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Accordingly, the researchers confidentially handled the interviews and the focus group discussions. The research process began by receiving letter of ethical approval from Bahir Dar University Ethical Clearance Committee. The participants of this study were informed about the purpose of the study. The participants were also informed as they have full right to discontinue or refuse to participate in the interview or discussion. In addition, the participants were informed to be free in expressing their life experience as the information they provided would be kept confidential. Written consent was also obtained from adult participants but for those participants who were under the age of 16 oral assent and written consents were obtained from them and their parents respectively. In order to secure the identity and protect the confidentiality of the participants, the researchers did not force them to disclose their names during the interview process. 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