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Article History

Received: 20 September 2024

Accepted: 30 December 2024

First Online: 23 January 2025

Declarations

:

: The study was carried out by the Declaration of Helsinki and Ethics approval was secured from the University of South Africa Ethical Committee, Ministry of Education, Sport and Culture, and Namibia Ministry of Health and Social Services Research Ethics Committees. All participants provided voluntary informed consent before engaging in the research. The study's objectives, the nature of voluntary participation, and the measures implemented to ensure confidentiality were communicated to all participants.

: All participants provided their written consent to include anonymized quotes from their interviews in published materials. It should be emphasized that no personal or identifiable information has been incorporated into any of the publications.

: The authors declare no competing interests.