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Article History

Received: 13 August 2019

Accepted: 29 November 2019

First Online: 30 December 2019

Ethics approval and consent to participate

: A Letter of ethical clearance was secured by IRB, Institute of Health, Jimma University with this specific letter (JHRPGD/202/2018). A letter for cooperation from the department of internal medicine was obtained. Verbal consent from respective physicians, nurses, and patients were secured to extract data from patients’ medical charts. Participants were also informed that participation was depending on a voluntary basis and that they have a right to withdraw at any time if they are not comfortable with the study. In order to keep confidentiality, all data were kept anonymously in the observational checklist and interview questionnaire. Privacy and confidentiality were ensured during patient interview and review of patient charts.

: Not applicable.

: The authors declare that they have no competing interests.