Portela, Margareth Crisóstomo https://orcid.org/0000-0002-9858-9276
Escosteguy, Claudia Caminha https://orcid.org/0000-0003-0273-6911
Lima, Sheyla Maria Lemos https://orcid.org/0000-0003-1450-0498
Bernardino, Michelle https://orcid.org/0000-0001-6494-755X
do Nascimento Caldas, Bárbara https://orcid.org/0000-0001-7174-6393
Soares, Letícia https://orcid.org/0000-0002-6933-8048
de Vasconcellos, Maurício Teixeira Leite https://orcid.org/0000-0003-1658-2589
Martins, Mônica https://orcid.org/0000-0002-9962-0618
de Andrade, Carla Lourenço Tavares https://orcid.org/0000-0003-3232-0917
Baginski, Natalie Perez https://orcid.org/0009-0006-7341-9189
Góes, Gabriela https://orcid.org/0000-0001-7878-5336
Sabaine, Brenda https://orcid.org/0009-0009-5409-6638
Cavalcanti, Marta https://orcid.org/0000-0001-8308-9853
Furtado, Danielle https://orcid.org/0000-0002-1103-3815
Stelson, Elisabeth https://orcid.org/0000-0001-5176-2652
Cornish, Flora https://orcid.org/0000-0002-3404-9385
Aveling, Emma-Louise https://orcid.org/0000-0002-1259-9132
Funding for this research was provided by:
Harvard University Lemann Brazil Research Fund
Programa de Fomento ao Desenvolvimento Científico e Tecnológico, Escola Nacional de Saúde Pública Sergio Arouca (ENSP), Fundação Oswaldo Cruz
Article History
Received: 6 May 2025
Accepted: 5 September 2025
First Online: 14 October 2025
Declarations
:
: The project was submitted to and approved by the Research Ethics Committees of ENSP/Fiocruz (CAAE 57680922.3.0000.5240), of Rio de Janeiro Municipal Health Secretariat/RJ (CAAE 57680922.3.3001.5279), and of one of the coparticipant hospitals (CAAE 57680922.3.3003.5257), as required by its Management. Given the international collaboration and funding, it was also submitted and approved by the National Research Ethics Commission (CONEP) (CAAE 57680922.3.0000.5240). All participants provided verbal informed consent.
: Not applicable.
: The authors declare no competing interests.