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Article History

Received: 24 October 2024

Accepted: 27 June 2025

First Online: 28 October 2025

Declarations

:

: The authors declare no competing interests.

: Ethical clearance was obtained from the institutional health research ethics review committee (IRBC) of Bule Hora University granted approval for this study under reference number. A written permission letter was written from Bule Hora University and submitted to study settings. For all directors’ and participants’ information was given about the study before the data collection on its possible risk, benefit, confidentiality, privacy, its voluntary activity, right of with-drawl, and the time the questionnaire was taken. After explaining the objective of the research to participants, informed consent with a written signature was acquired. They were informed that they could withdraw at any time and/or refrain from answering questions. Participants in the study were also notified that all data obtained from them would be kept confidential by using code rather than any personal identifiers. Furthermore, the research procedure was carried out in compliance with the Helsinki Declaration of the World Medical Association.

: Not applicable.