Female Healthcare Workers Research Articles

Assessment of antenatal care quality in Ethiopia: Facility-based study using service provision assessment data.

Antenatal care (ANC) coverage in low- and middle-income countries has increased in the past few decades. However, merely increasing care coverage may not enhance maternal and newborn health unless the recommended service components are also provided. Our aim was to assess the quality of ANC and its associated factors in Ethiopia. We used data from 2,042 pregnant women whose first ANC consultation was observed. Data were obtained from the 2021-2022 Ethiopian Service Provision Assessment survey conducted among a nationally representative sample of 1,158 healthcare facilities. Twenty-four components of ANC were assessed, and their values were summed to generate a total ANC quality score (range: 0-24). A higher score indicated a superior ANC quality. A multiple generalized Poisson regression model was fitted to identify factors influencing the quality of ANC. All statistical analyses were performed using STATA version 16. The mean ANC quality score was 11 (standard deviation [SD]: 3.8). Blood pressure measurement was the most commonly performed ANC component, at 79.5%, and breast examination for cancer screening was the most neglected component of ANC, at 3.3%. ANC quality was higher in the Amhara region (incidence rate ratio [IRR]: 1.088; 95% confidence interval [CI]: 1.0-1.171) and Southern Nations, Nationalities, and Peoples' Region (IRR: 1.081; 95% CI: 1.002-1.166), and when the care was provided by a female healthcare worker (IRR: 1.054; 95% CI: 1.021-1.088). On the other hand, ANC quality decreased in rural healthcare facilities (IRR: 0.964; 95% CI: 0.932-0.998), clinics (IRR: 0.666; 95% CI: 0.581-0.764), and health posts (IRR: 0.817; 95% CI: 0.732-0.91). Similarly, ANC quality decreased when gestational age at the first antenatal visit increased (IRR: 0.994; 95% CI: 0.992-0.996) and when care was received from a non-nearby healthcare facility (IRR: 0.956; 95% CI: 0.923-0.990). Overall, the quality of ANC in Ethiopia is suboptimal. Encouraging women to initiate ANC early and utilize nearby facilities, assisting providers in delivering standardized services through preservice training, supervision, and continuous education, and ensuring the availability and proper use of necessary resources at all facilities are important to improve ANC quality.

Sex differences in response to HBV vaccination in a cohort of health care workers.

Globally, healthcare workers (HCWs) are at greater risk of contracting Hepatitis B virus (HBV) infection than the general population, due to their frequent contact with blood or body fluids. For this reason, WHO underlined the importance of HBV immunization for all HCWs. Although sex is now considered one of the key factors influencing the intensity and duration of the immune response to vaccines, sex-specific analysis of vaccine-induced anti-HBs antibodies is rarely conducted. Our study aimed to evaluate the anti-HBs antibodies' long-lasting protective titers in male and female HCWs to identify sex differences in the humoral response to the HBV vaccine. The study was conducted on 2106 HCWs (1636 females and 470 males) working at the Padova University Hospital, Italy. Our results report significantly higher anti-HBs levels in female HCWs than in males, particularly when considering HCWs for whom the elapsed time since vaccination is greater than 10years, suggesting a greater persistence of anti-HBs in females. In conclusion, our findings could contribute to understanding differences in the antibody response to the HBV vaccine between male and female subjects and improving vaccination strategies for HCWs.

A Death Too Fast - Suxamethonium Chloride Poisoning: A Case Report

Introduction: Suxamethonium chloride (SUX) is a short acting depolarizing muscle relaxant commonly used for medical procedures to induce respiratory paralysis. The case report aims to highlight the important postmortem findings associated with SUX poisoning. Case report: A female adult health-care worker in her thirties was found dead in her bedroom at home. There were two empty ampoules of IV/IM Suxamethonium Chloride 100 mg/2 ml found next to the body. Results: The autopsy revealed an adult female with multiple needle injection marks. Gross examination of the lungs showed markedly congested lungs and froth in the airways. The liver showed foci of petechial haemorrhages and confluent haemorrhages. Other internal organs showed diffuse vascular congestion. Microscopically, significant pathological changes were seen in the lungs and kidneys with areas of pulmonary infarction and acute tubular necrosis. SUX was not detected from the toxicological analysis. Correlating the circumstantial evidence at the scene of death, autopsy and microscopic findings, the cause of death was certified as SUX poisoning. Conclusions: We wished to demonstrate the autopsy and histopathological findings associated with acute SUX poisoning culminating in death due to respiratory paralysis.

