Joyce Kibaru

Results A total of 76 records were identified through database searching after removing duplicates (figure 2). After screening by title and abstracts, 46 full texts were assessed for eligibility. In total, 19 studies were deemed suitable for inclusion. Of the 19 studies included, 3 were identified through the grey literature search. Initially, the search identified 16 grey literature including six dissertations, 8 conference abstracts and 2 local audits.