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Article History

Received: 4 August 2025

Accepted: 27 December 2025

First Online: 5 January 2026

Declarations

:

: Ethical approval for this study was granted by the Gulu University Research Ethics Committee (GUREC), under approval number GUREC-2024-977. Given the retrospective nature of the study and use of de-identified program data, the requirement for individual informed consent was waived. All procedures adhered to the ethical principles outlined in the Declaration of Helsinki and Uganda National Guidelines for Research Involving Humans as Research Participants.

: Not applicable. This study used secondary anonymized data, and no identifiable individual information is presented.

: The authors declare no competing interests.