Ethical considerations:
Request was submitted to DHS NMDs for the permission to conduct this survey using the paraphernalia of the department. Study protocol was submitted with the request which was examined by the authorities of the department and permission was granted. Study protocol and questionnaire were shared with group of provincial and district managers and consent form, questionnaire and spreadsheet were finalized after taking their views into consideration. Ethical and administrative permission was obtained (ref: 10/DHS/MA/KPMD). All participants provided written informed consent.