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Authors
Garsevanidze, Ekaterine
Kislaya, Irina
Kutz, Jean-Marc
Rasamoelina, Tahinamandranto
Ratefiarisoa, Sonya
Razafindrakoto, Ravo
Rasolojaona, Zaraniaina Tahiry
Razafindralava, Nantenaina Mathieu
Totofotsy, Olivette
Zafinimampera, Alexina Olivasoa
Randrianarisoa, Tiana
Lassmann, Myriam
Remkes, Aaron
Brito, André
Andrianarimanana, Diavolana Koecher
Rakotomalala, Rivo Solotiana
Rakotomalala, Zoly
Rausche, Pia
Hey, Jana
McKay-Chopin, Sandrine
May, Jürgen
Hampl, Monika
Marchese, Valentina
Gheit, Tarik
Rakotoarivelo, Rivo Andry
Fusco, Daniela
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Funding
Funding for this research was provided by:
Bernhard-Nocht-Institut für Tropenmedizin
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Article History
Received: 27 June 2025
Accepted: 21 January 2026
First Online: 28 January 2026
Change Date: 18 March 2026
Change Type: Update
Change Details: The article has been updated to correct an error in the title
Declarations
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: The study was conducted in accordance with the Declaration of Helsinki and the ICH (International Conference on Harmonisation)-GCP (Good Clinical Practice) guidelines. Ethical approval was obtained from the National Ethics Committee of Madagascar (ref. no N°052-MSANP/CERBM) and the Ethics Committee of the Hamburg State Medical Chamber (ref. no PV7309). Before enrolment, all participants were informed of the research aims and procedures in Malagasy and provided written informed consent. The study participation was voluntary, women had the right to withdraw consent at any time. No monetary incentives were offered. Diagnosed pathologies were treated at no cost according to national guidelines.
: Not applicable.
: The authors declare no competing interests.
