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Article History

Received: 9 July 2019

Accepted: 18 June 2020

First Online: 29 July 2020

Ethics approval and consent to participate

: Ethical clearance was sought from Institutional Review Ethics Committee Moi University/Moi teaching and Referral Hospital under reference FAN: IREC 1870. Permission for the study was also sought from the County health department and the hospital administration. During the interviews informed oral consent was obtained from parents/legal guardians of all study participants after explaining the objectives of the study. The authors used oral consent to accommodate the low literacy rates in the populations served by this hospital in Alupe. Measures were taken to assure confidentiality of the information provided during these interviews and codes were used to de-classify personal identifying information of study participants. Measures were taken to assure collected data were properly stored and secured and only accessible to the investigators.

: This study was based on patient records, thus consent for publication was not applicable.

: The authors declare that they have no personal or financial competing interests that may bias publication of this manuscript.