<p><strong>Results: </strong>A total of 576 febrile patients were investigated. About 42% (244) of the participants were from Dil Chora referral hospital, followed by 32% (183) from Legaharie health center and 26% (149) from Sabian comprehensive hospital. The majority of the study participants 312 (54.2%) were male and 524 (91%) were rural residents. The mean age was 27.00 years (±14) (range; 1 to 75 years). Of the total study participants, 400 patients (69.4%) were clinically diagnosed as either dengue or chikungunya.&nbsp; Nearly, 327 (57%) cases were diagnosed for dengue fever while 73 (13%) cases for chikungunya. The major clinical manifestations in both cases were muscle pain, joint pain, rash, and vomiting.&nbsp; Type of visited healthcare institution such as Sabian comprehensive hospital, AOR: 8.2 (95 % CI; 4.02, 17.3) and Dilchora referral hospital, AOR: 2.3 (95 % CI; 1.5, 3.7), urban residence (AOR: 2.3, 95 % CI: 1.37 - 7.7), patients who were government employ (AOR: 0.34 (0.12- 0.99), and patients who did not visit a healthcare institution for a similar acute febrile illness before (AOR: 3.2, 95% CI: 1.02, 10.3) were all significantly associated with empiric arboviral diseases.</p>