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Article History

Received: 2 May 2024

Accepted: 27 February 2025

First Online: 11 March 2025

Declarations

:

: The ethical clearance certificate for this research was obtained primarily from the research and Ethics Committee of the Enugu State University of Science and Technology Teaching Hospital, Parklane, Enugu with certificate number ESUTHP/C-MAC/RA/034/VOL.11/70. Also, the clearance certificate was obtained from the Ministry of Health with certificate number MH/MSD/REC18/042 to cover other hospitals used for this study.

: A written informed consent was read and signed by each participant in the presence of the interviewer and a witness. Women below 18 years (minors) had their consent forms signed and granted by their parents or legal guardians. The participants were assessed for competency to give consent before they signed the informed consent forms. This was done by making sure they had full disclosure of information about the study, they had the competency to make a decision based on their choices, and that the choices that determined their decisions were voluntary.

: Not applicable.

: The authors declare no competing interests.