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This study utilized a dataset of the Ethiopian fourth demographic health survey which was conducted from January 18, 2016, to June 27, 2016. The first administrative level of the country is composed of nine Regional States: Tigray, Afar, Amhara, Oromia, and Somali, Southern Nation Nationalities and Peoples Region (SNNPR), Benishangul-Gumuz, Gambela, and Harari; and two City Administrations council of Dire Dawa and Addis Ababa. Every first- level administration are divided into Woredas (districts) and Kebele (sub-districts) [15].

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