Okech, Tabitha https://orcid.org/0000-0001-9414-3608
Thavorncharoensap, Montarat https://orcid.org/0000-0002-8256-2167
Chaikledkaew, Usa https://orcid.org/0000-0001-9457-9823
Omondi, George Paul https://orcid.org/0000-0003-2041-4457
Nyokabi, Patricia
Thumbi, S. M. https://orcid.org/0000-0002-5754-0556
Thakkinstian, Ammarin https://orcid.org/0000-0001-9991-386X
Funding for this research was provided by:
Mahidol University
Article History
Received: 8 July 2025
Accepted: 9 October 2025
First Online: 3 November 2025
Declarations
:
: This study was conducted in accordance with the principles outlined in the Declaration of Helsinki. Approval was granted by Maseno University (MUSERC/01321/23), the Kenya National Council for Science, Technology and Innovation (NACOSTI/P/24/35525), and Mahidol University (78.0319/EC.0366).
: Written informed consent was obtained from the parents.
: Not applicable.
: The authors declare no competing interests.