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Ethical approvals were obtained from the; School of Biomedical Sciences-Research and Ethics Committee, College of Health Sciences, Makerere University (approval number: SBS-HDREC-650), Mulago National Referral Hospital-Research and Ethics Committee (approval number: MHREC-1702), and Uganda National Council for Science and Technology (approval number: HS411ES). It was also approved by the Joint CUHAS\/BMC Research and Ethics Committee (CREC\/409\/2019) and the National Health Research Ethics Review Committee of the National Institute for Medical Research (NIMR\/HQ\/R.8a\/Vol.IX\/3322) in Tanzania. Informed consent was obtained from all study participants. All information obtained was coded and kept confidential. All information obtained was coded and kept confidential.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"755"}}