Minda, Zenebe
Oljira, Lemessa
Article History
Received: 7 August 2025
Accepted: 20 October 2025
First Online: 17 November 2025
Declarations
:
: Ethical approval was obtained from the Institutional Health Research Ethics Review Committee of the College of Health and Medical Sciences, Haramaya University, and from the review boards of the participating hospitals. Administrative permission was secured to access ART databases and patient charts. Confidentiality was maintained by excluding personal identifiers and restricting data access to authorized personnel.
: Not applicable.
: The authors declare no competing interests.