Ghimire, Animesh https://orcid.org/0000-0003-2167-5771
Neupane, Mamata Sharma https://orcid.org/0009-0000-4408-198X
Article History
Received: 23 January 2025
Accepted: 29 April 2026
First Online: 8 May 2026
Declarations
:
: 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 – 444/2024) and the institutional review boards of Chitwan Medical College and Karnali Academy of Health Science (KAHS). 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.