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Article History

Received: 4 June 2019

Accepted: 30 December 2019

First Online: 18 February 2020

Ethics approval and consent to participate

: The study was approved by the Turfloop Research Ethics Committee (TREC) with reference TREC/242/2017:PG under the University of Limpopo and the Department of Health Mpumalanga Province granted permission for the study to be conducted at Rixile ART Clinic which is attached to Tintswalo Hospital and written full informed consent was signed all participants.

: The study participants were informed about the possibility of publishing the results of the study and the following statements were included in the informed consent: “I hereby give my consent for clinical information relating to my health outcomes to be reported in a medical publication. I understand that my name and initials will not be published and that efforts will be made to conceal my identity. I understand that the material may be published in a journal, Web site or other form of publication. As a result, I understand that the material may be seen by the general public”.

: The authors declare that they have no competing interests.