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Article History

Received: 18 August 2025

Accepted: 14 January 2026

First Online: 25 January 2026

Declarations

:

: Prior to the initiation of the study, the proposal was reviewed by the Ethical Review Committee of Bahir Dar University, which formally waived the requirement for ethical approval, as the study posed minimal risk and did not involve invasive procedures. The study adhered to the Declaration of Helsinki and local ethical standards. All participants were fully informed of the study purpose, procedures, and voluntary nature. Written and verbal informed consent was obtained, and participants’ cultural and religious values were respected. Participation was entirely voluntary, with the option to withdraw at any time.

: Not applicable.

: The authors declare no competing interests.