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Ethical approval for this study was obtained from the Health Research Ethics Committee of the University of Port Harcourt Teaching Hospital (UPTH\/ADM\/90\/S.11\/VOL.XI\/1822) before data collection. Written informed consent was obtained from all participants, and for participants younger than 16, consent to participate was obtained from their parents or legal guardians.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"825"}}