Document is current

Article History

Received: 15 November 2018

Accepted: 4 February 2019

First Online: 15 February 2019

Authors’ information

: MDA: MPH, Senior Health Systems Strengthening Adviser at USAID Transform: Primary Health Care, JSI Research & Training Institute Inc., Addis Ababa, Ethiopia.MMA: MPH, Urban Health Extension Program Focal at Lalibela Town Health Office, Ethiopia.MBA: MSC, Lecturer at Woldia University, Ethiopia.BFD: MPH, Deputy Chief of Party at USAID Transform: Primary Health Care, JSI Research &Training Institute, Inc., Addis Ababa, Ethiopia.TRM: DCur; Professor (full) and Executive Editor: Africa Journal of Nursing and Midwifery, University of South Africa, Department of Health Studies, Pretoria, South Africa.KDG: Ph.D. in Health Studies; Associate Professor at Wolaita Sodo University, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo, Ethiopia.AHF: MPH, Quality Improvement Adviser at USAID Transform: Primary Health Care, Pathfinder International, Addis Ababa, Ethiopia.ADM: MPH, Immunization and Surveillance Adviser, USAID Transform: Primary Health Care, JSI Research & Training Institute Inc., Addis Ababa, Ethiopia.AYD: MPH, Monitoring & Evaluation Officer at Clinton Health Access Initiative, Addis Ababa Ethiopia.

: The research protocol of this community-based cross-sectional study was reviewed, and ethical clearance was obtained from the institutional review board (IRB) of Debre Berhan University. An official letter of permission was submitted to Debre Berhan district and kebele administrations. Written informed consent was obtained from all study participants after providing brief explanations about the purpose and procedure of the study. To maintain the confidentiality of collected data, anonymity was maintained throughout the research process. Furthermore, the right to withdraw from participation at any time was respected.

: Not applicable.

: The authors declare that they have no competing interests.

: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.