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Article History

Received: 24 October 2023

Accepted: 6 June 2024

First Online: 17 June 2024

Declarations

:

: <b>Ethical approval</b>: Ethical approval was provided by Western University’s ethical board in August 2020, the University of Liberia’s Pacific Institute for Research and Evaluation Institution Review Board (UL-PIRE-IRB) in January 202, the National Health Research Ethics Committee of Nigeria (NHREC) in February 2021 and the Lagos State Primary Health Care Board in April 2021.

: All questionnaires included an informed consent section where respondents could indicate their willingness to participate or decline. Interviews were conducted only with informed consent of all respondents who participated in the study. To ensure confidentiality, the questionnaire deliberately avoided questions that could reveal personal identification, such as names and job titles.

: Not applicable.

: There is no conflicting interest to declare for this study.