Achoki, Tom https://orcid.org/0000-0001-6309-8904
Rotich, Naomi
Bett, Dellany K.
Tonui, Josephat
Oanda, Tabitha
Lesego, Abaleng
Wamai, Richard
Kinfu, Yohannes
Alam, Uzma
Ochieng, Walter O.
Were, Lawrence P.O.
Schneider, Matthew
Article History
Received: 6 January 2026
Accepted: 19 May 2026
First Online: 29 May 2026
Declarations
:
: Permission to conduct the study was granted by the Ministry of Health, Kenya and followed established national guidelines. Our study did not involve human participants and only used available secondary data at the county level. It was determined by the Ethics Committee at Africa Institute for Health Policy that no formal ethics approval was required in this case.
: Not applicable.
: The authors declare no competing interests.