Acknowledgement
We thank in a special way the traditional rulers of the study communities; HRH Eze Anthony Njoku (Okposi Umuoghara community), HRH Eze Ogbonnaya Ukwa (Igbeagu community) and HRH Eze Patrick Chukwu Ogudu (Onicha Igboeze community), and their town union leaders for their unalloyed support during the study in their respective communities. We equally thank Dr. Francis Onwe, the secretary Ethical Committee of the Ebonyi State Ministry of Health for his assistance in securing approval to carry out the study in the State.
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