Heinecke-Müller, Michaela
Arasa, Josephine N.
Quaiser-Pohl, Claudia M.
Article History
Received: 24 June 2024
Accepted: 10 March 2026
First Online: 26 March 2026
Competing interests
: The authors declare no competing interests.
: This study was conducted in accordance with the Declaration of Helsinki principles and followed local ethics regulations in both countries (Germany and Kenya). Full ethical approval was granted by the Ethics Committee of the University of Koblenz-Landau on 20 th February 2022 (ID: LEK-393_r; in retrospective).
: Informed written consent was obtained prior to data collection from all individual participants included in the study. All participants have been fully informed that their anonymity is assured, why the research is being conducted, how their data will be utilised, and that participation is risk-free.