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Article History

Received: 20 November 2024

Accepted: 12 April 2025

First Online: 29 April 2025

Change Date: 23 July 2025

Change Type: Update

Change Details: Following publication of the article, affiliation 4 has been corrected; please refer to the current, correct version of the affiliation.

Declarations

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: The study utilized secondary data from the 2019 SLDHS, which is publicly available and anonymized to protect participants’ identities. Permission to use the data was obtained from the ICF Institutional Review Board and DHD program. A detailed description of the ethical protocols followed by the DHS Program, including the anonymization process and informed consent procedures, can be accessed at [].

: Not applicable.

: The authors declare no competing interests.

: .