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Authors
Dagnew, Assaye
Yeshanew, Solomon
Nibret, Endalkachew
Atenafu, Getnet
Kendie, Fasil Adugna
Assefa, Melese
Habtamu, Asmamaw
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Article History
Received: 3 December 2024
Accepted: 7 August 2025
First Online: 10 October 2025
Declarations
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: Before data collection was initiated, ethical approval was obtained from the Ethical Review Committee of the College of Natural and Computational Sciences, Debre Markos University (Ref: BIO,425/17/201). A letter of permission was also sought from the Amhara Public Health Institute (APHI) to obtain support from the relevant governmental and public institutions.The study's objective, potential risks, and benefits were thoroughly explained to health experts, heads of health facilities, and study participants or parents/guardians. All study participants and guardians of children under 18 years of age were informed about the study and gave their consent. Every response was handled confidentially and anonymously. All methods were carried out following the Helsinki Declaration [].
: All authors have approved the submission of the final copy for publication.
: The authors declare no competing interests.
