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Article History

Received: 25 October 2019

Accepted: 7 November 2019

First Online: 2 December 2019

Ethics approval and consent to participate

: Ethical approval for the study was obtained from the Institutional Review Board (IRB) of St. Paul’s Hospital Millennium Medical College (Reference No – PM 23/39: Dated on 9 October 2018),Jimma University (Reference No – JHRPGO 380/2019: Dated on 16 September 2019) and the Ethiopian National Research Ethics Review Committee (Reference No – MoSHE/RD/141/098/14: Dated on 09 July 2019). Any amendment to the study protocol will be discussed with the TSC and communicated to the IRB for approval. Administrative permission is already obtained from the participating institutions including Zonal and District/Woreda Health Offices. The purpose and the procedures of the study will be discussed with the local community representatives and the health facility managers. The study team will discuss the detail of the study such as its objectives, the procedures involved, the potential benefits and risks of participation and the confidentiality of the data using simple language that mothers/caregivers could understand. Then written informed consent will be obtained from all mothers/caregivers who will be informed that they could cancel their consent at any time, without harming the care provided in the facility. All paper-based study documents will be stored in a locked cabinet and in the computer system; passwords will be used to protect the data. Only the study team will have access to the data collected in this study.

: Not applicable

: The authors declare that they have no competing interests. This study is supported by a grant from the Nestle Foundation for the study of the problems of nutrition in the world, Lausanne, Switzerland. Jimma University is the sponsor of the trial. Both the funding body and the sponsor has no role in the design and conduct of the study including collection, analysis, and interpretation of data, in writing of the report and decision to submit the manuscript for publication.