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Article History

Received: 28 July 2025

Accepted: 23 December 2025

First Online: 4 January 2026

Declarations

:

: All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional/provincial and national research ethics committees and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The Biomedical Research Ethics Committee of the University of KwaZulu-Natal, Durban, approved the study protocol and the questionnaire, under reference number BE557/18. Including gatekeeper approval from the Eastern Cape Department of Health Research Ethics Committee, reference number EC_201810_005. All participants were informed of the study’s purpose and methodologies, and they provided written informed consent to participate.

: Not applicable.

: The authors declare no competing interests.