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Authors
Raina, Sunil Kumar
Dadhwal, Devendra Singh
Chauhan, Raman
Choudhary, Hansraj
RamRaj, Balaji
PuraKayastha, Debjani Ram
Sood, Rajesh
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Funding
Funding for this research was provided by:
Indian Council of Medical Research
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Article History
Received: 24 February 2026
Accepted: 27 May 2026
First Online: 11 June 2026
Declarations
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: The protocol was approved by the Institutional Ethics Committee of Dr. RP Govt. Medical College, Tanda (Kangra), Himachal Pradesh, vide letter no. HFW-H DRPGMC/Ethics/2023/146, dated 30.12.2023, in accordance with the Declaration of Helsinki and the Indian Council of Medical Research (ICMR) ethical guidelines for biomedical and health research involving human participants (2017 edition). Written informed consent was obtained from all participants prior to enrolment. ASHA workers explained the study objectives in the local language, and participation was entirely voluntary.
: Not applicable. The manuscript does not contain individual-level identifiable data.
: The authors declare no competing interests.