Struggles And Expectations: A Qualitative Study on The Impact of Covid-19 On Female Healthcare Workers in Malaysia

Struggles And Expectations: A Qualitative Study on The Impact of Covid-19 On Female Healthcare Workers in Malaysia

Heroines in the East and the West: a comparative semiotic study of female imagery in the anti-pandemic discourse of Italy and China

Abstract This paper explores the war-based narrative of the COVID-19 discourse in Italy and China, with a focus on female imagery and the conceptualization of female heroism. Employing Umberto Eco’s notion of intertextuality, we analyze influential texts – including texts from social media, journalism, and art – emerging from the pandemic’s first wave in China and Italy to examine how female healthcare workers are depicted as pandemic heroes and highlight the complex interplay between gender representation and cultural topoi. Although casting women in heroic roles traditionally dominated by men may seem progressive, our analysis reveals that such portrayals actually reinforce existing gender stereotypes in both cultures. Our intertextual analysis reveals the extent to which the pandemic narrative has both reflected and perpetuated gender inequalities. This comparative semiotic study contributes to critically assessing the impact of pandemic-related female imagery on societal gender norms and expectations.

Medical Relief and Intimate Interaction During the Anti-Japanese War: A Review of Nicole Elizabeth Barnes's Intimate Communities

During the War of Resistance against Japan, Chinese female healthcare workers played a crucial role in the medical and health sectors. In her book Intimate Communities, the author examines various aspects of female healthcare workers' mobilization mechanisms, training systems, relief efforts, and allowances during the wartime period. Throughout this analysis, the author emphasizes the significant role female healthcare workers played in shaping modern Chinese national identity. However, this article argues that the contributions of female healthcare workers during the War of Resistance should not be idealized. Drawing on extensive historical materials and detailed analysis, the article offers new insights into wartime healthcare, providing valuable perspectives for related research.

Cardiovascular-Kidney-Metabolic Syndrome Among Healthcare Workers in Chinese Tertiary Hospital.

To determine the prevalence of Cardiovascular-Kidney-Metabolic (CKM) Syndrome and identify risk factors, including occupational factors, lifestyle factors and clinical measurements, and female-specific risk enhancers among healthcare workers in China. A cross-sectional study was conducted among healthcare workers at Taizhou People's Hospital between April and May 2024. We collected data through surveys and laboratory results. Univariate and multivariate logistic regression analyses were performed to identify predictors of CKM syndrome and female-specific risk enhancers. A total of 1110 participants were recruited (197 male; 913 female; mean age 34.8±7.9). Almost 90% of male healthcare workers and 60% of female healthcare workers met the criteria for CKM syndrome (stage 1 or higher). Additionally, most male CKM syndrome patients were in stages 2-3 (53.81%), while most female CKM syndrome patients were in stage 1 (35.82%). Multivariate logistic regression analysis revealed that, compared to those with over 20 years of work duration, a work duration of less than 10 years was a protective factor for CKM Syndrome. Additionally, more than 8hours of sedentary time was identified as a risk factor compared to less than 2hours (OR = 1.376, 95% CI 1.027-1.844, P < 0.05). Receiver operating characteristic analysis showed that body mass index (BMI) was superior to fasting plasma glucose, glycated hemoglobin, triglycerides, and the triglyceride glucose product index in predicting CKM Syndrome, with area under the curve values of 0.884 vs 0.638, 0.708, 0.745, and 0.761, respectively (P < 0.05 for all). BMI was identified as an independent risk factor for female-specific risk enhancers. CKM syndrome is prevalent among healthcare workers in Chinese tertiary hospitals, with males generally presenting at more advanced stages than females. BMI is a key predictor of CKM syndrome and female-specific risk enhancers.

