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Article History

Received: 19 November 2024

Accepted: 19 September 2025

First Online: 27 November 2025

Declarations

:

: The research was conducted in strict accordance with the ethical principles outlined in the Declaration of Helsinki.Ethical approval was obtained from Moi University/ Moi Teaching and Referral Hospital Institutional Research and Ethics Committee (IREC) (Approval number FAN 0004283), the Chief Executive Officer of MTRH, and the National Commission for Science, Technology and Innovation (NACOSTI) (Approval number NACOSTI/P/22/2115). Informed consent was obtained from participants or their caretakers. Confidentiality was maintained, and data was securely stored

: Not applicable.

: The authors declare no competing interests.