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Authors
Muga, Seth https://orcid.org/0009-0009-2469-6800
Okenwa-Vincent, Emmanuel Elochukwu https://orcid.org/0000-0001-7366-3911
Ragot, Alfred https://orcid.org/0000-0001-6181-7485
Signes-Soler, Isabel https://orcid.org/0000-0001-5525-9392
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Article History
Received: 15 May 2026
Accepted: 18 August 2026
First Online: 21 August 2026
Declarations
Ethics approval and consent to participate: Ethical approval for this study was obtained from the Masinde Muliro University of Science and Technology’s Institutional Scientific and Ethics Review Committee (MMUST/ISERC/075/2024). National research authorisation was granted by the National Commission for Science, Technology and Innovation (NACOSTI/P/24/40097). Administrative permission was obtained from the participating clinics. Written informed consent was obtained from all adult participants before enrolment. For participants aged under 18 years, written parental or guardian consent and participant assent were obtained. The study was conducted in accordance with the Declaration of Helsinki.
Consent for publication: Not applicable.
Authors’ information: Not applicable.
Competing interests: The authors declare no competing interests.
