Gole, Nigussie Boko https://orcid.org/0009-0001-4298-6299
Kuris, Birhanu Kebede https://orcid.org/0000-0001-7124-5783
Gemeda, Dessalegn Obsi https://orcid.org/0000-0002-8635-260X
Funding for this research was provided by:
Bule Hora University
Article History
Received: 4 October 2025
Accepted: 5 February 2026
First Online: 17 February 2026
Declarations
:
: For the household survey we obtained Ethical Clerance Approval from Bule Hora University, Institutional Research Ethics Review Committee (IRERC) with Reference Number BHU/IRERC/019/23. We obtained a signed letter from the Secretary of Bule Hora University IRERC, Dr. Antenh Fikre. Moreover, we certify that the study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki ethical standards. We obtained informed consent and elucidated the significance of the study to the participants. Following the explanation of the research objective, we collected data in a manner that ensured anonymity.
: Informed consent was obtained from the participants involved in the research. We informed that the personal history of the research participants, including their name, age, and other identifying details, would not be disclosed in the journal. Thus, the personal information of the participants was not published in accordance with our consent for publication.
: The authors declare no competing interests.