Ethics approval and consent to participate
Ethical clearance and approval was obtained from the research ethics committee of department of nursing and midwifery, college of health science, Addis-Ababa University. Official cooperation letter was written from department of nursing and midwifery to Tigray regional health bureau. Then Tigray regional health bureau sent written cooperation letter to all of the district health bureaus of central zone and hospitals. Each district health bureaus wrote official letter to each health facilities under their control. Health facility managers gave written permission to the maternal and child health department head. After explaining about the purpose, and the possible benefit of the study; written permission was obtained from each respondents. Confidentiality of the respondent was maintained throughout the study.
Consent for publication
Not applicable for this section
Availability of data and material
The datasets during and/or analyzed during the current study available from the corresponding author on reasonable request.
The authors declared that they have no competing interests.
Addis Ababa University. The funder has no role in the design, analysis and interpretation of the results.
Tesfay Tsegay carried out the conception and designing the study, performed statistical analysis and wrote the manuscript. Alem Gebremariam participated in the conception and designing the study, performed statistical analysis and wrote the manuscript. Rajalakshimi Murgan participated in designing the study, analysis, reviewing and editing the final draft and manuscript. Mekonnen Haftom participated in the conception and designing the study, performed statistical analysis and wrote the manuscript. All authors read and approved the final manuscript.
We would like to acknowledge the Regional Health Bureau of Tigray and Central Zone Health Office for their cooperation in conducting this study. We are very grateful to the study participants for their willingness to participate in this study and to the field data collectors for their hard work and sincere contribution.