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MREC Approval Letter: 23-01951-MTP (2). NMRR ID: NMRR ID-23-01951-MTP. In consideration of the expenses of editing, publishing and the professional benefits relating to publication of this work, we hereby transfer to the Maternal and Child Health Journal all rights, titles and interest to all parts of the written work named below including (1) copyright (2) the right to grant permission to republish the article for sale or free distribution (3) the right to produce reprints for sale or free distribution (4) the right to republish the work in a collection of articles or in any other format. In addition, we affirm that this work is original and the facts presented are to the best of our knowledge accurate and true, that this work has not been previously published, is not subject to copyright or other rights except our own to be transferred to the Journal, and has not otherwise been submitted for publication except under circumstances communicated to the journal in writing at the time the work was first submitted.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"The authors declare that they have no conflicts of interest.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}