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An official permission letter to produce evidence-based result was obtained from Tigray Heath Research Institute (THRI) and Tigray Health Bureau. The information obtained was made anonymous and de-identified prior to analysis to ensure confidentiality, and used only for the intended purpose. The study was also conducted in accordance with the Helsinki Declaration. Furthermore, according to the IRB of the College of Health Sciences, Mekelle University, consent to participate is not required (not applicable) for retrospective studies that use secondary data from the electronic and document records of health facilities. The need for consent to participate was waived by an Institutional Review Board (IRB) of the College of Health Sciences, Mekelle University.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Patients and\/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Patient and public involvement"}},{"value":"Not required.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Patient consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"818"}}