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Authors
Ghimire, Animesh https://orcid.org/0000-0003-2167-5771
Neupane, Mamata Sharma https://orcid.org/0009-0000-4408-198X
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Article History
Received: 15 May 2025
Accepted: 14 October 2025
First Online: 4 November 2025
Declarations
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: This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. Ethical clearance was obtained from the Nepal Health Research Council (approval number – 332/2024) and District Health Offices in Jajarkot and West Rukum districts. Written voluntary informed consent was obtained from each participant, who was assured of their right to withdraw from the study at any time.
: Not applicable.
: The authors declare no competing interests.
