Maghembe, Abdallah Abtwalibe https://orcid.org/0009-0008-6952-2399
Boer, Marion Sumari-de
Mtoro, Mtoro J. https://orcid.org/0000-0003-0487-0559
Mahande, Michael Johnson
Article History
Received: 11 May 2025
Accepted: 24 July 2025
First Online: 25 August 2025
Declarations
:
: The study was approved by the Kilimanjaro Christian Medical University College of Tumaini University Makumira ethical committee (No: PG 12/2021). Administrative approval was obtained from the Ministry of Health, Community Development, Elderly and Children (Ref. No PA. 87/266/02-A/97). The study was conducted under the 1964 Declaration of Helsinki and its later amendments. As the study utilized secondary data from routinely collected program data, informed consent was waived by the ethical committee. All patient data were de-identified prior to analysis to maintain confidentiality and participant codes from CTC identity numbers were used instead of names.
: The authors declare no competing interests.