Document is current

Article History

Received: 19 May 2017

Accepted: 19 April 2018

First Online: 2 May 2018

Ethics approval and consent to participate

: The ethical review committees of the Amhara, Oromia, SNNP, and Tigray regional health bureaus granted ethical clearance. The study participants (i.e., heads of the health centers and health care providers working in the maternity units) were informed about the purpose of the study and their right to opt-out or not to respond to questions. The study subjects provided informed verbal consent prior to any interview. The interviewer electronically marked the questionnaire as consent given if both the respondents agreed to be interviewed upon listening to the consent statement and then continued with the interview only after receiving and documenting the consent. The survey protocol submitted to the regional health bureaus ethical review committee included the study questionnaire and the consent statement with descriptions of the consent obtaining procedure which was approved by the committee. The name of the respondent was not recorded by the interviewer. Moreover, data collection did not interfere with their normal work with clients. The values, rights, and norms of the study subjects, enumerators and supervisors were respected.

: The authors declare that they have no competing interests.

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