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Hence, ethical clearance was sought and obtained from the Ghana Health Service (GHS) Ethics Review Committee with protocol number as GHS-ERC:017\/09\/2022. Data was collected from the hospitals; hence, it is mandatory that GHS granted ethical to allow permission to conduct the study in the hospitals. Informed consent was obtained from pregnant women, however, those below the legal age for consent were two, hence, parental and or guardian consent was obtained from their parent before participation. Data collection began after ethical clearance was obtained. Permission and clearance letters were sent to the hospitals involved in the study and permission was sought from the medical directors\/superintendents. Participants involved in the study were met during their ANC clinic days. The purpose of the study was explained to them. Participant were made aware that their participation was completely voluntary and that they might withdraw at any time. 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