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Journals of Hawassa University

African Journal of Economic and Business Research

The African Journal of Economics and Business Research of Hawassa Univerity publishes scholarly peer-reviewed works on finance, business, economics, and development-related issues, policies, theories, and problems relevant to the continent of Africa with a particular focus on Ethiopia and sub-Saharan Africa.

We consider potential publications from the following disciplines:  Economics, Accounting, Business, Finance, Hotel and Tourism, Marketing management, Logistics and supply chain management, and Human resource management as well as blended approaches for the development or synthesis of knowledge.

We offer a platform for the dissemination of research-based knowledge for researchers, academicians, professionals, and graduate students to impart and share knowledge in the form of high-quality research papers, case studies, and book reviews. 

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Journal of Science and Development

Journal of Science and Development publishes research articles, review articles, short communications, book reviews, and registry of new crop varieties. The aim of Agricultural and Veterinary Sciences is to expand knowledge in basic and applied scientific and empirical research output and development, provide access to research publications to a broad national and international readership, including researchers, practitioners, and students in agricultural and veterinary sciences. Articles are peer-reviewed by at least two referees. Reviewers will remain confidential. The Editor may reject, before submission to referees, those manuscripts that do not conform to the ‘Guide to Authors’, or that do not fall within the scope and purpose of the Journal.

East African Journal of Biophysical and Computational Sciences

East African Journal of Biophysical and Computational Sciences (EAJBCS) whose ISSN (Online): 2789-3618 and ISSN (Print): 2789-360X is a double - blind   peer-reviewed open-access journal published by Hawassa University , College of Natural & Computational Sciences. This Journal is a multi and interdisciplinary journal that is devoted to attracting high-quality, latest, and valuable advancements in the fields of natural sciences. The Journal invites publications from different geographical contexts and disciplines to advance the depths of knowledge related to physics, chemistry, geology, biology, & veterinary medicine . The manuscript originated from other sciences such as biotechnology, sport science, statistics , and mathematics can also be accepted based on their adjunct nature. The Journal encourages publications of both scholarly and industrial papers on various themes with the aim of giving innovative solutions to natural sciences. It encourages the publishing of open access academic journals on a regular basis (presumably biannual ). The Journal publishes original research articles, critical reviews, mini-reviews, short communications, case reports related to the specific theme & a variety of special issues in English . The Journal, published under the Creative Commons open access license ( CC BY-NC-ND ), doesn't charge fees for publishing an article and hence offers an opportunity to all social classes regardless of their economic statuses. This helps to promote academic research published by resource-poor researchers as a mechanism to give back to society.

ETHIOINQUIRY Journal of Humanities and Social Sciences

The Journal publishes scholarly peer-reviewed works on social science, humanities, and development-related issues, policies, theories, and problems relevant to the continent of Africa with a focus on Ethiopia and the region. The disciplines for potential publication include Anthropology, Sociology, Psychology, Geography, Governance, Development study, Tourism, Journalism, Communication, Language study, Literature, etc., and blended approaches for the development or synthesis of knowledge-related (innovative) cases. Format of publication can be in the form of reviewed articles, non-reviewed reflections, book reviews, special volume editions, and comments.

Ethiopian Journal of Education Studies

Ethiopian Journal of Engineering and Technology

The Journal publishes scholarly works on engineering and technology-related issues, policies, theories, and problems relevant to Ethiopia within the local, national, regional, and international settings in the form of reviewed articles and non-reviewed reflections, book reviews, and professional/scientific comments.  EJET welcomes papers in the following five thematic areas:-

• Manufacturing (Mechanical & electro-mechanical Engineering; Industrial Engineering; Chemical Engineering; Textile & Garment Engineering, Material Science and Engineering, Marine Engineering; Manufacturing Processes; Microelectronics; Mining Engineering; Petroleum Engineering).
• Agricultural Engineering, Water and Environment (Water Supply & Environmental Engineering; Water Resources, Irrigation & Hydraulics Engineering; Architecture)
• Construction and Civil Engineering (Civil Engineering, Construction Technology & Management; Urban & Regional Planning, architecture); and,
• Electrical Engineering & Informatics (Electrical Engineering, networking, and Communications, Biomedical & Computer Engineering; Computing, artificial intelligence, and intelligent systems, information technology, information systems);
• Other applications of physical, biological, chemical, and mathematical sciences in engineering and technological innovations.

