Ogugor, Juliet Chidimma https://orcid.org/0009-0000-8592-3135
Onyekwelu, Kenechukwu Chibuike https://orcid.org/0000-0001-8515-9456
Katchy, Amechi Uchenna https://orcid.org/0000-0002-3681-3404
Engwa, Godwill Azeh https://orcid.org/0000-0002-0044-9890
Ezeadichie, Stanley Obinna https://orcid.org/0009-0002-3197-9576
Onwuka, Osah Martins https://orcid.org/0000-0002-2451-4466
Article History
Received: 25 November 2025
Accepted: 27 March 2026
First Online: 6 April 2026
Declarations
:
: Ethical approval for this study was obtained from the Research Ethics Committee of Enugu State University Teaching Hospital (ESUT-TH), Parklane (Reference No: ESUTHP/C-MAC/RA/034/VOL.3/69). Written informed consent was obtained from all adult participants. For minors, consent was obtained from parents or legal guardians. All participants were adequately informed about the purpose, procedures, potential risks, and benefits of the study prior to enrolment.
: All authors have reviewed and approved the final manuscript and consent to its publication. All data included in the manuscript are anonymized, and no identifying information of participants is included.
: The authors declare that they have no competing interests.