Melese, Zelalem Yitayal
Takilo, Mitiku Kassaw
Mengistu, Abraham Keffale
Shimie, Aynadis Worku
Teferi, Gizaw Hailiye
Anteneh, Ashagrie
Ayalew, Wubete Lule
Tizie, Sefefe Birhanu
Mengistie, Muluken Belachew
Article History
Received: 18 October 2025
Accepted: 31 December 2025
First Online: 6 January 2026
Declarations
:
: The dataset was collected after securing all required legal permissions from the responsible organizations. Ethical approval was granted by the Ethical Review Committee of the College of Medicine and Health Sciences, Debre Markos University (Reference number: RCSTTD/442/01/17). Additional permission was obtained from the Amhara Public Health Institute. Informed consent was obtained from all participants, and we confirm that this research complies with the principles of the Declaration of Helsinki.
: The consent for publication is not applicable in this study.
: The authors declare no competing interests.