Chepkwony, Tabitha J.
Amunga, Mark E.
Kimachas, Emmah
Kipkoech, Joseph
Robie, Emily
Barasa, Aggrey W.
Arthur, David
Turner, Elizabeth L.
Gallis, John A.
Abel, Lucy
Ambani, George
Visser, Theodoor
Woldeghebriel, Meley
Babur, Sameen
Woolsey, Aaron
Menya, Diana
Laktabai, Jeremiah
O’Meara, Wendy Prudhomme
Article History
Received: 30 August 2024
Accepted: 14 October 2025
First Online: 7 November 2025
Declarations
:
: This study was conducted in accordance with the ethical principles of the Declaration of Helsinki. Ethical approval was granted by Moi University Institutional Research and Ethics Committee ( IREC/2019/304 ) and Duke University Institutional Review Board ( Pro00104256 ). Verbal informed consent was obtained from exit interview participants. Written informed consent was obtained from individuals participating in exit testing.
: Not applicable.
: The authors declare no competing interests.