Document is current

Article History

Received: 31 March 2025

Accepted: 30 June 2025

First Online: 16 July 2025

Declarations

:

: This study received ethical approval from the Research and Ethics Board of the Simon Diedong Dombo University of Business and Integrated Development Studies. All procedures complied with relevant ethical guidelines for research involving human participants.

: Verbal informed consent was obtained from all participants, with approval from the ethics board for cases where written consent was not feasible. Participants were assured of anonymity and confidentiality. All interviews and FGDs were recorded with consent and transcribed with identities protected.

: Written consent for publication was obtained from the legal guardians of identifiable minors shown in photographs used in this study.

: This study is not a clinical trial and does not require registration.

: The authors declare no competing interests.