Addis Ababa City Administration Research Articles

The effect of organizational culture on trainers’ job satisfaction in the Addis Ababa City Administration, Ethiopia

The effect of organizational culture on trainers’ job satisfaction in the Addis Ababa City Administration, Ethiopia

The Effects of Community Policing Safety and Security in the Addis Ababa City Administration

The Addis Ababa city administration is committed to enhancing the well-being and prosperity of individuals and communities through community development. Out of the six wards, 3198 were present. Using a formula, Slovin distributed 355 questionnaires with 328 samples that were then divided into three subcities Arada, Kirkos, and Addis Ketema—to describe the implementation of the descriptive case study. Using a mixed methods research strategy, this exploratory design was descriptive. The research relies on primary and secondary data, such as interviews with front-line police, intermediate and senior officials, and unpublished documents from verified organizations such as the Addis Ababa Police Commission. While the quantitative approach emphasizes how effective community policing is, it prioritizes the deployment of obstacles in communities. This study was conducted to provide impartial accounts of experiences in the wild. The surge in crime has eroded public trust and safety, leading to low levels of human well-being. The Ethiopian government has taken steps to identify the root cause of the problem and implement measures to ensure its smooth functioning. The community has been involved in problem-solving partnerships with the police, and various community programs have been established to teach people how to handle crimes effectively. This has boosted the sense of confidence and well-being in the community.

Tuberculosis preventive treatment uptake among people living with HIV during COVID-19 period in Addis Ababa, Ethiopia: a retrospective data review

BackgroundScreening for tuberculosis (TB) and providing TB preventive treatment (TPT) along with antiretroviral therapy is key components of human immune deficiency virus (HIV) care. The uptake of TPT during the coronavirus disease 2019 (COVID-19) period has not been adequately assessed in Addis Ababa City Administration. This study aimed at assessing TPT uptake status among People living with HIV (PLHIV) newly initiated on antiretroviral therapy during the COVID-19 period at all public hospitals of Addis Ababa City Administration, Ethiopia.MethodsA retrospective data review was conducted from April-July 2022. Routine District Health Information System 2 database was reviewed for the period from April 2020-March 2022. Proportion and mean with standard deviation were computed. Logistic regression analysis was conducted to assess factors associated with TPT completion. A p-value of < 0.05 was considered statistically significant.ResultsA total of 1,069 PLHIV, aged 18 years and above were newly initiated on antiretroviral therapy, and of these 1,059 (99.1%) underwent screening for TB symptoms. Nine hundred twelve (86.1%) were negative for TB symptoms. Overall, 78.8% (719) of cases who were negative for TB symptoms were initiated on TPT, and of these 70.5% and 22.8% were completed and discontinued TPT, respectively. Of 719 cases who were initiated on TPT, 334 (46.5%) and 385 (53.5%) were initiated on isoniazid plus rifapentine weekly for three months and Isoniazid preventive therapy daily for six months, respectively. PLHIV who were initiated on isoniazid plus rifapentine weekly for three months were more likely to complete TPT (adjusted odds ratio [AOR],1.68; 95% confidence interval [CI], 1.01, 2.79) compared to those who were initiated on Isoniazid preventive therapy daily for six months.ConclusionWhile the proportion of PLHIV screened for TB was high, TPT uptake was low and far below the national target of achieving 90% TPT coverage. Overall a considerable proportion of cases discontinued TPT in this study. Further strengthening of the programmatic management of latent TB infection among PLHIV is needed. Therefore, efforts should be made by the Addis Ababa City Administration Health Bureau authorities and program managers to strengthen the initiation and completion of TPT among PLHIV in public hospitals.

Intimate Partner Violence: Factors that Influence Court Decisions in Addis Ababa City Administration

The judiciary, due to its pivotal position, has the potential to play a crucial role in safeguarding women from intimate partner violence (IPV). Despite this, there exists a lack of research on the adjudication of intimate partner violence against women (IPVAW) cases in Ethiopia. This article aims to identify the factors that influence the decision-making process and the final judgments delivered by the judiciary in IPVAW cases within the Addis Ababa City Administration. A qualitative research method was employed as a general research approach to gather data from purposively selected victims/survivors and duty-bearers within the purposively selected sub-cities of Addis Ababa. Primary data were gathered through semi-structured in-depth interviews, focus group discussions, courtroom observations, and court case analysis. The research revealed that various legal, institutional, social, and cultural frameworks present in the study area significantly impact the adjudication of IPVAW cases. These can be categorized into factors directly related to the legal framework of the country and those that go beyond the black letters of the law. The findings suggest the need for a multi-faceted approach to address these factors, including strengthening the legal framework of the country, providing capacity-building training for actors, and raising public awareness about the gravity of the act.

