Document is current
Any future updates will be listed below
-
Authors
Alain, Félix https://orcid.org/0009-0008-2445-3326
Raharinivo, Mbolatiana
Razafimahatratra, Mamy Jean Jacques
Randrianasolo, Faly Hariniaina
Ramananjanahary, Holinirina
Andriambelo, Mialy Mathieu
Andrianirinarison, Jean Claude
Tsivahiny, Paubert
Sahondranirina, Hanitriniala Pâquerette
Yasmine, Lethicia Lydia
Ratsiambakaina, Diana
- License Information
-
More Information
Article History
Received: 1 April 2026
Accepted: 8 June 2026
First Online: 15 June 2026
Declarations
Ethics approval and consent to participate: The study was conducted in accordance with the Declaration of Helsinki. The study protocol received formal ethical approval from the Ethical Evaluation Committee for Biomedical Research (CEER) of the National Institute of Public and Community Health (INSPC) (Reference: 021/2024-CEERINSPC/IRB). Signed written informed consent was obtained from all participants prior to the interviews, ensuring voluntary participation and strict confidentiality. All data were anonymised to protect respondent identities.
Consent for publication: Not applicable. This manuscript does not contain any individual person’s identifiable data, images, or videos.
Competing interests: The authors declare no competing interests.
