<p>Yohannes Awoke Assefa6, Rediet Getachew6, Goshu Nenko1, Biruk Fanta1, Tadele Amare1, Demeke Demilew1, Endalkachew Dellie3, Andualem Yallew3,&nbsp; Geta Asrade3, Zelalem Demeke6, Kegnie&nbsp; Shitu5, Getachew Azeze Eriku8,&nbsp; Chanyalew Worku9, Alemu Kassaw Kibret8, Tsegaye Gebremedhin Haile3, Melkamu Tamir Hunegnaw7, Haileab Fekadu3, Ayenew Molla3, Aysheshim Kassahun Belew7, Asmamaw Atnafu3, Tadesse Guadu4, Mezgebu Yitayal3, Netsanet Worku7, Kassahun Alemu Gelaye2, Telake Azale5, Tadesse Awoke2</p><p>2Department of Epidemiology and Biostatics, Institute of Public Health, University of Gondar, Gondar Ethiopia</p><p>3Department of Health system and Policy, Institute of Public Health, University of Gondar, Gondar Ethiopia</p><p>4Department of Environmental and Occupational Health and Safety, Institute of Public Health, University of Gondar, Gondar Ethiopia</p><p>5Department of Health Promotion and Health Behavior, Institute of Public Health, University of Gondar, Gondar Ethiopia</p><p>6Department of occupational therapy, School of Medicine, University of Gondar, Gondar Ethiopia</p><p>7Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar Ethiopia</p><p>8Department of Physiotherapy, School of Medicine, University of Gondar, Gondar Ethiopia</p><p>9Department of Medical Nursing, School of Nursing, University of Gondar, Gondar Ethiopia</p>