Bhrasadiya, Nisha https://orcid.org/0009-0002-5891-7922
Coutinho, Franzina https://orcid.org/0000-0002-1873-2379
Ramachandran, Selvam https://orcid.org/0000-0001-7227-9547
Brien, Marie https://orcid.org/0000-0001-9086-5160
J., Vennila https://orcid.org/0000-0002-5786-8535
Venkatachalapathy, Navamani https://orcid.org/0000-0002-5400-3421
Ponnusamy, Ramasubramanian https://orcid.org/0000-0002-8022-8982
Krishna, Dinesh https://orcid.org/0000-0003-1702-5223
Poojari, Deepalaxmi Paresh https://orcid.org/0000-0003-0035-8478
Funding for this research was provided by:
Grand Challenges Canada (Grant #0819-05)
Azim Premji Philanthropic Initiative (Grant: R-1706-03245)
Article History
Received: 10 June 2025
Accepted: 19 September 2025
First Online: 25 November 2025
Declarations
:
: This study was approved by the Institutional Ethics Committee at Kasturba Medical College and Kasturba Hospital, Manipal Academy of Higher Education, Manipal, IEC2: 393/2023.Informed consent to participate was obtained from the parents or legal guardians of each participant by Amar Seva Sangam before the data collection. Consent for MAHE to use the participants' data was obtained from Amar Seva Sangam before the commencement of the study.Our study adhered to the Declaration of Helsinki’s ethical principles for medical research involving human participants.
: Not applicable.
: The authors declare no competing interests.