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Article History

Received: 28 January 2019

Accepted: 4 November 2020

First Online: 13 November 2020

Ethics approval and consent to participate

: Ethical clearance was obtained from the institutional review board of college of medicine and health sciences, Arba Minch University with IRB ref. no. CMHS/907/07. A permission letter was written for the Gamo Gofa zone health department and the informed verbal consent was obtained for those study participants who were 18 years and above. Verbal Assent was obtained for participants less than 18 years from themselves and if families were available parental permission was asked; if parents were not available permission was taken from the health facility or health service provider and this was approved by the ethics committee. The assurance of confidentiality was performed by omitting the name of the study participants from the questionnaire, by telling the safety of the place where the questionnaire was stored after data collection and also the analysis was not for individual it is for groups.

: Not applicable.

: The authors declare that there is no conflict of interest regarding the publication of this paper.