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Ethical approval was accorded by Kisii University in conjunction with the Kisii Teaching and Referral Hospital Institutional and Scientific Ethical Review Committee (KTRHISERC), approval number ISERC\/KTRH\/011\/23. The authors confirm that this study followed and adhered to the guidelines provided therein.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"284"}}