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Mussa, Ibsa https://orcid.org/0000-0002-6318-4092
Makhubela-Nkondo, On
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Article History
Received: 24 July 2024
Accepted: 5 February 2026
First Online: 24 February 2026
Competing interests
: The authors declare no competing interests.
: Ethical approval for this was obtained from the University of South Africa, Research Ethics Committee Department of Health Studies (REC-012714-039 (NHERC) on date 2 August 2017. Support letters from the university were written to the Oromia Health Bureau and then to the selected kebele where the study was conducted. After getting all permission letters from the responsible body, informed consent was obtained from all subjects and/or their legal guardian(s) and use plain language by study participants. Confidentiality was maintained by using codes instead of the participant’s name. Participants were also informed that they have the full right to refuse participation or withdraw any time from the research. All methods were performed in accordance with relevant guidelines and regulations in the Declaration of Helsinki.
