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Article History

Received: 6 January 2025

Accepted: 29 October 2025

First Online: 24 November 2025

Declarations

:

: Ethical approval was obtained from the Nepal Health Research Council (Reg. no. 533/2018) and relevant local authorities. The study adhered to the Helsinki Declaration, ensuring participants’ rights, dignity, and well-being. Informed consent was obtained from all participants, with parental assent for minors. Privacy and confidentiality were maintained through private data collection, anonymized transcripts, and secure storage of recordings, which were made only with participants’ permission.

: Not Applicable.

: The authors declare no competing interests.