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Article History

Received: 31 December 2025

Accepted: 14 May 2026

First Online: 26 May 2026

Declarations

:

: The authors declare no competing interests.

: Ethical approval for this study was obtained from the Institutional Research Ethics Review Board (IRB) of Arba Minch University, College of Medicine and Health Sciences. The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki and adhered to relevant national research ethics guidelines. Prior to participation, all study participants were fully informed about the purpose, procedures, potential risks, and benefits of the study. All participants in this study were adults aged 25 years old and above. No one under the age of 18 was enrolled, so parental or legal guardian approval was not required. Written informed consent was obtained from all participants before the interview. For Key Informant Interviews (KII), participants were explicitly informed that their responses would be audio-recorded while ensuring strict confidentiality and anonymity. Verbal consent was obtained at the beginning of each KII session before proceeding with the interview.