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Article History

Received: 24 March 2024

Accepted: 27 August 2025

First Online: 29 September 2025

Declarations

:

: All methods used in this study were in accordance with the latest Ethiopian health research national ethics guideline (2022) and the Declaration of Helsinki. The proposal was reviewed (by IRB) as per the guideline’s standard procedure (SOP). Then, ethical clearance was obtained from the Institutional Review Board (IRB) of Bihar Dar University with reference number 705/2023 on March 06/2023. A formal letter from the school was submitted to each concerned body for their cooperation. An explanatory letter was added to each questionnaire to maintain participants’ rights. All participants were asked to participate in the study and received full explanations about the research purpose. Respect, anonymity, and confidentiality were given and maintained by consent form for each participant. The liberty of participants to withdraw at any stage of the interview was maintained. Then, written informed consent was obtained from the participant as per the Institutional Review Board (IRB) approval.

: Not applicable.

: The authors declare no competing interests.