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Authors
Nkeshimana, Menelas https://orcid.org/0000-0003-3573-8075
Firew, Tsion
Westergaard, Ryan P.
Ntwari, Jules
Asabwe, Malaika
Nsekuye, Olivier
Ingabire, Lambert
Neil, Kara L. https://orcid.org/0009-0002-2586-0974
Muvunyi, Raissa
Rwagasore, Edison
Mukagatare, Isabelle
Muvunyi, Claude Mambo
Butera, Yvan
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Article History
Received: 3 December 2025
Accepted: 26 May 2026
First Online: 17 June 2026
Competing interests
: The authors declare no competing interests.
: This paper complies with all relevant ethical regulations. Ethics approval was obtained from the Rwanda National Ethics Committee (ref. 121/RNEC/2024).
Free to read: This content has been made available to all.
