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Article History

Received: 31 August 2020

Accepted: 6 January 2021

First Online: 15 January 2021

Ethics approval and consent to participate

: This study was approved by the Faculty of Health Sciences Research Ethics Committee of the University of Pretoria in South Africa (<b>Ethics Reference No: 27/2018</b>) and the Institutional Research and Ethics Committee of Moi University/Moi Teaching and Referral Hospital in Kenya (<b>Formal Approval No: IREC 2099</b>). In addition, the National Commission for Science, Technology and Innovation provided research authorisation to undertake the research in Kenya (<b>Reference No: NACOSTI/P/18/62894/21393</b>). Permission to conduct the study was granted by the Ministry of Health in Kenya, relevant county health authorities and written informed consent was obtained from all study participants.

: Not applicable. The manuscript only draws on data from healthcare personnel surveys in which unique identifiers were assigned to each participant and no personal information was collected.

: The authors declare that they have no competing interests.