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Permission to conduct this study was granted by the regional administrative and local government authorities. Participant identities were not included on the questionnaires or in the analysis, only numbers were used to maintain confidentiality.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Informed assent or consent was obtained from all individual participants included in the study. For those participants less than 18 years of age, their assent was obtained and their parents\u2019 or guardians\u2019 (i.e., husbands\u2019) consent was sought and obtained prior to participation the study. Tanzanian law does not recognize mature minors. For all participants less than 18 years of age parents or legal guardians (e.g. husband) are legally required to provide consent for the participant to take part in a research study. 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