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Article History

Received: 23 September 2019

Accepted: 30 December 2019

First Online: 7 January 2020

Ethics approval and consent to participate

: Ethical approval was provided by the Committee on Human Research Publication and Ethics (CHRPE), School of Medical Sciences, Kwame Nkrumah University of Science and Technology and Komfo Anokye Teaching Hospital, Kumasi, Ghana (Ref: CHRPE/AP/542/18). Ethical approval was also granted by the Research Ethics Sub-Committee of Lingnan University, Hong Kong. Consent from the regional and district education directors and parents of the selected participants were also sought. Study participants were fully briefed on the research purpose, anonymity, and confidentiality and provided written consent to sign before the voluntarily survey.

: Not applicable.

: The author declares that she has no competing interests.