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Additionally, we received ethical approval from the Africa Medical Research Institute (AMREF) Ethics and Scientific Research Committee (ESRC-P1396\u20142023). The study was conducted in accordance with the ethical principles provided in the Belmont Report and the Declaration of Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Written informed consent was provided by all participants prior to taking part in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}