2.1. Study period and place
The study was held from April 16-30, 2016, at Dilla town, two health centers, Dilla university referral hospital, and privet clinics in Dilla town. Dilla town is one of the two city administrations in Gedio zone which was established in 1904 E.C. and it is found at a distance of 365 km/s from the capital city, Addis Ababa and it has one main road that passes through the town from Addis Ababa to Moyle. The climatic condition is Woynadega. Its average rainfall is from 1200-1800mm per year. The town is surrounded in the north by Sidama, in the south by Wonago, in the east by Bule and Oromia, and in the west by Oromia regional state. The entire area of the region is 135 square kms and the general population is 94,189 of this 46,058(49.9%) are males and 48,131 (50.1%) are females. The major dominant ethnic group in Dilla town is Gedio followed by others and most of the people speak Gediogna language. The major dominant religious belief in the town is Protestant followed by Orthodox, Muslim and others. The main sources of income for people in the town are trading, micro economic enterprises like cobble stone construction, coffee processing industries, flour processing factory, and pottery work. In the town, there are three governmental and four private banks, three insurance company, and eight microfinance enterprises that support the economic development of the people. The town has 1 DU. referral hospital, 2,Governmental health center,1,Non-Governmental health center, 14 private clinics, 4, pharmacy, and 12 drug stores; clean pipe water supply, 1, university, 2,Govermmental college, 2 private colleges, 3, preparatory Schools and 3,high schools, 3, elementary and junior schools, postal, hydroelectric power and telecommunication services.
2.2 The Study design
Organization based time-limited (cross-sectional study) design was held.
2.3 Sampling procedure
Systematic random sampling after stratified health facilities at Dilla town by using simple randomization using heterogeneity of Government and Privet health facility technique was implemented. If a health professional is found ineligible (based on the inclusion and exclusion criteria), the next health professional was considered.
2.4 Data collection tool
The instrument is self-administered and contains three sections. The first component of the survey consisted of 11 questions about socio-demographic variables, health worker experiences, practice, and rank. Section 2 will examine: a) health workers' opinions of the likelihood of psychiatric illness in people they know who are psychiatrically ill; and b) overall health professional interaction and their reported need for it. It includes (a 'yes' or 'no' response format) on the issues that must be addressed in order to continue medical education. Section 3 looks at health care workers' attitudes about psychiatric diseases and the stigma that still exists around depression. There are two ways to code these objects. Some attitude questions are "yes" or "no" questions on a three-point scale (agree=1, neutral=2, disagree=3). Both the Amharic and English versions of the instrument have a total of 60 items. Scores above the mean score indicate a positive attitude/knowledge regarding mental illness, scores below and at the mean value indicate a negative attitude toward mental disease.
2.5 Data Collection procedure
Data was collected by using self-administered questioner which is composed of a question on knowledge and attitude toward mental illness among health professionals. The data was collected using structured questionnaires through self-administered inquiry methods. If the selected patient refused participation, the next eligible respondents fill the questionnaire. Trained supervisors assisted the respondents.
2.6 Data processing, analysis & presentation
After the data was obtained, it was thoroughly examined for completeness and consistency. Before being saved as epidata and then imported to SPSS window version 20 for analysis, it was input, cleaned, and rechecked for completeness, anomalies, and consistency. A descriptive statistics were utilized to compress the outcome and independent factors. Bivariate and multiple logistic regressions were used to evaluate the relationship between socio demographic factors and other independent variables and health professionals' attitudes about mental illness. The variables with a P-value of less than 0.05 confirm the existence of a significant relationship between the independent and dependent variables. The results are provided in the form of frequency tables and graphs, and they are compared to earlier findings. Finally, depending on the study's findings, a complete recommendation is made.
2.7 Ethical approval
Ethical clearance and approval was obtained from joint Dilla Town Administration and Dilla University, RDC ethical committee. All Participants in the study was asked for their willingness. The respondents know the reasons why this research was done and explained in the questionnaires to the study participants and provide confidentiality. All the data was gain its great confidentiality is respected.