Ethics Approval and Consent to Participate
Ethical approval for the study was obtained from the Scientific Ethics Review Unit (SERU) of KEMRI (Ref: KEMRI/SERU/CGMR-C/191/4019) and the County Departments of Health in both study counties. Also, we obtained permission to conduct the study from the NHIF, the National Commission for Science, Technology and Innovation (NACOSTI) and the Council of Governors in Kenya. We also obtained written consent from each participant prior to conducting the FGDs.