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Authors
Portela, Margareth Crisóstomo https://orcid.org/0000-0002-9858-9276
Lima, Sheyla Maria Lemos https://orcid.org/0000-0003-1450-0498
Escosteguy, Claudia Caminha https://orcid.org/0000-0003-0273-6911
Martins, Mônica https://orcid.org/0000-0002-9962-0618
de Vasconcellos, Maurício Teixeira Leite https://orcid.org/0000-0003-1658-2589
Caldas, Bárbara do Nascimento https://orcid.org/0000-0001-7174-6393
Bernardino, Michelle https://orcid.org/0000-0001-6494-755X
Baginski, Natalie Perez https://orcid.org/0009-0006-7341-9189
Góes, Gabriela https://orcid.org/0000-0001-7878-5336
Sabaine, Brenda https://orcid.org/0009-0009-5409-6638
Furtado, Danielle https://orcid.org/0000-0002-1103-3815
Cavalcanti, Marta https://orcid.org/0000-0001-8308-9853
Soares, Letícia https://orcid.org/0000-0002-6933-8048
Stelson, Elisabeth https://orcid.org/0000-0001-5176-2652
Singer, Sara https://orcid.org/0000-0002-3374-1177
Cornish, Flora https://orcid.org/0000-0002-3404-9385
Aveling, Emma-Louise https://orcid.org/0000-0002-1259-9132
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Funding
Funding for this research was provided by:
Harvard University Lemann Brazil Research Fund
Programa de Fomento ao Desenvolvimento Científico e Tecnológico, Escola Nacional de Saúde Pública Sergio Arouca (ENSP), Fundação Oswaldo Cruz
CNPq
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Article History
Received: 8 July 2024
Accepted: 31 August 2025
First Online: 3 October 2025
Declarations
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: This study followed Resolution no. 466, issued by the Brazilian National Health Council on December 12, 2012, which draws upon the Declaration of Helsinki as one of its foundational references and seeks to protect the dignity, rights, safety, and well-being of research participants, upholding principles of autonomy, non-maleficence, beneficence, and justice. The project was submitted to and approved by the Research Ethics Committees of ENSP/Fiocruz (CAAE 57680922.3.0000.5240), the Rio de Janeiro Municipal Health Secretariat/RJ (CAAE 57680922.3.3001.5279), and one of the participating hospitals (CAAE 57680922.3.3003.5257), as required by its Direction. Given the international collaboration and funding, it was also submitted and approved by the National Research Ethics Commission (CONEP) (CAAE 57680922.3.0000.5240). All participants provided verbal informed consent.
: Consent for publication.
: The authors declare no competing interests.
