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Authors
Nwankwocha, Chigbogu P.
Okwuonu, Elijah S.
Ukwueze, Chinaza B.
Opah, Adaobi O.
Ogbonna, Ifeanyi D.
Ezeme, Chioma P.
Ubachukwu, Patience O.
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Article History
Received: 28 August 2025
Accepted: 22 January 2026
First Online: 2 February 2026
Declarations
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: This study was approved by the Enugu State Ministry of Health Research Ethics Committee [ Ref NO .: MH/MSD/REC21/318]. Another ethical clearance was also collected from the University of Nigeria Teaching Hospital Health Research Ethics Committee with Ref NO .: NHREC/05/01/2008B-FWA00002458-1RB00002323. All procedures were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2013.
: All data presented are anonymized, and consent for publication is not applicable.
: Written informed consent was obtained from all individual participants and from the legal guardians/parents for minors prior to inclusion in the study.
: The authors declare no competing interests.
