Birru, Ermyas https://orcid.org/0000-0001-9393-2533
Augusto, Orvalho
Dinis, Aneth
Gremu, Artur
Wagenaar, Bradley H.
Weiner, Bryan J.
John-Stewart, Grace
Ramiro, Isaías
Hirschhorn, Lisa R.
Fernandes, Quinhas
Gimbel, Sarah
Gloyd, Steve
Tembe, Stélio
Sherr, Kenneth
Funding for this research was provided by:
National Institutes of Health (1R01HD092449-01A1)
Doris Duke Foundation’s African Health Initiative
Article History
Received: 18 September 2024
Accepted: 5 August 2026
First Online: 2 September 2026
Declarations
Ethics Statement: The study was approved by the institutional review board of the University of Washington (IRB#STUDY00003926), Mozambique’s National Bioethics Committee for Health (CNBS-IRB00002657), and the Ministry of Health after endorsement from Manica and Sofala Provincial Health Directorates. Informed consent was waived by the Mozambique’s National Bioethics Committee for Health. All methods were carried out in accordance with the Declaration of Helsinki and relevant institutional guidelines and regulations. Participant consent was not required for this analysis. No personally identifiable data was collected.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.