Ethiopian Journal of Governance and Development

        ISSN (Online): 2957- 4420                                                     ISSN (Print): 2957-4412

Ethiopian Journal of Governance and Development (EJGD ) drives the discipline of governance and development towards human development and societal transformation on a scientific pattern that ensures the sustainability of nation, democracy, peace and harmony , stable and better-governed states in Africa in general, and Ethiopia in particular that play their role as building blocks for African integration t hrough disseminating knowledge of research and innovations.

Teaching-learning, Community Services, and Research are the key pillars of the higher learning institutions in the world. The Quality research output dissemination bridges the higher institutions with the society they are intended to serve by interacting and sharing new scientific findings that distinguish rationalism over irrationalism. It is on this endeavor of scientific inquiry in the vast and multifaceted areas of Governance and Development that the EJGD is launched.

In addition, the Journal is intended to provide a platform for the exchange of ideas and to constitute a depository of scholarly and scientific work of high academic standards that can contribute to design the policies and contribute to the establishment and/or consolidation of state-building, nation-building, democracy, and its institutions, good governance, development, and peace.   More specifically. the following rationale is identified:

• To carry out research on the interdisciplinary areas of governance and development in order to assist policy-makers, academicians, and public service sectors related to the development of public policies, scientific outlook, good governance, and service delivery issues.
• To provide a platform of dialogue and organize seminars, symposiums, workshops with and among stakeholders in the field of governance and development
• Working towards an enabling environment that can promote good leadership, democracy, peace, development, and corporate governance.
• To encourage the public policy dialogue on issues raised from the research

Ethiopian Journal of Medical and Health Sciences

Ethiopian Journal of Medical and Health Sciences (EJMHS) – ISSN (online): 2789-7087 – is a peer-reviewed journal published by the College of Medicine and Health Sciences of Hawassa University under a creative commons license (CC BY 4.0) . EJMHS is a multi- and inter-disciplinary journal that is devoted to publishing fascinating, high quality, state-of-the-art, and valuable advancements in the fields of medical, health, and basic sciences.

EJMHS invites submission of manuscripts from different disciplines to advance the depths of knowledge related to medical, health, and basic sciences. The journal encourages publications of scholarly papers on various themes with the aim of giving innovative solutions to health problems.

EJMHS is an open-access academic journal published biannually on a regular basis. The Journal publishes original research articles, critical reviews, mini-reviews, short communications, book reviews, and clinical case reports related to the specific theme, and a variety of special issues. It encourages publishing comments on current health initiatives; personal experiences; and comments on clinical, social, political, economic, and all other factors affecting the health status of the society.

Hawassa University Journal of Law

Hawassa University Journal of Law (HUJL) aspires to foster legal scholarship through research and inquiry into contemporary legal problems and law-related issues; and it serves as a forum for academicians, researchers, law-makers, practitioners, and policy-makers to publish their original scientific research findings. The Journal is intended for legal scholars, practitioners, government officials, and graduate and post-graduate law students. HUJL is an open-access peer-reviewed journal that annually publishes original and high-quality scholarly works since July 2017.

Journal of Forestry and Natural Resources

The journal publishes scientific articles related to social, economic, policy, and environmental aspects: forestry, agroforestry, wildlife, soil, water and land resources, renewable energy, tourism, urban forestry and greening, environmental science, GIS, and remote sensing.

JFNR accepts the following format: Research articles, Review articles, Featured articles, Short Communications and Book Reviews.

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A Thesis is submitted to the Hawassa University School of Graduate Studies in partial fulfillment of the requirements for the Degree of Master of Science in Accounting and Finance

