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Article History

Received: 24 October 2025

Accepted: 6 April 2026

First Online: 11 April 2026

Declarations

:

: This study was conducted in accordance with the ethical standards of Jimma University institutional Research Review committee standard and with the 1964 Helsinki Declaration and its later amendments. Ethical approval was obtained from the Jimma University Institutional Review Board Approval No. 113/23, Date November 20, 2023. Informed consent was obtained from all individual participants included in the study. Participation was voluntary, and participants could withdraw at any time without penalty.

: All participants provided consent for publication of anonymized data and findings from this study.

: The authors declare no competing interests.