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According to national regulations and institutional policies governing public health programme evaluation activities, formal ethical committee approval was not required for this type of programmatic audit.In accordance with national guidance for the secondary use of anonymized routinely collected health data for public health evaluation purposes, individual informed consent was not required. All data were analysed in anonymized and aggregated form, and no identifiable personal information was accessed at any stage of the study. Therefore, the requirement for individual informed consent was waived due to the exclusive use of anonymized routinely collected data.All study procedures were carried out in accordance with relevant guidelines and regulations and in accordance with the ethical principles of the Declaration of Helsinki.","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":"166"}}