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Article History

Received: 9 May 2025

Accepted: 29 August 2025

First Online: 23 October 2025

Declarations

:

: This study received ethical approval from both organizations. This study was approved by the Ghana Health Service Ethics Review Committee (GHS-ERC/032/2024). The Institutional Review Board at the University of Education, Winneba, also approved this study. Written informed consent was obtained from all the participants. For minors, we also obtained consent from their parents or guardians following the national guidelines on research ethics for adolescents.

: Not applicable.

: The authors declare no competing interests.