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It did not involve patient data, clinical intervention, or health-related personal data. The study did not fall under studies requiring formal ethical review according to the Cameroonian law on medical research (Law No. 2022\/008 of 27 April 2022, see Supplementary File\n                      \n                      ). Nevertheless, the study was conducted in accordance with the ethical standards outlined in the Declaration of Helsinki. Participation was voluntary, and informed consent was obtained from all respondents prior to data collection. 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