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Article History

Received: 2 May 2019

Accepted: 7 November 2019

First Online: 4 December 2019

Ethics approval and consent to participate

: Ethical clearance was obtained (Certificate reference number: HSHDC/350/2014) from the Health Studies Higher Degrees Committee (HSHDC), College of Human Sciences (CHS), UNISA. Prior to the commencement of data collection, the final version of the study protocol, together with the UNISA ethical clearance, was submitted to the Amhara Regional State Health Bureau, Research and Technology Transfer Core Process with certificate reference number: H/R/TEC/82/08. And permission to conduct the research was obtained from the local Institution Review Board (IRB). In addition, a support letter from the West Gojjam Zone Health Department was received. Consent to audit clinical records of randomly selected patients were sought from heads or owners of all 11 medium clinics. To maintain the confidentiality of collected data, anonymity was maintained throughout the research process.

: Not applicable.

: The authors declare that they have no competing interests.