Despite the widespread acceptance of IFRS across companies in the world, there are serious implementation challenges that reporting entities need to overcome in order to fully benefit from the introduction of IFRS in their financial reporting environment. Ethiopian banking industry is one of those reporting entities that face serious challenges in the implementation of IFRS. Therefore, this study aims to analyze factors that were affecting the implementation of International Financial Reporting Standards (IFRS) in Ethiopian banks. To achieve this objective, primary data were collected from all IFRS implementation project office team members of Ethiopian banks who are involved in facilitation of accounting standard transition process (i.e the implementation of IFRS). Primary data were collected through questionnaire and interview whereas secondary data were collected through documentary evidence. To achieve the objective of the study and to test the hypotheses; the study adopted mixed research approach. The questionnaire data were analyzed using descriptive statistics, correlations, and multiple linear regression analysis and data from interview of NBE and AABE and document reviews were analyzed and interpreted qualitatively. The study find that all variables which are level of education and expertise, technical capacity of advanced financial management, familiarity with IT challenge , amendments of existing laws, proper plan of implementation and enforcement mechanism significantly affect the implementation of IFRS by Ethiopian banks. Hence, the main factors that were hindering implementation of IFRS by Ethiopian banks are low level of education and expertise, insufficient technical capacity of advanced financial management, lack of familiarity with specific IFRS implementation IT challenge, requirements for amendments of existing laws, absence of commitment and proper plan to implement IFRS and weak enforcement and compliance mechanism. Finally, the study indicated some practical recommendations and implications for Ethiopian banks and concerned government agencies. An important recommendations made among others is the government of Ethiopia advised to build the institutional capacity of Accounting and Audit Board of Ethiopia (AABE) for sustainable application of IFRS in Ethiopian banks and Ethiopia in general. Keywords: Implementation, International Financial Reporting Standards, Ethiopian banks

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obsinet tadesse

IFRS FITABILITY IN OUR COUNTRY ETHIOPIA

Solomon Mengesha

Adoption and Implementation of International Financial Reporting Standard (IFRS) in Ethiopia This paper examines the adoption and implementation of International Financial Reporting Standard (IFRS) in Ethiopia. Using a sample of 20 firms selected from regulatory bodies, commercial banks, insurance companies and auditing and accounting firms. The data was collected using primary and secondary data collection method. Primary data using questionnaires and interview. Secondary data reviewing documents, manuals, websites and books. Then the collected data are analysed using statistical analysis (such as correlation and Chi-Square) and descriptive statistics present using tables. This study identifies the IFRS adoption and implementation in Ethiopia with coordination of regulatory bodies for the process, its benefits, faced challenges though process, and prospects comes from adoption of IFRS for Ethiopia. This study finding also lack of implementation guidance framework is one of the chal...

Netsanet Shiferaw

The purpose of this study is to assess the transition of International Financial Reporting Standards (IFRS) in Ethiopia: the benefits, prospects and challenges of its adoption and implementation in the case of 13 significant PIEs. The study employs both quantitative and qualitative methods (mixed) research approach. Both primary and secondary data sources were used for the study. The respondents are selected by using judgmental sampling technique. Then, the collected data from those organizations is analyzed by descriptive and econometric analysis by using SPSS software. The results revealed that the adoption of the IFRSs has improves the efficiency and effectiveness of financial reporting, provides better information for decision making, enhanced the accuracy; reliability and comparability of accounting information, simplify the process of Merger/Acquisition , enables greater effectiveness of the internal audit, brings better corporate governance, reduce cost of capital , better access to capital market , harmonize the reporting standard , better risk management, promotes cross border investments and provide timely financial report. However, there is serious educational, technical and institutional challenges that the country need to overcome in order to benefit fully from the adoption of IFRS.

adoption of International Financial Reporting Standard (IFRS) and quality of financial reporting (Relevance, Understandability, Comparability, and Faith Representation) in commercial banks Ethiopian.

MOTUMA DEREJE

This study intends to assess the adoption of International Financial Reporting Standard (IFRS) and quality of financial reporting (Relevance, Understandability, Comparability, and Faith Representation) in commercial banks Ethiopian. Accordingly, the study used primary data collected through the questionnaire as the main data collection instrument. Using a purposive

engida bayou

The objective of the research was to identify the threats that impede adherence to professional ethics among selected Authorized Accountants and Authorized Auditors in Ethiopia. The pillars of ethical values rest on integrity, objectivity, professional competence and due care, confidentiality and professional behavior. Observance of these pillars of ethics was evaluated in light of threats and safeguards. The research approach employed for the study was mixed research augmented with simple statistical analysis. Respondent Authorized Accountants and Authorized Auditors were selected using snowballing technique. The data collected from the subjects of the study was validated by triangulation. Bankers and Tax Auditors were identified as principal users of the financial reports and thus used to validate the data. Key informants interview with persons having close ties with the profession was conducted to enrich the data. The findings indicate that there are lapses in the observance of p...

