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Article History

Received: 25 January 2024

Accepted: 10 July 2025

First Online: 5 August 2025

Declarations

:

: Ethical approval was obtained from the following institutions: Stellenbosch university Health and Research Ethics Committee 2 (HREC2) S18/10/254; AMREF Ethics and Scientific Review Committee (ESRC)P652/2019; Moi Teaching and Referral Hospital-Moi University Institutional Research and Ethics Committee (IREC)0003484; Kenyatta National Hospital-University of Nairobi Ethics and Research Committee (ERC)KNH-ERC/RR/86. Research License from the National Commission for Science, Technology, and Innovation (NACOSTI) Ref.no.8777616. Permission was also sought from the County government, while the respondents gave informed consent

: Not applicable (as our manuscript does not contain any personal information, or data in any form (including any individual details, images or videos).

: The authors declare no competing interests.