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Authors
Lake, Mastewal Worku
Asemahagn, Mulusew Andualem
Gelaye, Kassahun Alemu
Muchie, Kindie Fentahun
Nigussie, Teshager Zerihun
Engedaw, Hailemariam Awoke
Yenesew, Muluken Azage
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Article History
Received: 6 December 2025
Accepted: 22 February 2026
First Online: 4 March 2026
Declarations
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: Ethical approval was obtained from the Bahir Dar University College of Medicine and Health Sciences Institutional Review Board (Ref: BDU-CMHS-IRB 3053/2024) and the Amhara Public Health Institute Data Governance Committee (Ref: DGC 01/221). The study used anonymized, aggregate district-level surveillance data; individual consent was waived.
: Not applicable.
: The authors declare no competing interests.
