Tegegn, Melkamu Temeselew https://orcid.org/0000-0003-1519-3848
Alimaw, Yezinash Addis
Bekele, Matiyas Mamo https://orcid.org/0009-0004-2516-3321
Shumye, Abebech Fikade https://orcid.org/0009-0000-8359-0293
Eticha, Biruk Lelisa
Worku, Endalew Mulugeta
Desalegn, Getachew Kassahun
Mengistu, Hirut Gebremeskel
Bayabil, Abebizuhan Zigale
Tegegne, Mebratu Mulusew
Lorato, Merkineh Markos
Bekele, Asnake Gezahegn
Birhan, Getenet Shumet https://orcid.org/0009-0002-9898-7220
Bogale, Zinachew Mulat
Article History
Received: 3 July 2025
Accepted: 9 October 2025
First Online: 17 November 2025
Declarations
:
: The authors declare no competing interests.
: The study was conducted in accordance with the Declaration of Helsinki. Ethical approval was obtained from the Ethical Review Committee of the University of Gondar, College of Medicine and Health Sciences, School of Medicine, and permission was secured from the medical director of Adare General Hospital. The study purpose was explained to each participant, and written informed consent was obtained. Participants were informed of their right to withdraw at any time, and confidentiality was maintained by excluding personal identifiers from all data collection instruments.