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Article History

Received: 7 November 2024

Accepted: 16 January 2025

First Online: 23 January 2025

Declarations

:

: The study was approved by Institutional Review Boards (IRB) of Addis Ababa University, College of Health Science, Department of Midwifery (IRB protocol: SNM/MID/036/16) and Institutional Review Boards of St. Paul Hospital Millennium Medical College (IRB protocol: PM23/1002). Consent had been waived by the ethical board. They are conducted in compliance with the ethical guidelines for medical and health research involving human subjects and the ethical principles of the Declaration of Helsinki. Then, a permission letter has been obtained from Tikur Anbesa Specialized Hospital and St. Paul Hospital Millennium Medical College, oncology unit. The study was conducted without individual informed consent, as the study relied on retrospective data collected as part of routine patient care. In this retrospective study, no patient identifiers were used, and data were anonymized. To keep confidentiality, names and other personal identifiers were not included in the data collection tool. The data on the computer were secured by password and keep it a private document.

: Not required.

: Patients and/or the public were not involved in the design, conduct, reporting, or dissemination plans of this research.

: The authors declare no competing interests.