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Article History

Received: 24 February 2024

Accepted: 9 September 2024

First Online: 19 September 2024

Declarations

:

: Ethical clearance for this study was obtained from the Ethical Review Board of Bahir Dar University, College of Medicine and Health Science. The relevant offices within Tibebe Ghion Specialized Hospital and Addisalem Primary Hospital were informed through official letters (version 799/2023/003). Strict confidentiality was maintained throughout the study by using non-identifiable data and restricting access to authorized personnel only. The study was conducted in full compliance with institutional and national guidelines, ensuring that the research did not impact participants or compromise patient confidentiality and quality of care. The research design posed no additional risks or repercussions for the participants. Informed consent was obtained from all human participants involved in the study. Participants were fully informed about the study’s objectives, procedures, and their rights. Given the community’s literacy levels, verbal consent was deemed appropriate and approved by the Ethical Review Board. For participants under the age of 16, informed consent was obtained from their parents or legal guardians. This process adhered to the principles of the Declaration of Helsinki, ensuring respect for participants and protection of their rights. All necessary declarations related to human ethics and consent to participate have been included in this manuscript as per the submission guidelines.

: Not relevant.

: The authors declare no competing interests.