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Article History

Received: 30 January 2024

Accepted: 18 July 2024

First Online: 17 September 2024

Declarations

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: was received from the ethics committee or IRB Jimma University Department of health policy and Management with reference number of IHIRB/591/2022. also, Permission letter was obtained from local administration. Before the data collection, the participants were informed about the purpose of the study, their right to refuse participation and discontinue the interview. Written and Verbal consent were obtained from each participant before to interview to confirm willingness for participation. The participants were informed on the information obtained was kept confidential throughout the process of this study. Similarly, any identification information including the name of the participants were not written on the questionnaire due to confidential kept purpose. The informed consent was verbally explained bit by bit to the illiterate participants and requested permission to proceed, if they weren’t happy, had given a rejection option. All illiterate participants gave verbal informed consent. All study subjects, both literate and illiterate, provided informed consent. The illiterate respondents were informed verbally, and their legal guardians signed on their behalf, while the literate respondents signed their consent. This study was conducted ethically according to the IRB-provided criteria since Mohamoud Askar, a member of the IRB Committee, was designated as an ethical compliance checker during the study period and presented all necessary documentation with supporting data. To maintain confidentiality, no identification information, including the names of the participants, was recorded on the questionnaire. Respecting the principles of ethics, the study followed the principles outlined in the Declaration of Helsinki, underscoring our commitment to ethical practices in human research. In addressing the local context, permission was obtained from relevant Somaliland authorities to conduct this study. This underscores our commitment to respecting the autonomy and rights of individuals involved in the study while aligning with ethical committee-approved procedures. The study didn’t involve experimental and human sample study, likewise the study participants were given a consent/permission both verbal and written form for study respondents. The Authors had declared the study are followed the principle of Helsinki declarations and no human sample were involved.

: Not applicable.

: The authors declare that they have no potential competing of interests.