This study indicated that almost all study participants (97.3%) had information needs This finding was consistent with study findings from Addis Ababa  where the overall information needs of HPs was 94.8%. Various studies conducted on HI needs and seeking behaviours showed that the majority HPs needed to access HIRs for the provision of quality health care services to their clients [11, 16, 17, 19, 20].
However, poor personal initiation, poor HI seeking and utilization of available information was observed in this study. More than half of the respondents (56.9%) did not inquired library services at their working areas. This is supported by related study conducted in one of the district in India  where awareness creation on HIRs, how to access and utilise them were recommended. Unavailability of HIRs was mentioned to be the most important reason for the presence of poor HI seeking behaviours among HPs in this study. This in line with study findings from Addis Ababa [19, 22].
Protocol manuals, health text books, consultation and in-service trainings were reported to be the most frequently used HIRs; 115 (39.3%) followed by books 84(24.8%). Electronic sources were the least used HI sources (1.5%) in the study area. These findings were almost similar with study findings from Addis Ababa . These findings were different from study findings in Nigeria  where the frequently used HIRs were medical textbooks, journals, discussion with colleagues and internet searching. It was also different from study findings in Uganda where frequently accessed HIRs among HPs were discussions with colleagues (89%), medical textbooks (77%) and (29%) both internet and libraries [11, 22, 23].
In our study, discussion with colleagues was poorly practiced (2.7%) which was in contrast to findings from Uganda (89.0%). The possible reasons might be due to poor reading culture, giving less attention to it, lack of openness among staff, fear of criticism, giving priorities for other issues than profession a concerns.
Using electronic resources, research, report papers and journals as HI sources among HPs in the study area was too poor in this study which was similar with findings from China, Egypt, Kenya, India, and Thailand hospital doctors where hard copies and textbooks were the most commonly used HIRs . However, the findings in this regards was different from study findings in Addis Ababa , where major preferred HIRs among GPs were printed journals (29%) and electronic resources, CD-ROMS (22%) . The probable reasons for the above may be absence of library access, poor initiations of HPs, no research activities among staffs (100%), no feedback/copies of research papers from different investigators who conducted research activities at those organizations (100%), no computer and internet access at all health centres (100%). These reasons were consistent with the study conducted in Addis Ababa  and Iran  where scarcity of budget, time shortage, computer and room shortage and lack of skills were identified barriers.
Currently, ICTs (E-mail, mobile phones and Internet) are playing vital roles in effective information dissemination among HPs located in different parts of the world within fraction of stime and minimum cost [4, 5, 14, 15]. In the current study, only 113 (33.3%) of total HPs were computer literate. This figure was much lower as compared with study findings from Ibadan, Nigeria  where 93% of physicians were computer literate. It was also slightly lower compared with the study findings from Addis Ababa hospitals and health centres [19, 25] where 46.7% of respondents were computer literate. The major identified reasons for the presence of high computer illiteracy rate (66.7%) in the study area include limited access to computer system 136 (60.2%) and time shortage 51(22.6%). These figures were larger than study findings from Nigeria ; only 7% computer-illiterates with similar reasons as our study. It was also quite different from study findings in Addis Ababa , where computer illiteracy rate was 53.3% with the same reasons.
In this study, only 145 (42.8%) study participants had internet access at one or more areas, which is lower by half compared with study findings in UK . It was also lower than study findings from Addis Ababa  where major internet sources were internet café (42%), at working areas (34%) and at home (23%). Low access to internet in the study was mainly due to the absence of internet services in all health centres, poor connection in hospital, too few computer accesses in each study site, low computer literacy rate, poor personal initiation and high cost of internet connection. Most of these reasons were supported by study findings from hospitals and health centres in Addis Ababa [19, 25].
Majority (57.7%) of respondents got information by consulting their text books, medical protocol manuals, training handouts, discussing with senior staffs. This finding was supported by different studies where most of them had a habit of using printed resources as first choice HI source [11, 16, 17, 19, 20].
Top major identified cahllenges to access HIRs in the study area were geographical, organizational, economic related, educational status, poor personal initiation, time shortage, low prevalence of new cases. This was in line with study findings by Anwar F & Shamim A  on assessing hindering factors of HI Technology (HIT) for developing countries where major barriers were infrastructure, cost and time, lack of national policies towards HIT, social and cultural barriers, educational and organizational barriers [17–19, 24, 29].
It was found that more than half (54%) of HPs were encountered with problems during their daily activities due to information limitation. This large figure showed that there were larger information gaps among HPs. It was supported by different studies done in related topics among health care service delivery facilities in developing countries [2, 5, 15, 16, 19].