethiopia.
Method: The review protocol was registered with PROSPERO, number CRD42023472746. The PRISMA-2020 statement guided the conduct of this review. Electronic databases and grey literature were used. Heterogeneity was evaluated using I2. Subgroup analysis was conducted. The random effect model was used to summarize the pooled effect sizes with their respective 95% CI with STATA version 17. To test the small study effect, the funnel plot and Egger’s test were applied.
Result: A total of seven (7) studies with 4027 participants were considered in this meta-analysis. The pooled proportion of GMP utilization reported by seven studies was 25.71% (95%CI: 24.39, 27.04). ANC follow-up (AOR = 2.11; 95% CI: 1.47, 2.76), PNC follow-up (AOR = 1.96; 95% CI: 1.44, 2.49), counseling (AOR = 2.88; 95% CI: 2.09, 3.68), maternal education (AOR = 2.89; 95% CI: 1.66, 4.13), paternal education (AOR = 3.78; 95% CI: 2.25, 5.32), family health card (AOR = 2.31; 95% CI: 1.67, 2.96), and mothers good knowledge towards GMP (AOR = 2.90; 95% CI: 1.72, 4.07) variables were positively associated with GMP service utilization.
Conclusion and recommendation: The pooled proportion of GMP remains low in Ethiopia. ANC and PNC follow-up, counseling, maternal and paternal education, family health cards, maternal knowledge towards GMP were significantly associated. Findings are essential for evidence-based policy making, intervention, and input for ongoing research.

Background: Digital health data hubs contribute significantly to finding the right solutions to health problems, which forms the basis for achieving sustainable development goals. However, in Ethiopia, the health system has been coming to one central hub for all data, there is limited evidence of health professionals' intentions to use these systems. Understanding their intentions is crucial, as this can significantly improve the advancement of digital health in healthcare organizations. This study assessed health professionals' intention to use digital health data hubs in hospitals in East Gojjam, northwest Ethiopia, in 2024.
Methods: A cross-sectional study design was used to conduct the study. Eleven hospitals were included in the study area. Using an a priori structural equation modeling sample size calculator, the total sample size was 616. Stratified proportional allocation sampling was performed. The study participants were selected using a systematic sample. Structural equation modeling (SEM) was used for the analysis. Because it is a more powerful multivariate technique for testing and evaluating multivariate causal relationships. The assumptions of SEM-like normality, average variance extracted (AVE), composite reliability (CR), Cronbach's alpha, confirmatory factor analysis (CFA), and model specifications were checked using Amos and Stata version 16.
Results: This study was conducted with a sample size of 616 healthcare professionals; 591 (95.94%) responded to the survey. The results showed that 57.69% (n = 341) of the healthcare professionals intended to use the digital health data hub. Further analysis showed that perceived usefulness (PU: β = 0.576, p = 0.000), perceived trust (PT: β = 0.116, p = 0.022), and attitude (β = 0.143, p = 0.043) significantly and positively influenced health professionals' intention to use digital health data hubs.
Conclusion: Overall, the findings showed that 42.31% of health professionals have low intention to use digital health data hubs. These shall be needed to improve their intentions to use digital health data hubs through targeted interventions. Therefore, focusing on critical factors, such as perceived usefulness, trust, and attitude are crucial factors to reinforce their intention to use the system. Additionally, overcoming implementation challenges and building trust is critical to the successful integration and use of digital health data hubs.

Introduction: Promoting healthy lifestyle behaviors during pregnancy is a crucial health promotion strategy that could reduce pregnancy-related complications that may harm women and their fetuses. However, very few studies have assessed the prevalence of health-promoting lifestyle behaviors among pregnant women in Ethiopia. This study aimed to evaluate the extent and associated factors of health-promoting lifestyle behaviors among pregnant women in public health institutions in Debre Markos, northwest Ethiopia.
Methods: An institutional-based cross-sectional study was conducted among 275 pregnant women who were recruited using a systematic random sampling technique from 19 April to 19 May 2021. A face-to-face interview-administered questionnaire was used to collect the data. The data were analyzed using SPSS version 25. Multivariable binary logistic regression was used to identify the factors associated with the outcome variable. adjusted odds ratio (AOR), with a 95% confidence interval (CI) were used to measure the strength of the associations at a p-value