“We provide the methods to others but we don’t use the methods ourselves”: challenges with utilization of modern contraception among Female Healthcare Workers at two tertiary teaching hospitals, Northern Uganda

BackgroundFemale Healthcare Workers (FHCWs) play a crucial role in advocating for, delivering modern contraceptive methods (MCM) to reproductive-age women and potential users. Despite the high frequency of women seeking healthcare annually, less than half receive adequate contraceptive counseling and services. Investigating FHCWs’ adherence to these practices and understanding the obstacles they encounter is essential. This study aimed to explore challenges with utilization of MCM among FHCWs at the two tertiary teaching hospitals in Northern Uganda.MethodsWe conducted a descriptive, cross-sectional study employing a qualitative approach at St. Mary’s Hospital Lacor (SMHL) and Gulu Regional Referral Hospital (GRRH), Northern Uganda. Qualitative data were explored using the principles of descriptive phenomenology to gain deeper insights into the experiences of twenty (20) FHCWs.ResultsFindings revealed various challenges faced by FHCWs, including patient barriers such as religious beliefs, contraceptive myths, fear of side effects, and provider barriers like lack of knowledge, training, and discomfort. Additionally, health system barriers like limited time and competing priorities were identified.ConclusionFemale Healthcare workers experience challenges with utilization of MCM. Efforts should focus on enhancing contraceptive services, particularly in faith-based facilities and among married individuals. Besides, addressing perceived barriers at the patient, provider, and system levels through comprehensive health education, ensuring method availability, and provider training is imperative.

Perspectives of healthcare workers on the acceptability of donor human milk banking in Southwest Nigeria

BackgroundThe World Health Organization prioritizes Mother’s Own Milk (MOM) or donor human milk (DHM) when MOM is unavailable or insufficient. It is also important for healthcare workers (HCWs) to provide adequate support, information, and education to mothers to help improve their milk production and breastfeeding experience. DHM is scarce in developing countries, prompting a need for understanding health workers’ perspectives.MethodsThis cross-sectional study, conducted in 2021 in Ekiti State, Nigeria, examined the knowledge and attitudes of HCWs regarding human milk banking. A sample of 321 participants from government-owned hospitals completed a self-administered questionnaire.ResultsOf the 321 participants (84.7% response rate), the majority were females (69.2%), aged 30–39 (32.1%), Christian (91.9%), and employed in tertiary hospitals (91.9%). About 65% of the HCWs believe that HMB is a safe practice and 42% believe that the DHM has the same quantity of immunological factors as fresh human milk. While 80.4% displayed good DHM knowledge, attitudes varied. The HCWs profession influenced their attitudes and a higher proportion of all female HCWs (71%), except for health assistants (65.4%), expressed willingness to donate their breast milk if needed. Among males HCWs, the majority of those who were doctors (82.8%) and pharmacists (62.5%) expressed willingness to support their spouses to donate breast milk, and they also had higher acceptance of DHM for their infants. In all, more than 80% of the HCWs will encourage mothers to donate their milk and feed babies under their care with DHM, but only 47% would accept DHM to feed their own children. Health assistants had less favourable views, and negative perceptions were linked to the internet and media sources.ConclusionsThe study highlights health workers’ awareness of DHM but indicates a reluctance to fully embrace it, especially among health assistants. The need for targeted education programs, to address knowledge gaps and negative perceptions, is crucial for the successful implementation of human milk banks in Nigeria. Overcoming challenges, such as safety concerns and sociocultural influences, requires focused efforts from policymakers and healthcare institutions.

Unveiling the Hepatic Harbinger: Assessing the Fatty Liver Index as a Predictor of Metabolic Syndrome in Female Healthcare Workers.

Female healthcare workers have unique occupational stressors and lifestyle factors that may increase their risk of metabolic disorders. This study aimed to investigate the utility of the fatty liver index (FLI) as a predictor of metabolic syndrome among female employees in the healthcare sector. This cross-sectional study included 450 female healthcare workers aged ≥18 years, employed in various roles at a tertiary healthcare facility in Gujarat. Clinical examination, anthropometric measurements, and biochemical tests were conducted. FLI was calculated, and metabolic syndrome was diagnosed using harmonized criteria. Logistic regression analysis evaluated predictors. The mean age was 44.2 ± 7.8 years, and the prevalence of metabolic syndrome was 61%. Increasing the FLI category was significantly associated with a worsening metabolic profile. The odds of hypertension, diabetes, metabolic syndrome, and cardiovascular disease progressively increased with higher FLI levels (P < 0.001), denoting a dose-response relationship. FLI demonstrated good diagnostic accuracy for metabolic syndrome with an area under the curve (AUC) of 0.86 (95% CI: 0.81 - 0.89). An FLI cutoff ≥30 provided an optimal balance of sensitivity (71%) and specificity (41%) for predicting metabolic syndrome. FLI demonstrates a strong association with metabolic syndrome and related comorbidities in a dose-dependent manner. FLI can be a simple, low-cost screening tool to identify high metabolic risk individuals in resource-limited settings.

