Document is current

Article History

Received: 10 October 2025

Accepted: 11 November 2025

First Online: 29 December 2025

Declarations

:

: The authors declare that they have no conflicts of interest relevant to this study.

: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

: Informed consent was obtained from all individual participants included in the study. For participants with limited literacy, verbal consent was obtained in the presence of a community health worker, as per institutional guidelines.