Background: Community-based health insurance (CBHI) is an emerging form of microhealth insurance that relies on theprinciple of solidarity, with community members pooling money to help with medical expenses. The level of household heads’satisfaction with CBHI schemes is more likely to affect their decision to remain enrolled and the entrance of new members.However, studies regarding household heads’ satisfaction with the CBHI schemes are scarce in Ethiopia. Therefore, this studyaimed to determine the level of satisfaction with CBHI schemes and associated factors among heads of households inNorthwest Ethiopia.Methods: A community-based cross-sectional study was conducted from March 1–30, 2022. A stratified random samplingtechnique with multistage sampling was used to select 604 study participants. A face-to-face interview was conducted using apretested structured questionnaire. Both bivariable and multivariable logistic regression analyses were conducted. An adjustedodds ratio (AOR) with 95% confidence intervals (CIs) was computed to evaluate the strength of the association, and variableswith a p value < 0 05 at a 95% CI were considered statistically significant.Results: This study found that about 56.1% of household heads were satisfied with the CBHI schemes. Being older age(AOR = 1 85; 95% CI: 1.17, 2.94), rural residence (AOR = 4 13; 95% CI: 2.24, 7.62), visited only health center (AOR = 0 34;95% CI: 0.20, 0.55), distance from a health facility (AOR = 3 18; 95% CI: 1.82, 5.55), agreement with prescribed drugs(AOR = 2 31; 95% CI: 1.36, 3.92), friendliness with healthcare provider (AOR = 3 65; 95% CI: 2.18, 6.10), and had a goodknowledge of benefit packages (AOR = 3 00; 95% CI: 1.93, 4.67) were significantly associated with household head satisfaction.Conclusion: The overall satisfaction of household heads with the CBHI schemes was good. The type of health facility visited,residence, age, distance from health facilities, relationship with healthcare providers, agreement with prescribed medications,and knowledge of community based health insurance were significantly associated with participants’ satisfaction. Thus, thesefindings suggest that improving access to healthcare services, fostering better relationships between healthcare providers andbeneficiaries, and enhancing awareness of CBHI benefits could further increase satisfaction levels among households.Keywords: community-based health insurance (CBHI); Ethiopia; household; satisfaction

Abstract: Understanding how land use and land cover (LULC) changes affect soil erosion is essentialfor effective management of watershed areas. This study used Geographic Information Systems(GISs) and the Revised Universal Soil Loss Equation (RUSLE) model to analyze the impact of LULCchanges on soil erosion in the Dondor Watershed. Remote sensing data, including Landsat andSentinel-2 satellite images, alongside field surveys, topographic data, rainfall, and soil data wereused. The results showed agricultural land as the primary LULC type, increasing from 43.49% in2002 to 59.10% in 2023. Forest and built-up areas also expanded, while grassland decreased. Soilerosion estimates revealed that more than 85% of the watershed experienced very slight erosionthough the average annual soil loss increased from 4.98 t ha−1 year−1 in 2002 to 7.96 t ha−1 year−1in 2023. Agriculture and built-up areas were identified as the primary contributors to erosion. Thisstudy underscores the importance of monitoring LULC dynamics for responsible land managementand conservation efforts in the watershed.Keywords: Dondor watershed; land use land cover change; soil erosion; RUSLE

Teff, a versatile crop, serves both as a food source and a cash crop in ethiopia. it is recognizedfor its potential to enhance the income of smallholder farmers, improve food security, andcontribute to sustainable development goals. This study aims to assess the impact of Teffcommercialization by smallholder farmers on food security. Both primary and secondary datawere used using the 2020/2021 cropping season. a three-stage sampling procedure was usedto draw 352 sample households. Food security was assessed using proxy indicators: householddietary diversity and food consumption score. The descriptive statistical results showed that182 (51.7%) and 170 (48.3%) sample households were subsistence, and commercializedhousehold heads respectively. notably, commercial farmers exhibited better household dietarydiversity (91.2%), whereas subsistence farmers scored lower in terms of food consumption(29.1%). Male household headship reduced hddS for commercializing farmers (−1.6); creditusage boosted hddS for commercialized groups (1.1), and livestock ownership improvedhddS for subsistence groups (0.21) in the second-stage endogenous switching regression.The model result also showed that, Teff commercialization positively impacted hddS and FcS,with average treatment effects of 3.81 and 4.46, respectively. Transitional heterogeneity resultsshowed that commercialized farmers had lower household dietary diversity (−0.47) and lowerfood consumption score (−14.19) than subsistence households. in light of these findings,encouraging smallholder farmers to transition from subsistence production to commercializationis crucial for supplementing their overall production. additionally, government efforts shouldfocus on raising awareness about nutrition-sensitive agricultural practices.
KEYWORDS: commercialization; endogenous Switching; Regression Model; Food Security; Smallholder; Teff