Healthcare waste generation and quantification in public health centres in Addis Ababa, Ethiopia.

Healthcare waste produced in healthcare activities entails higher risk of infection and injuries than municipal waste. In developing countries healthcare waste has not received much attention and has been disposed of together with municipal wastes. Modern method of disposal of healthcare waste have been introduced to most healthcare institutions mismanagement and increased in production in public health centres in Ethiopia is important issues. The aim of the study was to assess the type of healthcare waste generation and quantification in selected public health centres in Addis Ababa, Ethiopia. An institution based cross-sectional study were conducted from January to February 2018. Fifteen health centres in Addis Ababa City Administration were selected for this study. Data were collected by using by different color plastic bags (Black plastic bags for non-hazardous wastes, Yellow plastic bags for hazardous wastes and Yellow safety box for needles and Red bags for pharmaceutical wastes and toxic wastes). The collected wastes were measured by weighing scale and were written to data entry sheet. To assure the data quality calibration of weighing scale was made by the standard weight every morning. EPI INFO TM7 and IBM SPSS were used for data entry, cleaning and analysis. The mean healthcare waste generation was 10.64+5.79Kg/day of which 37.26% (3.96+2.20Kg/day) was general waste and 62.74% (6.68+4.29) was hazardous waste from the studies health centres. Total hazardous waste; sharps, infectious, pathological and pharmaceutical wastes constitutes mean (±SD) 0.97 ±1.03, 3.23 ± 2.60, 2.17±1.92 and 0.25 ±0.34 kg/day respectively. Healthcare waste 29.93% and 0.32% were generated from delivery and post-natal case team and nutrition and growth monitoring case team respectively. The annual mean+ SD of healthcare waste generation rate per health centres were 3807.53+ 2109.84 Kg/year. The finding in this study showed there was an increased in hazardous healthcare waste in amount as compared to the WHO standard 85% non-hazardous waste and 10% hazardous waste and 5% toxic wastes. The healthcare waste management practices about segregation, collection, transportation and disposal at the source is crucial to decrease in quantity. Generally unselective handling and disposal of healthcare wastes is a concern.

The Effect of Community Police on Community Development in Addis Ababa City Administration

The Effect of Community Police on Community Development in Addis Ababa City Administration

Designing a blockchain-based citizen identification document authentication: the case of Addis Ababa city administration

Designing a blockchain-based citizen identification document authentication: the case of Addis Ababa city administration

Geographic weighted regression analysis of hot spots of modern contraceptive utilization and its associated factors in Ethiopia.

Utilization of modern contraceptives is a common healthcare challenge in Ethiopia. Prevalence of modern contraception utilization is varying across different regions. Therefore, this study aimed to investigate Geographic weighted regression analysis of hotspots of modern contraceptive utilization and its associated factors in Ethiopia, using Ethiopian Demographic and Health Survey 2016 data. Based on the 2016 Ethiopian Demographic Health Survey data, a total weighted sample of 8,673 women was included in this study. For the Geographic Weighted Regression analysis, Arc-GIS version 10.7 and SaTScan version 9.6, statistical software was used. Spatial regression was done to identify factors associated with the hotspots of modern contraceptive utilization and model comparison was carried out using adjusted R2 and AICc. Variables with a p-value < 0.25 in the bi-variable analysis were considered for the multivariable analysis. Multilevel robust Poisson regression analysis was fitted for associated factors since the prevalence of modern contraceptive was >10%. In the multilevel robust Poisson regression analysis, the adjusted prevalence ratio with the 95% confidence interval was reported to declare the statistical significance and strength of association. The prevalence of modern contraceptive utilization in Ethiopia was 37.25% (95% CI: 36.23%, 38.27%). Most of the hotspot areas were located in Oromia and Amhara regions, followed by the SNNPR region and Addis Ababa City administration. Single Women, poor Women, and more fertility preference were significant predictors of hotspots areas of modern contraceptive utilization. In the multivariable multilevel robust Poisson regression analysis, Women aged 25-34 years (APR = 0.88, 95% CI: 0.79, 0.98), 35-49 years (APR = 0.71, 95% CI: 0.61, 0.83), married marital status (APR = 2.59, 95% CI: 2.18, 3.08), Others religions (APR = 0.76, 95% CI: 0.65, 0.89), number of children 1-4 (APR = 1.18, 95% CI: 1.02, 1.37), no more fertility preference (APR = 1.21, 95% CI: 1.11, 1.32), Afar, Somali, Harari, and Dire Dawa: (APR = 0.42, 95% CI: 0.27, 0.67), (APR = 0.06, 95% CI: 0.03, 0.12), (APR = 0.78, 95% CI: 0.62, 0.98), and (APR = 0.75, 95% CI: 0.58, 0.98), respectively. Amhara region (APR = 1.34, 95% CI: 1.13, 1.57), rural residence (APR = 0.80, 95% CI: 0.67, 0.95) High community wealth index (APR = 0.78, 95% CI: 0.67, 0.91) were significantly associated with modern contraceptive utilization. There were significant spatial variations of factors affecting modern contraceptive use across regions in Ethiopia. Therefore, public health interventions targeting areas with low modern contraceptive utilization will help to increase modern contraception use considering significant factors at individual and community levels.The detailed map of modern contraceptive use cold spots among reproductive age group and its predictors could assist program planners and decision-makers to design targeted public health interventions.Government of Ethiopia must develop more geographic targeted strategies for improving socioeconomic status of women and availability & accessibility of health facilities in rural areas of the countries.

