Mengistu, Abraham Keffale
Gedefaw, Andualem Enyew
Baykemagn, Nebebe Demis
Walle, Agmasie Damtew
Yehuala, Tirualem Zeleke
Alemayehu, Meron Asmamaw
Messelu, Mengistu Abebe
Assaye, Bayou Tilahun
Article History
Received: 2 April 2025
Accepted: 18 June 2025
First Online: 1 July 2025
Declarations
:
: The authors declare no competing interests.
: The study received ethical clearance from the IRB of Debre Markos University, CMHS (College of Medicine and Health Sciences), IRERC (Institutional Review and Ethics Review Committee), aligning with the Declaration of Helsinki. The IRB waived the need for obtaining informed consent for this study. No personal identifiers were collected to safeguard privacy, and all data were anonymized before analysis. Data integrity was maintained through secure protection systems that were compliant with international standards for research. Since it is a piece of recorded information, informed consent from the participants is not feasible, and the consent is from the authorities where the data was collected.