Ethics approval
Ethical approval letter was received from the IRB of Jimma University with reference number JUIRB-33/22, dated 09/02/2022. We received a letter of permission 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. The study was performed in accordance with the national and international guidelines such as Declaration of the Helsinki, and the results were reported as per the CONSORT checklist for cluster randomized trial.