Kunwar, Ramesh
Adhikari, Prakash
Khanal, Vishnu
Ranabhat, Kamal
Joshi, Arun Kumar
Choulagai, Bishnu Prasad
Bhurtyal, Ashok
Article History
Received: 22 April 2025
Accepted: 8 June 2026
First Online: 20 June 2026
Declarations
Ethics approval and consent to participate: The study was adhered to Declaration of Helsinki. Ethical approval was obtained from the Institutional Review Board of the Institute of Medicine, Tribhuvan University (Reference number: 255 (6-11) F2/079/080). Administrative approval to conduct the study was obtained from the Health Directorate, Sudurpashchim Province (Ref 2079/80/301). Informed e-consent to participate was obtained from all of the participants in the study.
Consent for publication: Not applicable
Competing interests: The authors declare no competing interests.