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Article History

Received: 6 October 2021

Accepted: 30 March 2022

First Online: 10 April 2022

Declarations

:

: Ethical approval for the study was obtained from the South African Medical Research Council’s Ethics Committee (EC022–7/2016) and the Institutional Review Board at the Noguchi Memorial Institute for Medical Research, University of Ghana, (NMIMR-IRB CPN 102/16–17) and the Rwandan National Ethics Committee (RNEC) (REF: 340/RNEC/2015) and the National Institute of Statistics Rwanda (REF:0738/2015/10/NISR). All methods were performed in accordance with the relevant guidelines and regulations (e.g. Helsinki declaration and the South African Department of Health Ethics in Research 2015 guidelines). All participants provided written informed consent for study participation and the publication of the study findings.

: Not applicable.

: None declared.