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Article History

Received: 12 December 2022

Accepted: 15 March 2023

First Online: 20 March 2023

Declarations

:

: The authors declare no competing interests.

: All methods and procedures were carried out per the relevant guidelines and regulations of the Declaration of Helsinki. The DHS survey report did not include an ethical approval ID, but the authors received written permission from ICF International (DHS office) to access this dataset upon registration with possible justification. The DHS also declared that informed consent was obtained from all subjects and/or their legal guardian during the primary data collection. The retrieved data were only used for the registered research, and data were not shared with anyone other than the co-authors. All data collected by DHS are Institutional Review Board (IRB) certified and this secondary analysis received further IRB approval from the Wachemo University College of Medicine and Health Science Research Determination Committee.

: Not applicable.

: We stated that there are no conflicts of interest with any people or groups that might improperly influence or skew the paper's content.