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Article History

Received: 17 April 2025

Accepted: 23 July 2025

First Online: 1 September 2025

Declarations

:

: This study was conducted in accordance with ethical standards of the University of Gondar, and national research committees. This research was approved by board of examiners, Dr. Wuletaw Mekuria and and chairperson, Mr. Kefale Eniyew in June, 26, 2020. All participants were informed about the purpose and procedures of the study. Informed concent was obtained from all individual participants included in this study.The participation was voluntary, and participants had the rights to withdraw at any time without any consequences.

: All participants provided consent for the publication of the results. The data presented in this publication do not contain any personally identifiable information.

: The authors declare no competing interests.