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Authors
Devkota, Bijaya Mani https://orcid.org/0009-0005-1533-2678
Gurung, Suman Chandra https://orcid.org/0000-0002-4012-7562
Dhakal, Amshu https://orcid.org/0000-0002-6290-6583
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Article History
Received: 27 July 2025
Accepted: 23 November 2025
First Online: 26 December 2025
Declarations
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: The study was reviewed and approved by the ICF and Nepal Health Research Council (NHRC). All ethical guidelines and protocols were strictly followed during and after the research process.
: The authors declare no competing interests.
