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Article History

Received: 12 July 2019

Accepted: 31 July 2019

First Online: 6 August 2019

Ethics approval and consent to participate

: Ethical clearance and approval was obtained from the research ethics committee of department of nursing and midwifery, college of health science, Addis-Ababa University. Official cooperation letter was written from department of nursing and midwifery to Tigray regional health bureau. Then Tigray regional health bureau sent written cooperation letter to all of the district health bureaus of central zone and hospitals. Each district health bureaus wrote official letter to each health facilities under their control. Health facility managers gave written permission to the maternal and child health department head. After explaining about the purpose, and the possible benefit of the study; written permission was obtained from each respondents. Confidentiality of the respondent was maintained throughout the study.

: Not applicable for this section.

: The authors declare that they have no competing interests.