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Article History

Received: 16 August 2025

Accepted: 2 April 2026

First Online: 14 April 2026

Declarations

:

: The University of Cape Coast Institutional Review Board (IRB) approved the study under approval number (UCCIRB/CHAS/2022/126) in accordance with the Declaration of Helsinki. The Sekyere South Health Directorate granted permission to carry out the study in the district.

: Informed written consent was obtained from all study participants. Adequate explanation was provided regarding the objectives and procedures of this research and participants’ right to refuse participation or to withdraw at any time without repercussions, point that confidentiality of the data would be maintained anonymously was given.

: Written informed consent was obtained from all subjects. Participants were told that their data will contribute for academic and scientific publication, and that no individual information would be included in the write up or publications of this or any other research on this study.

: The authors declare no competing interests.