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Article History

Received: 16 February 2026

Accepted: 26 June 2026

First Online: 2 July 2026

Declarations

:

: The authors declare no competing interests.

: Ethics approval was deemed unnecessary as this work constitutes program evaluation where key informants were consulted in their professional capacity regarding organizational public policies and practices. Referring to internationally recognized ethical standards such as Canadian Tri-Council Policy Statement, TCPS2 2022, Chapter 2, Article 2.5; U.S. Federal Regulations (45 CFR 46.104); and the UK Health Departments’ Governance Arrangements for Research Ethics Committees, paragraph 2.3.13; such activities do not need ethical approval since participants who provide information in their official professional roles are not considered research subjects. While there is no universal international exemption, this approach aligns with ethical principles since no personal, confidential, or sensitive data of the participants were collected. All methods used are in accordance with relevant human research guidelines and regulations, including the principles of the Declaration of Helsinki.

: Not Applicable.