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.