John, Jeneviv Nene https://orcid.org/0000-0002-7566-3322
Ibeneme, Sam Chidi https://orcid.org/0000-0003-1120-6525
Fortwengel, Gerhard https://orcid.org/0000-0001-5105-2060
Mong, Emeka
John, Davidson Okwudili https://orcid.org/0000-0001-8411-0714
Nwosu, Ezinne Olive
Okpagu, Blessing Chidimma https://orcid.org/0000-0001-7907-4405
Chinagozi-Amanze, Nnenna Christiana
Onyeudo, Paul
Article History
Received: 1 January 2026
Accepted: 20 April 2026
First Online: 6 May 2026
Declarations
:
: This study was approved by the University of Nigeria Health Research Ethics Committee on certificate number - NHREC/05/01/2008B-FWA0000245 8-1RB00002323.Participants gave their written informed consent, prior to participation and after the purpose of the study was explained to them. They were informed of their right to withdraw from the study at any time of their choice and these rights were strictly respected in accordance with the Helsinki declarations.
: Not applicable.
: The authors declare no competing interests.