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The study was approved by the ethics committee of the College of Medicine and Health Sciences, Wollo University (CMHS0014\/2016). In addition, given the sensitive nature of potential disclosures of sexual abuse, exploitation, or severe harm, participants were informed that if ongoing risk to a child was identified, appropriate referral would be made. The research team established referral contacts with local social affairs offices and community support services of the Dessie City Administration. However, no immediate cases requiring mandatory reporting were identified during data collection.\u00a0Informed consent was obtained from all parents involved in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"249"}}