E.O, Ebob Besem Margaret
Yankam, Brenda Mbouamba
Ogundeko-Olugbami, Oluwafunmilayo
Donovan, Laura
Counihan, Helen
Hawkings, Helen
Maxwell, Kolawole
Baker, Kevin
Zoungrana, Yakouba
Tanue, Elvis Asangbeng
Noukeme, Bibiche Modjenpa
Metuge, Alain
Nganmou, Isabelle
Divine, Adeso
Coril, Epie
Gilbert, Kebam
Sachop, Narcisse
Ako, Solomon
Pensha, Joysline
Tabong, Ayuk Otang
Itoe, Besong Tabot
Wanji, Samuel
Berryman, Elizabeth
Jarman, Elizabeth
Omam, Esther Njomo
Omam, Lundi-Anne
Funding for this research was provided by:
Expertise France
Article History
Received: 27 August 2025
Accepted: 21 November 2025
First Online: 14 January 2026
Declarations
:
: The authors declare no competing interests.
: Ethical approval was sought and obtained from the Institutional Review Board of the Faculty of Health Sciences of the University of Buea, IRB00008917. Administrative authorization was obtained from the Southwest Regional Delegation of Public Health and the District Health Services in all study sites. Written and verbal informed consent was sought from all study participants.
: It is important that you are able to give your informed consent before taking part in this study and you will have the opportunity to ask any questions in relation to the research before you provide your consent. By signing it you are telling us that you: Understand what you have read. Consent to take part in the research project. Consent to the use of your personal and health information as described. You will be given a copy of this Participant Information sheet and Consent Form to keep.
: Consent was obtained from all participants using the information sheets and consent forms.