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Article History

Received: 10 September 2023

Accepted: 5 June 2024

First Online: 19 August 2024

Declarations

:

: Authors declare that Ethical approval for the study was obtained from the Ethical Review Committee, Faculty of Medicine, University of Ruhuna (Registration No. 2020/P/105) and the trial was registered in Sri Lanka Clinical Trial Registry (Registration No. SLCTR/2020/025). Administrative approval was obtained by all relevant authorities (District Secretariat Galle District, Provincial Ministry of Local Government, Regional Director of Health Services-Galle District). Informed written consent was obtained from all office workers prior to data collection. Workers identified with problems were referred to Teaching Hospital Karapitiya, Base Hospital Udugama, Elpitiya or Balapitiya Study was conducted while adhering to the World Medical Association Declaration of Helsinki on ethical principles for medical research involving human subjects.

: In the current study consent for publication is not applicable as no individual level data with identification was included in the manuscript.

: The authors declare no competing interests.