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Article History

Received: 25 April 2024

Accepted: 5 June 2024

First Online: 24 June 2024

Ethical statements

: Ethical approval was obtained from the Institutional Ethical Review committee (IERC) of GAMBY Medical and Business College with IERC protocol number (Ref.No_GMBCIB/IRB/846/2023). Following the approval by IERC, official letter of co-operation were written to Kena woreda health administration office and in turn the woreda health administration office was wrote letters to each selected kebeles and village’s administration office in order to get permission and cooperation. The oral informed consent from the respondent was obtained after the purpose and objective of study explained. To ensure confidentiality, a name of respondents was replaced by code numbers. Participants were given the chance to ask any doubt about the study and made free to refuse or stop the interview at any moment they want.

: Not applicable.

: Not applicable.

: Each study participant was adequately informed by their data collectors about the purpose, contents of the study, method and anticipated benefit and risk of the study and the right to withdraw from the study at any time. An oral informed consent was obtained from the study participants’ before data collection during study time. In addition, participants were assured about the aim, possible risk if any, and confidentiality of the study using their own local language.

: The authors declared that they have no conflicts of interest.