Document is current

Article History

Received: 8 February 2025

Accepted: 9 September 2025

First Online: 8 October 2025

Declarations

:

: The study was conducted in accordance with the ethical principles of the Declaration of Helsinki. Ethical approval was obtained from Ethical Review Board of Nepal Health Research Council (Reference: 515/2022 P), Nepal to ensure compliance with ethical standards. Written informed consent was taken from all participants prior to data collection safeguarding their autonomy and right to withdraw at any point. Confidentiality and anonymity were strictly maintained throughout the study to ensure research integrity.

: Not applicable.

: The authors declare no competing interests.