<p>The study was carried out in Gambella Region, Angwaa zone in all health facilities from October 2020 – November 25, 2020. Facility-based cross-sectional study designs consisting of quantitative and qualitative were employed. A total of 147 respondents from 39 health facilities participated and nine key informants were interviewed to gather qualitative data. Descriptive statistics and bivariate and multivariate analysis were done for quantitative data. Qualitative data was collected and field notes were taken, and then summarized into the key thematic analysis.</p>