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Authors
Orozco, Fadya https://orcid.org/0000-0002-5743-6898
Herrera-Fontana, María Elisa
Montenegro, Stephanie
Muñoz, Fabián
Molina, Johanna
Chicaiza, Alicia
Handal, Alexis J.
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Funding
Funding for this research was provided by:
Outreach Grant USFQ 2023
(in part) by the University of Michigan Office of Global Public Health, School of Public Health.
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Article History
Received: 12 December 2025
Accepted: 15 June 2026
First Online: 19 June 2026
Declarations
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: The course of the intervention had the ethical approval of the Ethical Committee for Research in Humans of Universidad San Francisco de Quito (CEISH, ID 2017-177IN; approved February 8, 2018) within the framework of the SEMILLA study. Likewise, District Health Division 17D10 (Cayambe–Pedro Moncayo) authorized its implementation in the study area. All the focus groups participants gave their oral consent in advance.
: Not applicable.
: The authors declare no competing interests.