DAGIM Y O H A N N S E DAGIM

viii Abstract The objective of the study was to assess & examine Essential requisites for establishing an institutionalized secondary market in Ethiopia using lessons from other developing countries. The research used a mixed approach with descriptive research design and the study used both primary and secondary data as Cross-section by nature using purposive and simple random sampling techniques to select the sample. The number of respondents was 32 from banks, 34 from insurers, 6 from pension institutions, 8 from ECX, 6 from Ethiopia and Addis Ababa Chamber of Commerce & Sectorial Associations and 81 from Share Company’s a total of 167 samples used to form the target population. In addition to this secondary data was used from relevant sources. SPSS used to analyze data and findings were presented by using tables accompanied by a brief explanation. Besides, the qualitative data were analyzed through narrative explanation. The result revealed that there is promising demand, i.e., availability of a company to enlist in the supply side was visible. The findings also indicated that it is essential to have a standard Corporate Governance system in place, strong regulatory body, capacitated judiciary system, uniform accounting, and audit system & standards, trading, and clearing and settlement infrastructure, brokerage firms and investment bank, increased awareness of investors, trained and skilled manpower. Besides, a commitment of the government to support the market, stable macro economy are found to be essential requisite for establishing institutionalized secondary market in Ethiopia. As to their presence currently, there is promising demand and infrastructure, as far as the government commitment and promises are concerned, they are being put in place. Hence, starting and refining it through time is what the author has as a recommendation- Placing regulatory body and start and control the basic tasks, starting awareness creation programs for financial sectors related to their role in the market, updating the proclamation of pension funds, and improve their capacity, train the judiciary system, develop central deposit system, establishing investment bank and develop the market sequentially. Keywords: secondary market, legal and regulatory infrastructure, and market infrastructure

Alem Legese

Abstract This study examined factor affecting implementation of international public sector accounting standard in Ethiopia predominantly focusing ten selected factors affecting implementation of IPSAS on INGOs. Though, different studies are conducted on Ethiopian INGOs, there is no previous research conducted on factor affecting implementation of IPSAS by Ethiopian INGOs. The research has employed questionnaire to gather data. Participants of this research were 62 finance directors/finance managers from Ethiopian International nongovernmental organization. The data obtained from the above participants using the stated techniques have been analyzed and tested using different statistical methods such as percentage, frequency, t-test ,F-test and test of classical linear regression model . This study has focused on ten thematic areas namely professionalism , optimism , transparency, Staff training ,and staff experience and knowledge, conservatism ,secrecy , implementation cost and external pressure organization. The findings of the study show that, majority of Ethiopian INGOs have positive relationship with professionalism , optimism , transparency, Staff training ,and staff experience and knowledge on implementation of IPSAS, but negative relation with conservatism ,secrecy , implementation cost and external pressure on implementation of IPSAS. The study has also identified untapped opportunities that Ethiopian INGOs will explore in their area of intervention and thereby to coup up challenges during implementation of IPSAS . Taking into account the untapped opportunities recommendation are forwarded. Accordingly, Ethiopian INGOs need to Building professionalism , optimism , transparency, staff training and experience organizational culture are good for Ethiopia INGOS as it is supportive for easily implementation of IPSAS. It is not supportive to have conservative, implementation cost ,external pressure and secrecy organizational culture as it inhabit implementation of IPSAS in Ethiopia INGOs. Key word: professionalism , optimism , transparency, Staff training ,and staff experience and knowledge, conservatism ,secrecy , implementation cost and external pressure.

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Prevalence and Associated Factors with Maternal Near-Miss among Pregnant Women at Hawassa University Comprehensive Specialized Hospital, Sidama Region, Ethiopia

The first experience of effective 3rd line antiretroviral therapy – a case of 40-year-old female retroviral-infected patient at hawassa university comprehensive specialized hospital, hawassa, sidama, ethiopia, late diagnosis of breast cancer and associated factors among women attending hawassa university comprehensive and specialized hospital southern ethiopia.

