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Article History

Received: 5 October 2017

Accepted: 23 February 2018

First Online: 12 March 2018

Ethics approval and consent to participate

: Ethical clearance was obtained from research review committee of Madda Walabu University. Letters were secured from Bale zone health Bureau, Bale zone administrative and the respective districts of Bale Eco-region. Verbal informed consent was obtained from the study participants. All the information obtained from the study participants were kept confidential throughout the process of study, and the name of the participant was replaced by code. Withdrawal from the study at any point if they wished was assured.

: Not applicable, no individual detail was presented, however participants gave verbal consent for direct quotes from their interviews to be used in this manuscript.

: The authors declared that they have no any competing interests.

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