Kassa, Belayneh Dessie https://orcid.org/0000-0001-9952-0070
Ayen, Addisu Assfaw
Tebeje, Wondale Tsega
Asmare, Temesgen Birlie
Belete, Kumlachew Geta
Belay, Bekalu Mekonen
Article History
Received: 11 January 2026
Accepted: 29 June 2026
First Online: 1 July 2026
Declarations
:
: This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. The ethical approval was obtained from Debre Tabor University’s institutional review board (protocol number: 015/2025). Names and other personal identifiers were avoided during data collection and analysis to maintain confidentiality. Data collectors were directed to maintain the privacy of patient information. Every study participant received notification of the study’s objectives, their freedom to decline participation, and the confidentiality of the collected data.
: Not applicable. This study used anonymized and aggregated data, and no individual patient identifiers were included.
: The authors used ChatGPT (OpenAI) and Paperpal to assist with language editing and improving the clarity of the manuscript. The authors take full responsibility for the content, accuracy, and integrity of the work.
: The authors declare no competing interests.