The Resident or Community Partnership with Police in Addis Ababa City Administration

The future competition is anticipated to focus on Police Community Partnerships rather than physical material production in order to evaluate the Ethiopian community's participation in police member community partnership with police. This study was done to evaluate Police Community Partnerships procedures and issues specific to the Ethiopian population. The following particular goals were created: 432 police officers were chosen by the researchers using a scientific manner out of a total population of 13755 in order to evaluate the community partnership with police practices of police officers. The data was acquired using basic random sampling and purposeful sampling procedures, and structural equation modelling (SEM) was used to analyses both the quantitative and qualitative data. The main conclusions were that there were insufficient human resources, financial resources, and competent and accountable selectors. Additionally, there were insufficient background checks, physical and psychological examinations, assessments of applicants' potential for leadership, and the use of appropriate performance evaluation methods. According to the research team's recommendations, the Ethiopian community should work with all regional and local police commissioners, develop clear policies and standards, assign enough human resources, fulfil an adequate budget, and reject informal hiring practices. By working with accountable organizations, the Ethiopian community seeks to create a positive public impression of police officers, government support, and community perception to cooperate with all stakeholders during recruiting and selection.

Leadership experience and coping strategies of women secondary school principals: lesson from Ethiopia

ABSTRACT This study explored women principals’ leadership experiences, challenges, and their coping strategies for maintaining their positions. A qualitative study was employed using a semi-structured in-depth interview. Addis Ababa City Administration was purposively selected due to a high turnover of women principals. Eleven secondary school principals were selected using availability sampling as they are the only women principals in the city administration. The findings of the study revealed that women principals’ assignments in various positions such as department head, unit leader, vice principal, and women primary school principals commitment motivated them to aspire to become secondary school principals, along with strong support from their colleagues and their desire to be a leader. The study revealed that teachers’ unwillingness to accept women principals, insufficient support and inappropriate interference from top-level managers were major challenges they faced when executing their roles and responsibility. Respect for staff, patience, delegating work, implementing appropriate measures, and seeking cooperation from parents and the education department was found to be their crucial coping strategies. Large-scale research is needed, and more women principals should be encouraged to take leadership roles responsibilities.

Quality of obstetric and newborn care in health centers of Addis Ababa City: using the WHO quality framework

ObjectiveThe study aims to assess the quality of obstetric and newborn care using the WHO quality framework.DesignThe study used explanatory sequential mixed methods design.SettingThis study was conducted in 50 health centers in Addis Ababa city administration from January 25 to December 31, 2021.MethodsA total of 50 health centers were surveyed using a structured questionnaire and 500 women in the postpartum period were interviewed using a structured questionnaire. Delivery records of the 500 women were reviewed using a structured checklist. A total of 338 midwives were interviewed using a structured questionnaire. The quantitative data was analyzed using Statistical Package for Social Sciences (SPSS).ResultsThe study revealed that only a third of the 50 health centers were providing good quality care (a quality score ≥ 75%). All the health centers had the physical resources (100%) to deliver obstetric and newborn care. The majority of the health centers had a system for actionable information (92%), functional referral (80%), and providing dignified care (80%). On the other hand, only a few of the health centers met the quality threshold for effective communication (24%), evidence-based practice of routine obstetric and newborn care (36%), and availability of mechanisms to support and motivate skilled birth attendants (24%). None of the health centers met the quality threshold for emotional support during labour and delivery. Obstetric caregivers’ high workload and job dissatisfaction were barriers to quality care.ConclusionEnsuring quality obstetric and newborn care needs effective quality improvement interventions that aim to ensure women had effective communication, emotional support, and dignity during labour and delivery. Reducing the workload and increasing motivation of birth attendants play a critical role in improving the quality of care.

