Demoz, Kiros https://orcid.org/0000-0002-0383-7637
Meresa, Desalegn https://orcid.org/0000-0003-1846-0462
Ayele, Brhane https://orcid.org/0000-0003-4749-4629
Gebretnsae, Hailay https://orcid.org/0000-0001-5989-8810
Hadgu, Tsegay https://orcid.org/0009-0005-6689-0178
Alemayehu, Mussie https://orcid.org/0000-0002-0035-631X
Tlahun, Mulugeta
Weldu, Mulugeta
Desta, Abraham Aregay https://orcid.org/0000-0002-1505-7451
Gebreslaea, Fana
Aregay, Asfawesen
Gebretsadik, Ataklti https://orcid.org/0000-0001-9957-3199
Ayalew, Adhana
Kalayu, Mebrhatu https://orcid.org/0000-0003-3055-1834
Shamie, Reda https://orcid.org/0000-0001-6590-1342
Ayalew, Assefa https://orcid.org/0000-0003-2938-4653
Mamo, Liya
Tesfaen, Tadelle
Wellay, Tsegay https://orcid.org/0009-0001-3357-0662
Haileselassia, Haben
Hailemariam, Ferehiwot
Hadush, Znabu https://orcid.org/0000-0003-1242-4508
Gebrelibanos, Abraham
Gebrekurstos, Gebrehawaria
Haile, Amanuel
Abrha, Melaku
Yahya, Mohammedtahir
Alemayehu, Mussie
Medhanyie, Araya Abrha
Mulugeta, Afewerki https://orcid.org/0000-0003-0707-4363
Asmelash, Ashenafi
Kahsay, Hayelom https://orcid.org/0000-0003-0226-6745
Article History
Received: 26 November 2025
Accepted: 8 April 2026
First Online: 4 May 2026
Declarations
Ethics approval and consent to participate: This study was conducted in accordance with the ethical standards of the Declaration of Helsinki (2013) and the national research ethics guidelines of Ethiopia. Ethical approval obtained from Tigray health research institution (THRI/4031/0006/95). Official letter from Tigray Regional Health Bureau granted and the responsible body was communicated. Written and verbal informed consent was obtained from all study participants prior to data collection. For participants under the age of 16 years, informed consent was obtained from their parents or legal guardians. Participation was voluntary, and confidentiality of the information was strictly maintained.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.