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Article History

Received: 27 July 2022

Accepted: 25 January 2023

First Online: 7 February 2023

Declarations

:

: The quantitative component of this study fulfilled the exemption criteria set by the MSF Ethics Review Board (ERB) for a posteriori analysis of routinely collected clinical data, and thus did not require MSF ERB review. MSF ERB review was waived for the qualitative interviews with MSF staff by the Medical Director Operational Centre Amsterdam, MSF. Verbal consent was obtained prior to telephone and video discussions with MSF staff and written consent was retrospectively obtained from staff to include their views in an external publication.

: No individual can be identified from the inclusion of their data. Written consent was obtained from staff to include their views in an external publication.

: All authors were employed by MSF. All authors have declared that no competing interests exist.