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Permission to conduct the study was also obtained from the confidential clinic. All participants were informed about the purpose and importance of the study. To ensure the confidentiality of participants\u2019 information, code numbers were used instead of identifiers. To ensure the voluntary participation of the study participants, a written informed consent was obtained from all study subjects. Consent to participate was not collected from parents \/guardians for children (under 16\u2009years of age) because the study participants are working or earn their living by their own not with their family and allowed to give an informed consent as stated in (National Research Review Guideline of Ethiopia,2014). The study incurred no cost to the study participants, and testing for <i>N. gonorrhea<\/i> and <i>C trachomatis<\/i> was performed free of charge. Participants, who tested positive for any infection, were treated according to the national guidelines. They were also made aware of the preventive measures and requested to return to the clinic after 2 weeks for additional treatment.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"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":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"61"}}