Exploring Secondary Traumatic Stress as a Post-Pandemic Challenge for Healthcare Workers Practicing in Saudi Arabia.

In this study, we aim to determine post-pandemic level of secondary traumatic stress and the associated factors among healthcare workers practicing in the Western province of Saudi Arabia. Healthcare workers practicing at public health sector of the Western province of Saudi Arabia. Received Web-based Self-administered questionnaire, assessing post-pandemic Secondary Traumatic Stress (STS), using Secondary Traumatic Stress Scale (STSS). A total of 380 responses received. Logistic regression analysis identified significant predictors of secondary traumatic stress (STS). Females had a significantly higher likelihood of experiencing STS (OR=2.425, p<0.001). Doctors were significantly more likely to experience STS compared to other specialties (OR=2.863, p=0.016). Participants sleeping 7hours were associated with a lower likelihood of STS (OR=0.427, p=0.016), while sleeping 6hours showed a trend towards lower STS but was not statistically significant (p=0.068). Participants aged 50 and above were significantly less likely to experience STS (OR=0.275, p=0.021). Lastly, Saudi nationals were significantly more likely to experience STS compared to non-Saudis (OR=2.717, p=0.014). Female healthcare workers, doctors, and those younger than 50 years old were all found to be at a significantly higher risk of STS. Interestingly, sleep duration emerged as a potential protective factor, with those sleeping 7hours exhibiting a lower risk of STS. Finally, the analysis revealed a higher prevalence of STS among Saudi nationals compared to non-Saudis.

Depression, Anxiety, and Psychological Resilience in Healthcare Workers during the Pandemic (COVID-19).

The aim of this study is to examine the relationship between depression, anxiety, and psychological resilience variables with working conditions and various demographic variables in healthcare professionals who are actively involved in the pandemic process. This study included 1440 healthcare workers in different professions in two state hospitals accepted as pandemic hospitals. The research data were collected with the Sociodemographic Data Form, Hospital Anxiety and Depression Scale (HAD), and Psychological Resilience Scale (PRS). Independent samples t-test, one-way analysis of variance (ANOVA), and descriptive analyses were used to analyze the data. As a result of the analyses, female participants had higher anxiety scores than male participants; healthcare professionals working as nurses, midwives, and health officers had higher anxiety scores than other healthcare professionals; those with less professional experience had higher anxiety scores than those with more professional experience; and those who had long hours of contact with COVID-19-positive patients (8 h or more per day) had higher anxiety scores than those with less contact. Single female healthcare workers reported higher depression symptoms than married female healthcare workers, those with children reported higher depression symptoms than those without children, and those with average professional experience (6-10 years) reported higher depression symptoms than those with more experience. Being single, having children, and having an average number of shifts (working at night) caused an increase in psychological resilience. The results of the study may contribute to the structuring of health policies to protect and support the mental health of healthcare workers in ongoing and future pandemic processes.

The Effect of Meal Frequency and Glycemic Index During the Night Shift on Alertness, Hunger, and Gastrointestinal Complaints in Female Health Care Workers—A Two-Armed Randomized Crossover Trial

BackgroundNutrition strategies for night-shift workers could optimize alertness and minimize hunger and reduce gastrointestinal complaints, enhancing safety and well-being. ObjectivesThis study aimed to investigate the effects of 1 or 3 small meals, with either low or high glycemic index (GI), compared with no meal, on alertness, hunger, and gastrointestinal complaints during the night shift. MethodsFifty-one female health care workers, aged 18 to 61 y, participated in a 2-armed randomized crossover design. In 1 study arm, participants received 1 yogurt meal during the night shift, AND in the other, they received 3. Each study arm involved 3 intervention periods during night shifts, with participants consuming yogurt with low GI (1LGI or 3LGI) OR high GI (1HGI or 3HGI) carbohydrates, or no meal (0NGI). Objective alertness was assessed using a validated brief psychomotor vigilance task (PVT-B), subjective alertness with the Samn–Perelli scale, and hunger and gastrointestinal complaints through questionnaires. ResultsParticipants in the 1LGI (β: −4.6; 95% CI: 0.0, 9.3) and 3LGI (β: −3.4; 95% CI: 0.0, 6.8) conditions had fewer lapses during the PVT-B than those in the 3HGI condition. No differences were found between meal conditions for median and reciprocal reaction time or subjective alertness. All 4 conditions reported less hunger (β: from −0.6 to −1.2) compared with no meal. The 3LGI condition resulted in more rumbling intestines than the 3HGI (β: 1.1; 95% CI: 0.4, 1.7) and 0NGI (β: 0.74; 95% CI: 0.11, 1.37) conditions. ConclusionsOur study suggests that consuming 3 small low GI meals during the night shift helps maintain alertness and reduces lapses compared with 3 high GI meals. It also minimizes hunger but may cause mild gastrointestinal complaints.This trial was registered at International Clinical Trial Registry (https://trialsearch.who.int/Trial2.aspx?TrialID%3dNL-OMON25574).

