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Article History

Received: 14 July 2025

Accepted: 9 October 2025

First Online: 4 November 2025

Declarations

:

: The study was conducted in accordance with the Declaration of Helsinki. The study approved by the institutional review board of Jimma University, Institute of health (Ref: 455/17). All study participants were informed of the study’s goals and significance, and their written informed consent was acquired. Informed consent to participate was obtained from all of the participants. The study was conducted with confidentiality upheld at every stage. Participants’ involvement in the study was voluntary; participants who were unwilling to participate in the study and those who wished to quit their participation at any stage were informed to do so without any restrictions.

: Not applicable.

: The authors declare no competing interests.