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The study has been evaluated for its adherence to the ethical principles and guidelines set forth by Wachemo University. The research proposal has met all the necessary ethical standards, ensuring the protection of the rights, dignity, and welfare of the participants involved. The approval is granted based on the following considerations: (1) Scientific Merit: The research addresses a significant public health issue and is expected to contribute valuable insights into the traditional practices affecting child health in the region. (2) Ethical Compliance: The study design includes appropriate measures for informed consent, confidentiality, and minimizing potential risks to participants. (3) Methodological Rigor: The research methodology is sound and capable of yielding reliable and valid results. The IRB-WCU had continued to oversee the research throughout the study period and ensured that the study was conducted under strict accordance with the research protocols and guidelines established by Wachemo University.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}],"article-number":"19386"}}