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Authors
Kivuti-Bitok, Lucy W https://orcid.org/0000-0002-0958-1580
Mugo, Caroline Wanja https://orcid.org/0000-0001-6313-8072
Mituki, Dorothy https://orcid.org/0000-0001-8654-8760
Marete, Christine https://orcid.org/0000-0002-3295-8796
Ngune, Irene https://orcid.org/0000-0003-4951-2712
Wells, Jessica https://orcid.org/0000-0003-1995-0383
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Article History
Received: 24 June 2025
Accepted: 11 February 2026
First Online: 11 March 2026
Declarations
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: Ethical clearance was obtained from the UoN/KNH ERC (P438/5/2023) and the National Commission of Science and Technology (NACOSTI) NACOSTI/P/23/28597. The KNH-UoN ERC and NACOSTI adhere to the ethical principles outlined in the World Medical Association’s Declaration of Helsinki. The informed consent to participate was obtained from the parents and the school administration, whereas assent was obtained from the respondents. Any possible personal identification was removed from the data.
: Consent to publish was also acquired form the UoN/KNH Ethics Review Committee. Clinical trial number is not applicable.
: The authors declare no competing interests.
