Article History
Received: 23 May 2024
Accepted: 8 May 2025
First Online: 16 May 2025
Declarations
:
: All methods were conducted in accordance with the relevant guidelines and regulations, and adhered to the Declaration of Helsinki. Research ethical clearance was obtained from the Ethical Review Committee of the Institute of Health at Jimma University, Ethiopia (Ref no. IHRPGD/472/2018, August 2018). The study permission letter was provided by the Oromia Regional Health Bureau and respective zone administrations. Informed consent was obtained from all study participants, and their voluntary participation was ensured. At the beginning of each interview, the purpose, benefits and risks of the study were explained, and participants were given the opportunity to ask questions. To maintain confidentiality, interviews were conducted in private rooms and names or personal identifiers were not recorded. Access to data was restricted to authorized research staff.
: Not applicable.
: The authors declare no competing interests.