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Article History

Received: 9 May 2024

Accepted: 7 March 2025

First Online: 18 March 2025

Declarations

:

: This study was approved and conducted per the principles of the Helsinki Declaration. Ethical clearance was obtained from the Research Ethics Review and Approval Committee (REAC) of Wachemo University with reference number Ref.No.WCU/SGS/657/2014 and 29/4/2022 with unique student registration number WCU1300064. To acquire permission, a formal letter from the college of medicine and health sciences was obtained and delivered to hospital. After thoroughly outlining the study’s objectives and benefits, each participant provided informed written consent. The study participants were informed that they might withdraw from the study at any moment. Participants were also told that their responses would be kept private and that their names would not be disclosed. The rights of all participants to self-determination and autonomy were protected. The participants’ information was gathered in private settings by trained, neutral interviewers. The participants were assured that there was no loss of advantages from the study and that ceasing to answer the question did not harm them and resulted in no penalties at all.

: Not applicable.

: The authors declare no competing interests.