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Authors
Agure, Erick https://orcid.org/0000-0001-6991-6760
Kihagi, Grace Wothaya https://orcid.org/0009-0005-6926-6696
Muok, Erick M. O. https://orcid.org/0000-0002-0636-7917
Sorgho, Raissa https://orcid.org/0000-0003-2026-2457
Danquah, Ina https://orcid.org/0000-0003-3222-3498
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Funding
Funding for this research was provided by:
Rheinische Friedrich-Wilhelms-Universität Bonn
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Article History
Received: 15 May 2025
Accepted: 30 January 2026
First Online: 15 February 2026
Declarations
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: The study adhered to the latest version of the World Medical Association (WMA) Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects. The study was reviewed and approved by the Heidelberg Ethics Committee (reference: S-291/2019) and the Scientific Ethics Review Unit (SERU) of the Kenya Medical Research Institute (KEMRI)-Kisumu (reference: CGHR/327/3962). All participants gave informed written consent.
: The authors declare no competing interests.
