Seid, Mentesenot https://orcid.org/0009-0008-8799-3987
Tola, Assefa
Tesfaye, Alemayehu
Shegene, Birhanu
Negasa, Abdi Gari
Mamaru, Ribka
Yirgalem, Kidus
Weldesenbet, Adisu Birhanu
Article History
Received: 20 August 2025
Accepted: 30 June 2026
First Online: 7 July 2026
Declarations
Ethical: Ethical approval was obtained from the Institutional Health Research Ethics Review Committee (IHRERC) of Haramaya University, College of Health and Medical Science (Reference No. IHRERC/176/2024). Official support letters were submitted to the regional health bureaus and respective hospitals, and written consent was obtained from hospital directors. As the study was based on the retrospective review of medical records, the requirement for individual patient consent was waived. To ensure confidentiality, all data were anonymized, and personal identifiers such as patient names, medical record numbers were not included in the extraction tool. The study was conducted in accordance with the Declaration of Helsinki.
Competing interests: The authors declare no competing interests.