Details of ethics approval

Approval for the present study was obtained from the Committee on Human Research Publication and Ethics (CHRPE) of the School of Medical Science (SMS), KNUST and Komfo Anokye Teaching Hospital (KATH) (CHRPE/AP/146/17) and the Human Research Ethics Committee of Edith Cowan University (ECU) (17509). This study was conducted following the guidelines of the Helsinki Declaration. Written informed consent in the form of a signature and fingerprint was obtained from all participants and Legally Authorised Representatives after the protocol of the study was explained to them in plain English language and/or native Ghanaian language where appropriate.