Background Despite global efforts to mitigate COVID-19 infection through vaccination and therapeutic interven-tions, morbidity and mortality rates continued at variable rates. Although mortality risk and clinical features of COVID-19 are well-documented, recovery patterns and prognostic factors post-admission remain inconclusive, particu-larly in resource-limited settings like Ethiopia. This systematic review and meta-analysis (SRM) aimed to estimatethe pooled incidence rate of recovery and predictors among hospitalized COVID-19 patients in Ethiopia.Methods We searched (N = 1,191) articles using Preferred Reporting Items for Systematic Reviews and Meta-Anal-yses (PRISMA) guideline from PubMed/MEDLINE (N = 755), Scopus (N = 137), Web of Science (N = 84), Science Direct(N = 148), Cochran (N = 25), and Google Scholar searching (N = 42) from December 2019 to February 2024. The datawere extracted using a Microsoft Excel spreadsheet and exported to Stata TM version 17.0 for further analysis. The Arti-cle quality was assessed using the Joanna Briggs Institute checklist. The pooled incidence rate of recovery was esti-mated using a weighted inverse variance random-effects meta-regression. Heterogeneity among studies was evalu-ated using the I2 statistic. Subgroup analyses and sensitivity tests were also conducted to explore publication bias. Thisfile is registered in international Prospero with ID (CRD42024518569).Result Sixteen (N = 16) published studies with 7,676 hospitalized COVID-19 patients were included in the finalreport. The mean age of participants ranged from 29 (± 17) to 57.5 (± 3) years, with male patients constitutingthe largest proportion of participants, 4,491(58.5%). During recovery screening, 6,304(82.21%) cases were dischargedas improved, 159 (2.1%) attriters, and 818 (10.6%) died during inpatient treatment. The pooled incidence of recovery,mortality, and attrition rates were found to be 82.32% (95% CI: 78.81–85.83; I 2 = 94.8%), 14.3% (I2 = 98.45%), and 2.7%(I 2 = 81.34%), respectively. Incidence of recovery rate varied across regions and epidemic phases, with the highest rateobserved in Addis Ababa (89.94%, I 2 = 78.33%) and the lowest reported in the Tigray region (59.7%, I2 = 0.0%). Acrossepidemic phases, the recovery rate was 88.05% (I 2 = 29.56%) in Phase II, 84.09% (I2 = 97.57%) in Phase I, and 78.92%(I 2 = 96.9%) in Phase III, respectively. Factors included being aged 15–30 years (pooled OR = 2.01), male sex (pooledOR = 1.46), no dyspnea (pooled OR = 2.4; I 2 = 79%), and no baseline comorbidities (pooled OR = 1.15; I2 = 89.3%) werepredictors for recovery.Conclusion and recommendation In Ethiopia, more than eight out of ten hospitalized COVID-19 patientsrecovered after inpatient treatment. However, the incidence of recovery rates varied significantly across epidemicphases, study settings, and regions. Factors including younger age, male sex, no dyspnea (shortness of breathing), and no underlying comorbidity heightened recovery. It is highly recommended those inpatients cares should focuson high-risk groups (older adults) and implement standardized treatment protocols in each study setting. Regionswith lower recovery rates need aid in logistical support and training for healthcare providers.Keywords Admitted patients, COVID-19 infection, Ethiopia, SARS-CoV- 2 cases

Erythrina brucei has been applied as a green manure to improve soil fertility in southern Ethiopia.It has been nodulated by indigenous rhizobia. The objectives of this study were to evaluate theeffects of E. brucei inoculation with microbial consortia consisted of Bradyrhizobium shewense,Acinetobacter soli and arbuscular mycorrhizal fungi (AMF)on E. brucei growth, soil nitrogen andphosphorous status after application as a green manure.A field experiment was conducted byinoculating E. Brucei with different microbial consortia. E. brucei inoculated with the microbialconsortia were grown for 150 days. Its shoot length was measured at 60, 90, 120 and 150 daysafter planting. Then, plants were uprooted and mulched as a green manure. The soil nitrogen,available phosphorous and soil organic matter analysis were done. The experimental design wascompletely randomized block design with eight treatments comprised of three replications.Inoculated treatments did not show a significant (p < 0.05) difference in shoot length in the first60 days. However, shoot length was increased between 19.1 and 41.3 %, 10.5–43.4 % and8.7–37.6 %, respectively at 90, 120 and 150 days. The soil organic matter was improved in bothinoculated and un-inoculated treatments. The improvements in the soil organic matter of un-inoculated treatments may be due to the decomposition of un-inoculated plants biomass in thesoil. The B. shewense inoculation improved the soil nitrogen by 17 %. The soil phosphorous wasimproved in 57 % of inoculated treatments. The inoculation of E. brucei with microbial consortiaenhanced its growth and improved soil fertility when applied as a green manure. Inoculating thegreen manure legumes with symbiotically effective rhizobia and plant-beneficial microbes canenhance the growth of E. brucei and its nutrient uptake.
Keywords: Legumes, Soil fertility, Shoot length, Microbial inputs, Organic matter