A digital narrative study concerning global crisis period: The pandemic's impact on the domestic responsibilities of women health workers in Türkiye

The COVID-19 pandemic has exerted a profound influence on female healthcare workers, resulting in a notable escalation in the time allocated to domestic duties and unpaid household labor. This study delves into the professional and personal experiences of these women through the medium of digital narratives. Employing interpretive analysis within a phenomenological framework, the research scrutinized six female healthcare workers, all of whom were mothers of children under the age of 18. The investigation revealed that the pandemic has exacerbated existing gender disparities, manifesting in an increased burden of unpaid domestic responsibilities coupled with a concomitant reduction in personal time. Moreover, the utilization of digital narratives emerged as a multifaceted tool, not only facilitating socialization among healthcare workers but also nurturing their well-being and fostering the development of digital literacy skills.

Burnout in healthcare workers: The effect of stress of conscience.

The stress of conscience occurs in stressful situations that are often encountered in healthcare, leading to an uncomfortable conscience in healthcare workers. They may not be able to control their emotions and feel burnout. Therefore, the aim of this study is to evaluate the effect of stress of conscience on burnout in healthcare workers. This cross-sectional study was performed with 602 healthcare workers between November 2020 and January 2021 in Turkey. Data were collected using a sociodemographic form, Stress of Conscience Scale, and Maslach Burnout Inventory. A positive and high-level relationship was found between the stress of conscience and burnout (r = 0.603, p < 0.001). The stress of conscience accounted for 36% of burnout. Also, female healthcare workers have high stress of conscience and burnout scores. This study is important in terms of realising the stress and burnout of healthcare workers and for health managers to recognise the stress types of their workers. The increase in the level of burnout of healthcare workers is associated with their stress of conscience. Using the results of this study, national and international consensus can be obtained to reduce the impact of the stress of conscience on healthcare workers.

Knowledge and attitude among Bangladeshi healthcare workers regarding the management and infection prevention and control of Nipah virus

BackgroundThe Nipah virus (NiV) is a zoonotic pathogen that belongs to the Paramyxoviridae family. It can cause severe respiratory and neurological diseases in humans, with varying clinical symptoms. Recognized as a critical public health concern by the World Health Organization, it requires concerted efforts in research and development to prevent outbreaks. MethodologyAn analytical cross-sectional study was conducted on 455 healthcare workers across four major regions in Bangladesh from April 2022 to May 2023. Using multistage convenient sampling and face-to-face interviews with a semi-structured questionnaire, we have examined the level of knowledge, attitudes, and individual perceptions of the preparedness for NiV. Data analysis included univariate and bivariate analyses, followed by binary logistic regression to ascertain the association with demographic factors. ResultsThe study identified a gender disparity favoring female healthcare workers (HCWs). Approximately 46.15 % of participants demonstrated a good knowledge about NiV, with doctors showing significantly higher knowledge odds (OR = 5.197, p < 0.001). Interestingly, graduate and post-graduate education levels did not yield a statistically significant correlation with knowledge. Specific training received was positively associated with knowledge levels (OR = 1.832, p = 0.014), highlighting the gap in routine infection prevention education. Regional differences were notable, with participants from Chittagong having a lower level of knowledge compared to Dhaka (OR = 0.307, p = 0.004). Attitudes towards NiV were predominantly positive, although higher education inversely correlated with positive attitudes, suggesting a potential gap between theoretical knowledge and practical attitudes. ConclusionWhile the attitude towards NiV is generally positive among Bangladeshi HCWs, there is a need to enhance knowledge levels, especially in primary care settings and certain regions. To effectively prepare for NiV outbreaks, it is crucial to prioritize continuous education and practical training. The study underscores the importance of implementing uniform educational strategies to equip HCWs across all categories and regions with adequate NiV knowledge and preparedness.

