Mbaegbu, Casmir C.
Agwu, Prince
Etiaba, Enyi
Onwujekwe, Obinna
Article History
Received: 6 January 2025
Accepted: 12 June 2025
First Online: 3 July 2025
Declarations
:
: The authors declare no competing interests.
: This study was conducted in strict accordance with the ethical principles outlined in the Declaration of Helsinki, ensuring the protection of all participants’ rights, welfare, and privacy throughout the research process. Ethical approval for this study was obtained from the Health Research Ethics Committee of the University of Nigeria Teaching Hospital, Ituku-Ozalla Enugu State (NHREC/05/01/2008B-FWA00002458-IRB00002323). Further permission to conduct the study was sought and obtained from the State Primary Healthcare Development Agency (SPHCDA) in each of the three states.
: Written informed consents containing promised confidentiality, anonymity, and full disclosure of the study’s aims and use of data were obtained from all study participants.