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Article History

Received: 1 May 2025

Accepted: 15 September 2025

First Online: 1 October 2025

Declarations

:

: The authors declare no competing interests.

: The Ethical approval was given by the Institutional Research Ethics Review Committee (IRERC) at Debre Tabor University (Ref No. DTU/Rp/366/17). KII and FGD interview guides were reviewed for ethical fulfillment. Participants provided complete information about the purpose of the study, and participants retained the right to withdraw at any time without consequence. Participants in FGDs and KIIs were at least eighteen years old. Informed Consent was obtained from all the participants involved in the study. Researchers avoided leading questions, minimized social desirability bias, and actively worked to assess cultural sensitivities. The research posed no physical, psychological, or social harm to the participants. Participants’ anonymity and confidentiality were strictly protected.

: Informed Consent was obtained from all the participants involved in the study.

: Not applicable.

: All participants have provided Consent allowing for the publication of their anonymized responses and narratives in this research. Identifying details have been omitted to guarantee confidentiality.