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Article History

Received: 8 May 2025

Accepted: 13 October 2025

First Online: 12 November 2025

Declarations

:

: This study was approved by the Community Health Department Dissertation Ethical Review Committee, University of Ghana Medical School (CHDRC 07/2022). The study was conducted in accordance with the fundamental ethical principles outlined in the University of Ghana Ethics Policy, which encompasses the Declaration of Helsinki (1996), International Conference on Harmonization Good Clinical Practice (ICH GCP E6) Guidelines, Council for International Organizations of Medical Sciences (CIOMS) principles, the Belmont Report, and applicable laws and statutory regulations of Ghana and the University.By adhering to these esteemed guidelines, we ensured the highest ethical standards in the design, implementation, and reporting of our research. Written informed consent was also obtained from all participants in the study after explaining the purpose of the study.All participants were informed of their choice to opt-out at any point if they wished to do so without any adverse outcome to their care and no form of coercion was used in getting participants to partake in this study.

: Not applicable.

: The authors declare no competing interests.