Benson, Faith Neema
Odhiambo, Rachel
Ngugi, Anthony K.
Brink, Willie
Waljee, Akbar K.
Moyer, Cheryl A.
Zhu, Ji
Agoi, Felix
Abubakar, Amina
Article History
Received: 23 July 2025
Revised: 25 November 2025
Accepted: 22 December 2025
First Online: 30 January 2026
Competing interests
: The authors declare no competing interests.
: The primary project was approved by the Aga Khan University, Nairobi Institutional Scientific and Ethics Review Committee (Ref: 2022/ISERC_75(V2)). Permission to conduct the study in Kenya was granted by the National Commission for Science, Technology, and Innovation (Ref: 2322698). A local permit to conduct the study was granted by the research office in Kilifi (Ref: KLF/DOH/RESEARCH/VOL.1/004). All participants provided written informed consent for their participation.