The study received ethical approval at the Institutional Review Committee of Nepal Health Co-operative Ltd. (NEHCO-IRC) at   Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal. NEHCO-IRC/078/589. MMIHS IRC is accredited by NHRC, the governing body for ethical approval. The Co- PI of the research is from MMIHS, and the study site is MMIHS. The MMIHS IRC committee has gone through the standardised process and provided ethical approval.
A paper-based survey was administered (S1 Appendix). Participants who volunteered to complete the survey provided consent by completing the survey. All data collected and analysed was anonymised.