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All procedures were conducted accordance with Helsinki declaration. Support letter was obtained, and permission to conduct the study was submitted to the Amhara Regional Labor and Social Affairs. Then purpose and importance of the study were explained to the participants, and oral and written informed consent was obtained from all subjects and\/or their legal guardians. Confidentiality was maintained and assured to the participants at all levels of the study. Participants\u2019 involvement in the study was voluntary; participants who were unwilling to participate in the study and those who wished to quit their participation at any stage were informed to do without any restrictions.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"<!--Emphasis Type='Bold' removed-->Consent for publication"}}],"article-number":"37141"}}