Willingness to Pay for Social Health Insurance and its Determinants Among Public School Teachers in Akaki Kality Sub-City of Addis Ababa City Administration: Ethiopia. Institution-Based Cross-Sectional Study

Background: Ethiopia is one of the countries with high out-of-pocket payments leading to catastrophic health expenditure. The government of Ethiopia introduced social health insurance scheme to reduce the out-of-pocket payments. However, there is limited evidence on willingness to pay for social health insurance among formal sector employees in the country. This study aimed to assess the willingness to pay for social health insurance and its associated factors among teachers in public school of Addis Ababa. Methods: An institution-based cross-sectional study was conducted from 10th January to 15th April 2022 on 280 teachers. Systematic sampling technique was used; data were collected using pretested self-administered structured questionnaire. The collected data were analyzed using SPSS version 23. Binary logistic regression analysis was performed to estimate crude odds ratios. In the multivariate model, a significant level at p-value of &lt; 0.05 and adjusted odds ratio with 95%CI was used to determine the statistical association between the willingness to pay and explanatory variables. Result: Two hundred eight 74.3%were willing pay for social health insurance. Higher educational status [AOR=5.48; 95%CI (1.80, 16.73)], difficulties associated with healthcare cost [AOR=2.39; 95%CI (1.35, 4.24)], awareness about social health insurance [AOR=5.59; 95%CI (2.98, 10.48)], and knowledge of social health insurance’s benefit package [AOR=5.56; 95%CI (3.07, 10.04)] showed significant positive association with willingness to pay for social health insurance. Perception for poor quality of public health facility and trust on a health insurance agency showed significant negative association and teachers lost interest for social health insurance scheme. Conclusions: Three – fourth of the public-school teachers were willing to pay the premium proposed by the government. Higher educational status, difficulties associated with healthcare cost and awareness about social health insurance were the factors that affect positively the willingness to pay for social health insurance among public school teachers. This can pave the way to start the scheme but attention should focus on improving the quality of public health facilities and the trustfulness on health insurance agency.

Financial Literacy and Adoption of Personal Retirement Plan among Public Employees in Addis Ababa City Administration

Individual financial status is underscored despite the fact that only a few households feel confident about adequate saving for retirement because of a lack of awareness about planning for retirement. Households having the same type of socio-economic background exhibit different saving habits and they may have different wealth. For one to save wisely and properly, acquiring financial knowledge is important. And the critical question must be whether there is a relationship between financial literacy and the adoption of a personal retirement plan. This paper examined the effects of financial literacy on the adoption of personal retirement plans among public employees in the Addis Ababa City Administration, using a descriptive design. Multistage sampling was used to select a representative sample of 386 respondents from three public bureaus named health, education, and revenue bureaus. The data were collected using a questionnaire &amp; key informant interview and the quantitative data was analyzed using descriptive &amp; inferential statistics of mean, standard deviation &amp; regression analysis respectively to examine the relationship between dependent &amp; independent variables. The study revealed that financial literacy is positively related to the adoption of a personal retirement plan. In addition, most of the elements of knowledge of financial instruments and computational capability of retirement benefits are significantly related to the adoption of a personal retirement plan. The study also found that (age, sex, education level &amp; income level) are significantly related to the adoption of a personal retirement plan. Lastly, the financial factors (adequate monthly income &amp; expenditure management) as moderating variables are also positively related to the adoption of a personal retirement plan.

