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Ethical approval for the study was secured from the Health Research Ethics Committee of the Kogi State Ministry of Health (a fully registered committee the under National Health Research Ethics Committee), after a defence of the research proposal during the Committee\u2019s ethical screening interview. This study was conducted using anonymized secondary data and posed no direct risk to any human subject. Ethical approval was obtained from the Kogi State Ministry of Health Ethics Committee, and data use was authorized by the Nigeria Centre for Disease Control (NCDC). All data were handled confidentially and used strictly for academic and public health research purposes.","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 participation"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"12"}}