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Article History

Received: 27 November 2025

Accepted: 8 February 2026

First Online: 25 February 2026

Declarations

:

: The study adhered to the ethical principles of the Declaration of Helsinki. Informed consent was obtained verbally prior to participation, and respondents were informed of their right to decline or withdraw at any time. Verbal consent was used due to varying literacy levels within the study population. No personal identifiers were collected, and all digital survey data were encrypted and securely stored. Enumerators were trained in confidentiality, cultural sensitivity, and safeguarding, with risk-mitigation measures applied when discussing sensitive topics.

: Not applicable. The manuscript does not contain any individual person’s identifiable data in any form (including images, quotations, or case details).

: The authors declare no competing interests.