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Article History

Received: 16 July 2019

Accepted: 31 January 2020

First Online: 11 February 2020

Ethics approval and consent to participate

: Ethical approval was obtained from the College of Medicine Research Ethics Committee in Malawi (issued January 6, 2017, reference number P.10/16/2035). Written permission to conduct the study in the health facilities namely Mzuzu and Moyale were obtained from the health facilities involved in the study.Participants were informed of their freedom not to participate in the study or to withdraw from the study at any point during the interview. Completing the questionnaire was done in a private place to ensure privacy and to reduce external distractions as well as to maintain confidentiality by using unique identifiers instead of personal data. All participants gave their informed consent voluntarily through written signature or thumbprint. Study participants were informed about the purpose of study, risks and benefits as well as the right to withdraw from the study at any time and without adverse consequences.

: Not applicable

: The authors declare that they have no competing interests.