Ethics approval
Ethical approval letter was received from the IRB of Jimma University with reference number JUIRB-33/22, dated 09/02/2022. Consequently, a letter of permission was obtained from the Health Department of the Hadiya Zone, southern Ethiopia. The study participants were informed about the objective of the study, and written informed consent was obtained from each participant prior to the start of data collection. This study was registered in ClinicalTrials.gov with Identifier: NCT05015023. Link: 