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We will ask the participants to sign or place a thumb impression on the consent form.
Women who were not literate provided a thumb impression, which is a standard practice for research in the area.
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The study purpose was explained in the local language, and a signature or thumb impression (illiterate individuals) was obtained for those willing to participate.
A printed consent form was read out and signature, or left thumb impression, of willing eligible women was obtained in the presence of a witness.
This procedure had been approved by both institutional review boards' as majority of the mothers cannot sign in this population and taking thumb impression is stigmatized due to misuse during colonial era.
Illiterate participants were requested to put their left hand thumb impression on the consent form.
Illiterate persons provided the right thumb impression in lieu of signature for consent.
Willingness to take part was expressed by signature or thumb impression.
In the case of illiterate participants, thumb impression was obtained in the consent form.
All participants consented by signing the consent form or, if unable to do so, by adding their thumb impression.
For illiterate adults, a literate relative of the patient read the statement out loud to them and consent was obtained by thumb impression witnessed by the relative.
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