Abstract Background; Breast cancer is a significant public health issue in sub-Saharan Africa and the second commonest cancer overall. In Ethiopia, most women present at the late-stage presentation. This is because Ethiopian government gives less attention, and is not well-studied as well. Therefore, it is important to assess delays in diagnosis and treating breast cancer that has been associated with a more advanced stage of the disease and a decrease in patient survival rates.Objective: To assess the magnitude and associated factors for late diagnosis of breast cancer among women attending Hawassa University Comprehensive Specialized Hospital in Southern Ethiopia. Methodology: A facility-based cross-sectional study was conducted from December to January 2019. Data were collected from 261 consecutively selected clients based on the arrival of their hospital visit by using a pretested structured questionnaire and checklist. Physicians performed physical examinations and diagnoses. Data was checked for completeness and consistency, and entered into epi data, then exported to SPSS for analysis. Descriptive, Bivariate, and multivariable logistic regression analyses were performed using SPSS Version 25 Statistical Software.Results: The magnitude of late diagnosis of breast cancer was 86.3%. The woman who had no initial advice for breast biopsy [AOR=5.1, 95% (CI=1.4-18.9)], not sharing the problem to others [AOR=4.7, 95% (CI=1.8-12.2)] and using traditional and faith healers as a first treatment choice [AOR=3.3, 95% (CI=1.2 - 8.8)] were associated with late diagnosis of breast cancer.Conclusions: The majority of women having breast cancer were diagnosed at a late stage. It needs attention to provide better options of the modern health service, and providing accessible initial advice for breast biopsy, and creating awareness about the benefit of sharing problems with family to improve the health of mothers by early diagnosing and managing the breast cancer.

Bacterial contamination rate and drug susceptibility pattern of bacteria recovered from medical equipment, inanimate surfaces, and indoor air of neonatal intensive care unit and pediatric ward at Hawassa University Comprehensive Specialized Hospital, Ethiopia

Incidence and predictors of mortality among patients with head injury admitted to hawassa university comprehensive specialized hospital, southern ethiopia: a retrospective follow-up study.

Introduction Head injury is the leading cause of morbidity and mortality throughout the world, especially in resource-limited countries including Ethiopia. However, little is known about the mortality rate and its predictors among these patients in Ethiopia. Thus, the study aims to assess the incidence rate of mortality and its predictors among patients with head injury admitted at Hawassa University Comprehensive Specialized Hospital. Methods Institutional based retrospective follow-up study was conducted among 1220 randomly selected head injury patients admitted from July 2017 to July 2019. Bivariable and multivariable Cox regression models were fitted to identify the predictors of mortality. Proportionality assumption was tested by a global test based on the Schoenfeld residuals test. Results The incidence of the mortality rate was 2.26 (95%CI: 1.9–2.6) per 100-person day observation. The independent predictors of time to death were age above 65 years (AHR:3.49, 95%CI:1.63, 7.48), severe TBI (AHR: 8.8, 95%CI:5.13, 15.0), moderate TBI (AHR:3, 95%CI:1.73,5.31), hypotension (AHR:1.72, 95%CI: 1.11,2.66), hypoxia (AHR:1.92, 95%CI: 1.33,2.76), hyperthermia (AHR:1.8, 95%CI: 1.23,2.63) and hypoglycemic (AHR:1.94, 95%CI: 1.34, 2.81) positively associated with mortality, while underwent neurosurgery was negatively associated with mortality (AHR: 0.25, 95% CI: 0.11,0.53). Conclusion The incidence of mortality rate among head injury patients was high. Older age, moderate and severe TBI, hypotension and hypoxia at admission, neurosurgical procedure, and the episode of hyperthermia and hypoglycemia during hospitalization were the independent predictors of mortality among head injury patients. Therefore, intervention to reduce earlier deaths should focus on the prevention of secondary brain insults.

A Neonatal Hip Septic Arthritis Caused by Klebsiella pneumonia at Hawassa University Comprehensive Specialized Hospital Neonatal Unit, Hawassa, Sidama, Ethiopia

Prevalence of motorcycle accidents and its associated factors among road traffic accident patients in hawassa university comprehensive specialized hospital, 2019, time-to-recovery after cesarean section delivery among women who gave birth through cesarean section at hawassa university comprehensive specialized hospital, south ethiopia: a prospective cohort study.

