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Authors
Poudel, Jiban Mani https://orcid.org/0000-0001-6383-4983
Aryal, Deepak
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Article History
Received: 26 October 2024
Accepted: 26 August 2025
First Online: 21 October 2025
Declarations
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: In Nepal, there was no institutional mechanism to receive ethical approval, nor was there a practice of establishing an Internal Review Board for non-funded research.
: All participants gave informed consent for this study. All coauthors approved the submitted manuscript. We used standard qualitative and quantitative methods to collect data from the field.
: The authors declare no competing interests.
