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Ethical Approval and Assent to Participate The study protocol was approved by the Institutional Review Board (IRB) of Jimma University, Institute of Health with a reference number of IHRPGD/567/19. Permission was obtained from the responsible bodies of the hospital before interviewing the patients’ guardians and extracting data from patients’ case records. In addition, written and verbal informed consent was obtained from all study guardians before commencing data collection. Statistical Analysis The collected data were checked for completeness, clarity, and accuracy and entered into Epidata version 4.4.1. Statistical package for social science (SPSS) version 23 (IBM, Armonk, NY, USA) was used for data analysis. Categorical variables were reported by frequency and percentage (%) and continuous variables were summarized with mean ± standard deviation. A multivariate logistic regression model was used to identify independent predictors of poor treatment outcomes. Variables with

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