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The objectives and methods of the study were clearly explained to the participants who gave their consent to participate after clarification of some questions on their safety and confidentiality. Given the rural nature of the study population and the sensitive nature of the study, we did not insist on signed consent. Only oral consent to administer the study was obtained after briefing the study subject on the objectives of the study. An insistence on a written informed consent will turn the population suspicious and refuse to participate in the study or give information freely.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The participants gave their consent for the results of the study to be published though without any direct link to their persons. Hence their names were not written anywhere on the study instruments or in this manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"9"}}