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Article History

Received: 18 April 2018

Accepted: 29 August 2019

First Online: 18 September 2019

Ethics approval and consent to participate

: The study received ethical clearance from Maseno University Ethics Review Committee (Reference Number MSU/DRPC/MUERC/00108/14). The permission included utilisation of oral form of consent where participants, from a cultural perspective, demonstrate wariness in signing or putting their thumbprint on documents they are not able to read for themselves. Nearly all participants opted for oral means of consent which was audio voice recorded with their permission. Oral consent was acceptable in this study because it did not involve medical procedures and posed minimal risk to study participants. The verbal consent also minimizes the possible negative influence of a written consent on rapport between the researchers and respondents []. The identity of the participants and the facilities involved in the present study have been anonymized to ensure confidentiality.

: Not applicable.

: The authors declare that they have no competing interests.