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A facility-based cross-sectional research had been performed from Summer 1 to July 30, 2020 among persistent medical customers in Mettu Karl Referral Hospital, Ethiopia. Successive sampling technique had been applied with a complete of 423 samples. Quantitative data had been used by using structured questionnaires. Descriptive analytical procedures, bivariate and multivariate logistic regressions with odds ratios and 95% self-confidence period (CI) had been utilized. The analytica