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Article History

Received: 26 July 2020

Accepted: 25 November 2020

First Online: 1 December 2020

Ethics approval and consent to participate

: The protocol was approved on January 11, 2019 by the Institutional Review Board of the Center of Medical Genetics and Primary Health Care in Armenia (02570094). Under the prior field experiment, all participants had signed written consent forms. The Institutional Review Board approved a verbal consent process for the use of an audio recorder and interview transcription under the qualitative study, as the study presented no more than minimal risk to participants and had been applied to similar studies in this context. In this consent process, study facilitators reviewed a printed consent document with participants, obtained verbal consent, and recorded in writing that the participant provided verbal consent along with the date.

: Not applicable.

: The findings, interpretations, and conclusions expressed in this paper are entirely those of the authors. They do not necessarily represent the views of the World Bank and its affiliated organizations, or those of the Executive Directors of the World Bank or the governments they represent. The authors declare that they have no competing interests.