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Article History

Received: 10 September 2025

Accepted: 16 February 2026

First Online: 22 February 2026

Declarations

:

: The study was reviewed and approved by the Cross River State Health Research Ethics Committee and granted ethics number CRSMOH/HRP/REC/2024/488. The research was carried out in line with the guidelines of the ethics committee. It was conducted ethically, specifically in accordance with the Declaration of Helsinki and its later amendments. Written fnformed consent to participate was obtained from all participants.

: Not applicable.

: The authors declare no competing interests.