Adoption of improved cook stoves by households in informal settlements of Woreda 12, Yeka subcity, Addis Ababa

BackgroundThis study analyzed the factors affecting the use of improved cook stoves (ICS) in informal settlements of Addis Ababa based on the data generated from 450 households drawn from Woreda (Woreda is a local term used to describe the lowest administrative unit of Addis Ababa City Administration, Ethiopia.) 12 of Yeka subcity. It examined the interactive effect of households’ socio-economic backgrounds and energy sources on the adoption of ICS. The data were analyzed using descriptive methods and the multinomial logit model.ResultsDemographic and economic factors such as sex of the household head,[Household head is the one who has an income and decision-making power in family affairs (a husband for married people)], family size and family income have no relationships with households’ ICS use while education level, number of years lived in the area, type of home owned, and stove-operating costs have a significant influence on the choice of an ICS. Households that live in a good home (made from wood and cement) used more Mirt (Mirt is an improved firewood stove mainly used to bake Injera and bread.) and Lakech [Lakech also called Tikikil is an improved charcoal stove used to cook different kinds of dishes (non-Injera)] stoves than the traditional three-stone stoves. On the other hand, household heads with higher levels of education and who have lived more than 7 years in the area in a better home owned more ICS than the traditional three-stone stoves.ConclusionsThe availability, affordability, durability and simplicity to operate stoves, and subsidies affect the choice of an ICS. Energy sources that are commonly used by households in informal settlements also have a strong influence on the choice of energy-efficient stoves. Compared to ICS, heavy use of traditional three-stone stoves by households that already have access to electricity, directs government policies to focus on providing reliable electric service and subsidize those using ICS.

Assessment of healthcare waste management practices and associated factors in Addis Ababa City Administration Public Health Facilities.

Healthcare waste management is very important due to its hazardous nature that can cause risk to human health and the environment. In developing countries, healthcare waste has not received much attention and has been disposed of together with municipal waste. The aim of the study was to assess the healthcare waste management practices in Addis Ababa City Administration Public Health Facilities. An institutional-based cross-sectional design was used for the study at Addis Ababa city 15 Public health centres and 3 hospitals. Data were collected using self-administered questionnaires distributed to 636 randomly selected healthcare waste handlers and managers. Observational check list also used. The data were entered into the EPI- INFO version TM 7 and exported to IBM SPSS 20 for analysis. Both descriptive and analytic statistics were employed. Among the respondents, 358 (90.86%) from health centres and 96.38% (133) from hospitals indicated that their facilities had separate containers for hazardous and non-hazardous waste however, 61 (15.48%) from health centres and 29 (21.01%) from hospitals indicated that healthcare waste containers were not clearly marked or labelled. The study found that the main forms of on-site treatment of healthcare waste for health centres and hospitals before disposal were burning. Manager respondents from the health centres 65 (92.86%), 64 (91.43%) and from hospitals 31 (91.18%), 30 (88.24%) indicated that healthcare waste handlers were used protective clothing when handling waste and were provided with protective clothing when handling healthcare waste respectively. In this study healthcare waste management among healthcare waste handlers and healthcare facility managers were not getting full attention. Collection of healthcare waste were not done regularly, containers were not clearly marked and were not located in appropriate areas where they might be needed. Support healthcare waste handlers by training help to improve their knowledge, attitude and practice.

Factors associated with small-for-gestational-age births among preterm babies born

ObjectivesThis study aimed to determine the prevalence of small-for-gestational-age (SGA) and appropriate-for-gestational-age (AGA); compare variations in multiple risk factors, and identify factors associated with SGA births among preterm babies born...

Respectful maternity care in health centers of Addis Ababa city: a mixed method study

ObjectiveThe study aims to assess quality of obstetric and newborn care including respectfulness of the maternity care.DesignThe study used explanatory sequential mixed methods design .SettingThis study was conducted in 50 health centres in Addis Ababa city administration January 25 to April 31, 2021.MethodsDuring the quantitative phase 500 women in postpartum period were interviewed using structured questionnaire. In the second phase in-depth interview was conducted with 20 midwives and 13 health centre managers. The quantitative data was analysed using Statistical Package for Social Sciences (SPSS). The qualitative data was analysed using Colaizzi’s seven step process.ResultsOnly 24.6% of women had respectful maternity care (RMC). Only 46% of women had effective communication during child birth. Only 9.6% of women had emotional support during child birth. Majority of women were encouraged to mobilize, take food and be on labor position of their choice. However, only 22.4 and 18.8% of women respectively had a companion of choice and any pharmacologic pain relief during child birth. One in seven women (15%) had one form of disrespect and abuse during child birth.ConclusionEnsuring respectful maternity care needs strong policy direction to health facilities, public education on their right to respectful maternity care, training of care givers and monitoring care through engagement of frontline staff and clients.

