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Article History

Received: 7 November 2025

Accepted: 2 February 2026

First Online: 7 February 2026

Declarations

:

: Ethical approval was obtained from Wolaita Sodo University’s Institutional Review Board (IRB) under reference number CHSM/ERC/06/15, along with permission from the hospital administration (CRCSD/04/2136/2015). Written informed consent was obtained from all participants, and confidentiality was ensured by using medical record numbers instead of personal identifiers.

: Written informed consent for publication of the study findings, including anonymized individual data, was obtained from all participants.

: All participants provided written informed consent before taking part in the study.

: The authors declare no competing interests.

: Ethical approval was obtained from Wolaita Sodo University’s Institutional Review Board (IRB) under reference number CHSM/ERC/06/15. Written informed consent was obtained from all participants.

: Not applicable.

: Not applicable.