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Informed consent was obtained from all participants involved in this study prior to their inclusion. No individual patient data or identifying information are included in this study. The study was approved by the Department of Human Resources and Development in the Ministry of Health \u2013 Gaza and the local Helsinki committee (approval number: PHRC\/HC\/766\/20). This study adhered to the principles and ethical standards of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"264"}}