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Prior to implementation, we engaged community leaders and held stakeholder consultations to align study protocols with cultural norms and ensure equitable participation. Written informed consent was obtained using forms translated into\n                      Acholi\n                      language, with an impartial witness verifying oral consent for participants with limited literacy. Confidentiality was maintained through anonymized data collection in private settings, secure storage on encrypted and password-protected systems, and restricted access to physical records in locked cabinets. 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