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Authors
Akule, Kagwiria
Oguya, Francis
Mwaniki, Elizabeth Wanjiru
Mitalo, Nancy Salmah
Nyariki, James Nyabuga
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Article History
Received: 6 November 2025
Accepted: 3 March 2026
First Online: 15 March 2026
Declarations
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: Ethical approval was obtained from the KNH-UoN Ethical Review Committee (KNH-EBC/RR/885). A national research permit was granted by NACOSTI (NACOSTI/P/93974/46719), with additional authorization from Nairobi County authorities. This study was carried out in full compliance with the ethical standards set forth in the Declaration of Helsinki.
: Written informed consent was obtained from all participants, and confidentiality was maintained throughout the study.
: Not applicable.
: The authors declare no competing interests.
