Sapkota, Abhishek https://orcid.org/0000-0003-0657-6273
Thapa, Alisha
Chapagain, Nawaraj
Sapkota, Krishna Prasad
Funding for this research was provided by:
Health Division, Pokhara Metropolitan City, Nepal (82/83_08)
Article History
Received: 10 July 2026
Accepted: 27 August 2026
First Online: 2 September 2026
Declarations
Ethics approval and consent to participate: This study was conducted in adherence to the Declaration of Helsinki. Ethical approval was obtained from the Institutional Research Committee, Pokhara University (Ref no. 115/2082/83). Participants were informed of the study’s purpose, procedure, risks, and benefits before obtaining written informed consent. Informed consent was obtained using a thumbprint from the illiterate participants. Withdrawal was accepted at any time during data collection. Anonymity and confidentiality of all data were strictly maintained. Participants identified as high risk were referred to the nearest health facility for further evaluation and care.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.