Ethical consideration
CHRPE
WEST
The Kwame Nkrumah University of Science and Technology School of Medical Sciences Committee on Human Research Publication and Ethics (CHRPE) approved the study (CHRPE/AP/190/19). Formal administrative permission was obtained from the Upper West Regional Health Directorate and the Sissala East and Sissala West District Health Directorates to carry out the study. The objectives of the study were explicitly explained to the respondents, the right to withdraw from the study at any time was carefully explained to the respondents, and then written informed consent was obtained from the study participants. To ensure confidentiality and anonymity, the coding of respondents was used.