Abstract Background: Despite the progressive increment of caesarean section rates worldwide over the last decades; still the trend has not been accompanied by significant maternal or perinatal benefits. Moreover, information on the quality of the service, as measured by timely recovery, is scarce. This study assessed predictors of time-to-recovery after cesarean section delivery among women who gave birth through cesarean section at Hawassa University Comprehensive Specialized Hospital (HU-CSH), southern Ethiopia.Methods: Institution based prospective cohort study was conducted on 381 randomly selected women who gave birth by cesarean section in HU-CSH during the follow up period. Pre-tested structured questionnaire was used to collect the data. Data were analyzed using Kaplan Meir (KM) curve, Log rank test and Cox-Proportional hazard model. The outputs of the bivariable and multivariable Cox model are presented using Adjusted Hazard Ratio (AHR) with the respective 95% confidence intervals (CIs).Results: After a maximum of 19 days of stay, 96.2% [95%CI: 94.04-98.4%] of the women were early recovered. The overall median IQR) time of recovery was 2.00 (2, 3) days. The overall incidence density rate (IDR) of recovery in the cohort was 0.34 per Person-days or 2.38 per person-week. On the other hand the overall mean survival time was 3.07(95%CI: 2.75-3.40) days. Women who had ANC follow-up (AHR=1.49, 95%, CI: 1.05-2.10) and discharge from the wound site (AHR=0.13, 95%, CI: 0.03-0.56) were identified as significant positive and negative predictors of time-to- recovery after CS delivery respectively. Conclusion: This study showed that the rate of early recovery was high and is comparable to the global level figures. However, further improving preoperative maternal status, intraoperative follow up and post-operative care is needed to improve early recovery.

Pattern of skin diseases among patients attending Hawassa university comprehensive specialized hospital, Hawassa, Ethiopia

<p><strong>Background</strong>: Spectrum of skin diseases varies from region to region due to several factors such as genetics, socioeconomic and environmental. This study aimed to determine the pattern of various skin disorders appearing in the dermatology department of a tertiary care hospital.</p><p><strong>Methods</strong>: All patients attending the dermatology clinic of the Hawassa university comprehensive specialized hospital, from January 2017 to December 2018 were included in this retrospective analysis. The medical records of the patients were obtained from registry books. </p><p><strong>Results: </strong>A total of 7727 patients attended the dermatology clinic of HUCSH. Out of these samples, 18.1% of patients repeatedly came to the hospital for a follow up visit related to their diseases, while 81.9% were enrolled as new cases.</p><p>There were more males (51.9%) than females. More than three quarter of the cases were aged above 16 years while less than a quarter were children below 16 years. Eczema was diagnose in 2734 (35.4%), being the most common cause for attendance, followed by infectious disease (23.3%) and disease of the skin appendages (12.1%).</p><p class="abstract"><strong>Conclusions</strong>: Eczema was the most common skin disease seen in our study, followed by infectious disease   and disease of the skin appendages. Concerted effort need to be made to control these conditions and training of the primary health care providers and education of General Practitioners in Dermatology must emphasize these common conditions, with the aim of improving primary health care and alleviating the burden of hospital care.</p>

Long-Term Immunological and Virological Outcomes in Children Receiving Highly Active Antiretroviral Therapy at Hawassa University College of Medicine and Health Sciences, Southern Ethiopia

Purpose. To determine immunological and virological failure and associated factors among children infected with human immunodeficiency virus receiving antiretroviral treatments at Hawassa University Hospital, Southern Ethiopia. Methods. A hospital-based cross-sectional study was conducted among 273 HIV-infected children from July 1 to December 1, 2019. Data were collected using a structured questionnaire and review of patient records. Blood samples for viral load and CD4 count were collected. Data were analyzed using SPSS version 20. Significance group comparison was done by the Kaplan-Meier log-rank test. The Cox proportional hazard model was used to select significant factors of the variability between groups. Results. A total of 273 children, between the age ranges of 1 to 14 years, were included. Of these, 139 (50.9%) and 134 (49.1%) were males and females, respectively. Children from the rural area were almost five times more vulnerable for virological and immunological failure than those children from the urban area ( AOR = 4.912 , (1.276-8.815), P = 0.032 ). The overall viral load suppression was 196 (71.8%) with a good adherence of 226 (82.9%). Nonsuppressed HIV viral load was found to be 77 (28.2%) which had two times more viral load copies ( AOR = 2.01 , (1.21–2.66), P = 0.001 ) when compared to those who had suppressed viral load copies. The proportions of children who had immunological nonresponse were 45.6% (21 out of 46), 30.4% (14 out of 46), and 23.9% (11 out of 46) among children with baseline CD4 of <200, 201-500, and >500 cells/μl, respectively. Unimproved outcomes among females were noted for immunological and virological failure in this study ( AOR = 1.901 , (1.038-3.481), P = 0.038 ). Conclusion. In conclusion, the highly active antiretroviral treatment appeared highly effective in terms of immunological and virological long-term outcomes. However, viral suppression (71.8%) in our study was far apart from the UNAIDS target of 90% in 2020. For that reason, strengthening adherence counseling and early initiation of HAART is important.

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