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Authors
Sigdel, Kripa
Shrestha, Sujan
Sharma, Nandita
Sharma, Reuben H.
Hagaman, Ashley K.
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Article History
Received: 18 May 2025
Accepted: 11 December 2025
First Online: 22 January 2026
Declarations
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: This study received ethical approval from the Nepal Health Research Council (NHRC registration no. 576/2022PhD), the national governing body for ethical research in Nepal. All methods were carried out in accordance with the relevant NHRC guidelines and regulations. We obtained written informed consent from all participants aged 18 and above. For participants under the age of 18, we obtained both written assent from the participants and consent from their parent(s) or legal guardian(s).
: We provide consent to publish.
: The authors declare no competing interests.