Development and validation of a hybrid measure of organisational communication satisfaction

The purpose of the study was to develop a hybrid quantitative audit of organisational communicationsatisfaction for the public service. In Study One, a two-factor solution was obtained, based onparallel analysis as a factor determination strategy with data obtained from 264 civil servantsusing a 30 item measure. In Study Two, the items of the new EFA-generated organisationalcommunication satisfaction scale were renumbered consecutively and the scale was crossvalidatedon a new sample of 288 civil servants from the Addis Ababa City Administration. Thecross-validation necessitated model respecification and re-estimation. The respecified modelunderwent validation at different levels. All seven aspects of validity, namely content validity,construct validity, factorial validity, reliability, convergent validity, discriminant validity andnomological validity were addressed and found to be adequate, pointing to a refinement in themeasurement of communication satisfaction. However, limitations are also indicated as avenuesfor further enquiry.

Managing the challenges of competing interests of different regions in setting the boundaries of neighboring urban areas: the case of Addis Ababa city administration and oromia regional state, Ethiopia

In Ethiopia, urban boundary roles are ineffective, leading to conflicting urban development, particularly on areas share borders and are administered by different regional governments. Therefore, this study examined the nature of shared urban boundaries and related social-ecological challenges. It employed a case study approach, and the findings are conceptualized to the broader urbanization and urban planning trends, with particular relevance to any urban areas sharing borders. Temporal satellite images from 2005 and 2018 were used to examine land use/land cover changes around shared urban regions, and their proposed and existing land-uses were compared with the aid of Geographical Information System and ERDAS IMAGINE. The findings show lack of clear criteria to delineate urban boundaries in Ethiopian urban planning; absence of regional planning leading to indistinct and overlapping boundary setting, which triggered challenges related to: rapid conversion of ecosystem service providing sites to settlements, conflicts over land administration, and land ownership insecurity. Furthermore, non-integrated urban planning trends between urban areas sharing borders amplify the proposal of conflicting and incompatible land uses. As a result, policymakers and planners should employ integrated and participatory urban and regional planning concepts for the effectiveness of urban areas sharing boundaries and administered by different regions.

Determinants of stock-outs of first line anti-tuberculosis drugs: the case of public health facilities of Addis Ababa city administration health bureau, Addis Ababa, Ethiopia

BackgroundThe health sectors success has been determined by consistent and reasonably priced health commodities supply. Despite possible death from the disease, Tuberculosis (TB) can be prevented with early diagnosis and appropriate treatment for which enough, effective, and qualified medicines need to be available. However, studies revealed stock of anti-TB drugs in health facilities. Here we present the recent finding on determinants of stock out of Anti-TB drug at public health facilities of Addis Ababa.ObjectiveThis study aimed to identify determinants of stock outs of first line anti TB drugs at public health facilities under Addis Ababa City Administration Health Bureau.MethodMixed study design were employed. A total of 106 facilities were included in the sampling frame and data were collected from the study population such as drug store managers of health facilities providing TB treatment using semi structured questionnaire and through in-depth interview with Addis Ababa hubs of the Ethiopian Pharmaceuticals Supply Agency (EPSA), Addis Ababa City Administration Health Bureau and selected heads of pharmacy departments of health facilities from May 1–30, 2020 considering one year back retrospective data from March 20,2019 to March 20,2020. Structured record review of data from Logistics Management Information System (LMIS) tools having TB drugs was done using structured observation checklist. Data were entered, cleaned, and analyzed using SPSS Version 20. Both descriptive and multiple logistic regression analysis were performed.Result52(62.7%) of health facilities encountered stock out for at least one of these drugs during the past 1 year. Rifampicin 75 mg + Isoniazid 50 mg (RH 75/50 mg) were most stocked out first line anti-TB drug from 33(39.8%) of facilities with 17 mean stocks out days while Rifampicin 75 mg + Isoniazid 50 mg + Pyrazinamide 150 mg (RHZ 75/50/150 mg) were the least first line anti-TB drug stocked out from facilities with mean 5 days of stock out. Delayed supply of anti TB drug from EPSA, delivery of reduced quantity of anti TB drugs by EPSA and stocked out of anti TB Drugs at EPSA were significant determinate factors of stock out of first line anti-TB drug from facilities with 95%CI of 10.34(2.167–49.329), 11.452(2.183–60.079) and 5.646(1.240–25.707) respectively.ConclusionAbove median of health facilities encountered stock out of first line anti-TB drug in Addis Ababa. Delayed supply of anti TB drug from EPSA, delivery of reduced quantity of anti TB drugs by EPSA and stocked out of anti TB Drugs at EPSA were significant determinate factor of stocked out of first line anti-TB drug from facilities. EPSA and other responsible bodies shall work collaboratively to improve their service and ensure availability of adequate amount of Anti TB drug in health facilities.