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Article History

Received: 20 March 2019

Accepted: 11 October 2019

First Online: 28 October 2019

Ethics approval and consent to participate

: We obtained ethical approval from Malawi’s College of Medicine Research and Ethics Committee (COMREC- Number P.01/16/2047<b>)</b> prior to commencing the study. The Privately owned health facilities provided Institutional support for the study. We obtained written informed consent from each participant prior to any study procedures. All participants were literate and provided written consent. Participants were assured that their participation in the study will not affect their receipt of medical services at the facilities. We maintained participants’ confidentiality, anonymity and privacy by holding interviews in a private and quiet room at the facility after working hours and weekends as per participant’s preference. We used codes instead of participants’ names in the study summaries. All audios and transcripts were saved in a password protected computer with limited access to the researchers. Although the principal researcher works in one of the facilities, she encouraged the participants to be open about their perceptions and assured them that their receipt of medical car would not change at the specific facility.

: Not Applicable.

: The author declares that they have no competing interests.