Workplace violence against female healthcare workers: a systematic review and meta-analysis

BackgroundWorkplace violence (WPV) is highly prevalent in the health sector and remains a major occupational issue causing significant harm, ranging from bodily and psychological harm to death. Female healthcare workers...

Knowledge, Attitude, and Use of Female Condoms among Female Health Care Workers in Uniosun Teaching Hospital, Osogbo Osun State

Knowledge, Attitude, and Use of Female Condoms among Female Health Care Workers in Uniosun Teaching Hospital, Osogbo Osun State

Infertility Among Healthcare Professionals: A Comprehensive Review

Introduction: Infertility globally poses significant physical, emotional, social, and economic challenges. Despite extensive research on infertility in the general population, there needs to be more understanding regarding its prevalence and effects on healthcare professionals. This article addresses this gap by providing a comprehensive overview of infertility in the healthcare industry, highlighting its unique aspects and implications. Methods: The search strategy for this literature review yielded 1,323 studies from the following databases: PubMed, Google Scholar, and ScienceDirect. After duplicate removal and screening of the articles using the authors’ inclusion and exclusion criteria, 54 full-text articles were assessed for eligibility. Of these, 21 articles included surveys, cross-sectional, and cohort studies, followed by reviews. Results: Female healthcare workers, especially emergency physicians and surgeons, face higher infertility risks due to occupational stressors, with 76% of female surgeons utilising assisted reproductive technology for conception, well above the general population. Sleep deprivation from shift work exacerbates infertility, while long hours increase pregnancy complications. Hazards like radiation and chemicals contribute to menstrual disorders and congenital anomalies. Gender disparities persist, impacting career and lifestyle choices among otolaryngologists. Discussion: Infertility poses challenges for healthcare professionals, with a limited understanding of male infertility. Female surgeons often delay pregnancy due to training, relying on assisted reproductive technologies. Gender differences in divorce and childbirth rates highlight unique challenges females face, including infertility. Long work hours and occupational hazards further complicate fertility issues. Sleep deprivation affects reproductive hormones, impacting fertility across all ages. Conclusion: Studies indicate that female surgeons face heightened pregnancy risks, underscoring the need for job changes to prioritise parenthood. Career pressures affect female physicians’ decisions to start families, potentially perpetuating gender inequities. Further research on male infertility is crucial for addressing healthcare industry challenges.

Describing the practice of breast self-examination and associated factors among female healthcare workers in Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Breast cancer is the most frequently occurring cancer in women and is a global health problem. Yet, it can be a manageable disease with early diagnosis and sufficient treatment protocols, such as advanced surgical intervention, chemotherapy, and radiation therapies. Breast self-examination (BSE) is a screening technique that involves examining one's breasts for lumps, distortions, or swelling, and contributes to early diagnosis of the disease. The aim of this study was to assess the practice of BSE and associated factors among female healthcare workers in Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2022. An institution-based cross-sectional study was carried out at St. Paul's Hospital Millennium Medical College. A stratified and systematic random sampling technique was utilized to obtain respondents for the study. The data for this study were collected by professional nurses using a structured questionnaire. Data were analyzed using SPSS (version 20) software. Logistic regression analysis was utilized to assess relevant factors. Predictors with a p-value of < 0.05 were considered as statistically significant. Four hundred respondents participated giving a 100% response rate. The median age of study participants was 28 years, with an inter-quartile range of six years. About two-thirds (63.8%) of the study participants had good knowledge about BSE, 46.3% had a positive attitude toward BSE, and 76.25% reported they practised BSE. Significant associations were observed with the practice of BSE and the factors of age, monthly income, and knowledge about BSE. Compared to participants 40 years and above, participants between 25-29 years [AOR=0.10; 95%CI: 0.01, 0.88] and 35-39 years [AOR=0.09; 95%CI: 0.01, 0.92] were less likely to practise BSE; those with monthly income less than 5250 ETB [AOR=0.19; 95%CI: 0.035, 0.996], and between 5251-7800 [AOR=0.16; 95%CI: 0.032, 0.78], and 7801-10900ETB [AOR=0.18; 95%CI: 0.04, 0.83] were less likely to practise BSE; and those with good knowledge about BSE [AOR=2.08; 95%CI: 1.23, 3.53] were more apt to practise BSE. The study showed that about three-quarters of the health workers practised BSE. Statistically significant associations were observed between BSE and the factors of age in years, monthly income, and knowledge about BSE.