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Article History

Received: 12 May 2025

Accepted: 1 June 2026

First Online: 14 August 2026

Declarations

Ethics approval and consent to participate: This study was conducted in accordance with the ethical principles of the Declaration of Helsinki of the World Medical Association as part of the corresponding author’s thesis work for an MSc degree in Field Epidemiology. Ethical Approval was sought from the Moi University Institutional Research and Ethics Committee (IREC, approval number FAN: 0004433). A research license was obtained from the National Commission for Science, Technology, and Innovation (NACOSTI, license number NACOSTI/P/23/26928). Clearance was also sought from the Busia County Department of Health. Consent to participate in the study was sought, and an informed consent form was administered to the study participants before the interview. Respondent confidentiality and anonymity were maintained by ensuring the privacy of interviews, securing data storage of completed questionnaires, and preventing data sharing between outlets. At the same time Voluntary participation was encouraged.

Consent for publication: Not applicable.

Competing interests: The authors declare no competing interests.