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Written permission was obtained from the regional director of health service of the Upper East Region and the managers of the selected health facilities. Informed consent was obtained from participants or their parents\/guardians for patients aged between 2 and 17\u2009years prior to the commencement of study activities. In addition to the consent from their parents\/guardians, assent was obtained for children aged between 12 and 17\u2009years. All study procedures were conducted in conformity with 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":"1499"}}