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Ethical clearance was secured from the Institutional Ethical Review Committee (IRB) of the Department of Clinical Midwifery, College of Medicine and Health Sciences, University of Gondar, with reference number (Mid\/W.H.\/02\/16). The School of Midwifery sent a letter of collaboration to the regional health bureau, the bureau sent a letter of cooperation to the appropriate referral hospitals, and authorization was acquired in accordance with that. Written informed consent was obtained from each respondent after they were briefed on the study\u2019s goal and purpose. Women under the age of eighteen also gave their agreement after their parents gave their informed consent. All participants\u2019 legal guardians gave their informed consent if they were illiterate. Participants were also told that participants might withdraw from the study at any time or choose not to participate. Information was gathered anonymously with guarantees of confidentiality (Supplementary Information).","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 no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"65"}}