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These activities were conducted to support operational implementation and did not constitute human or non-human subject research. As such, ethics approval was not required. All individuals involved in the development process participated voluntarily. Members of the technical working group were invited based on their expertise and agreed to be consulted throughout the tool development process. At the country level, participants were nominated by their respective ministries or institutions to attend pilot workshops in alignment with their professional roles and responsibilities. These activities were conducted as part of routine technical collaboration and did not involve research procedures requiring formal informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Declaration of consent and release for photograph, video, and\/or sound recordings of named and unnamed subjects, as per WHO policies, was received from participants and\/or WHO country offices for reports referenced in this article.","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":"75"}}