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Article History

Received: 5 March 2026

Accepted: 11 June 2026

First Online: 20 June 2026

Declarations

:

: Ethical approval was granted by the Medical Research Council of Zimbabwe (MRCZ/B/2795) and the Makumbe Hospital ethics committee. All procedures were conducted in accordance with the ethical standards of the Declaration of Helsinki (1964) and its subsequent revisions. Written permission was obtained from the Goromonzi District Medical Officer. All participants provided informed written consent prior to data collection. Participation was voluntary and confidentiality was assured.

: No individual participant data, images, or other personal data are included in this article.

: The authors declare no competing interests.