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Article History

Received: 14 January 2026

Accepted: 7 July 2026

First Online: 9 July 2026

Declarations

:

: The study was conducted in accordance with the relevant guidelines and regulations of the Declaration of Helsinki on medical research ethics. Ethical approval was obtained from Haramaya University, College of Health and Medical Sciences Institutional Health Research Ethics Review Committee (IHRERC) (Ref. No. IHRERC/232/2024). Official letters of cooperation were written and submitted to the respective health facilities. Data collection began after obtaining informed, voluntary, written, and signed consent from the heads of the institutions and study participants above 18 years of age. For participants under 18 years of age, consent was obtained from their parents or legal guardians. All study participants were informed about the purpose of the study and their right to refuse participation or withdraw from the interview at any time.To maintain confidentiality, data was collected anonymously. Participants were informed that all information provided would be treated with the utmost confidentiality and that their participation would involve minimal risk.

: Not applicable.

: The authors declare no competing interests.