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No: IHRPGC\/702\/017) and from Addis Ababa City Health Bureau Ethical Review Committee (Ref. No:\n            \n            \/\n            \n            \/\n            \n            \/5643\/227). Support letters were issued from the IRB to relevant offices and the selected health facilities to obtain their permission for research undertakings. In addition, after elaborating the purpose of the study and importance of their participation and agreeing not to share the data to any one, written informed consent was obtained both for interview and accessing records and those who agreed to participate were included in the study. The participants were informed their full right to withdraw from the study at any time they want and their information would be discarded immediately if they decided to do so. Participants were not paid for their participation nor punished for failing to do so as all received the necessary interventions irrespective of their participation in the study. The study did not use any invasive procedure as data were extracted from records and interview of the mother. Confidentiality of the information was maintained throughout the study process and later as nurses working at PMTCT or\/and ART clinics of the same health institutions to whom the mothers already disclosed their HIV status collected the data. Privacy of the participants was protected by interviewing them in a separate room.","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 that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"327"}}