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Article History

Received: 25 April 2024

Accepted: 8 May 2025

First Online: 17 May 2025

Declarations

:

: Ethical approval was obtained in accordance with the Declaration of Helsinki. The Wolaita Sodo University College of Health Sciences and Medicine Ethical Review Committee provided the necessary approval. An official letter from the university was submitted to the Wolaita Zone Education Department, which subsequently issued a support letter to the Boloso Sore Educational Office and senior secondary schools. Data collection began after obtaining written parental consent for participants under the age of 18 and direct consent from participants aged 18 and above. No personal identifiers were recorded at any stage of the study. Participants were informed of the study's objectives and their right to decline participation without any negative consequences. All information collected during the research project was treated with strict confidentiality.

: Not applicable.

: The authors declare no competing interests.