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Article History

Received: 22 August 2025

Accepted: 24 February 2026

First Online: 18 March 2026

Declarations

:

: This study was based on a retrospective analysis of routinely collected secondary health data, and approval to conduct the study was granted by the Nacarôa District Services for Health, Women and Social Action, the Directorate of District Health Services, and the Nacarôa Health Center, where the data were originally collected. As the dataset only contained existing records and there was no direct contact with participants, obtaining individual informed consent was not possible. These authorities therefore waived the requirement for informed consent. All procedures complied with recognised ethical standards for research and the principles of the 2013 Declaration of Helsinki.

: Not applicable.

: The authors declare no competing interests.