Mapua, Salum Abdallah
Samb, Badara
Nambunga, Ismail Hassan
Kweyamba, Prisca Asiimwe
Mkandawile, Gustav
Bwanaly, Hamis
Kaindoa, Emmanuel Wilson
Odero, Joel Ouma
Masalu, John Paliga
Kahamba, Najat Feruz
Hape, Emmanuel Elirehema
Galizi, Roberto
Govella, Nicodem James
Okumu, Fredros Oketch
Tripet, Frederic
Funding for this research was provided by:
Bill and Melinda Gates Foundation (INV-002138)
Howard Hughes Medical Institute (OPP1099295)
Article History
Received: 6 March 2025
Accepted: 24 September 2025
First Online: 12 January 2026
Declarations
:
: Ethical approvals for this project were obtained from Ifakara Health Institute’s Institutional Review Board (Protocol ID: IHI/IRB/no.: 19-2017 and IHI/IRB/EXT/no.: 33-2022) and the Medical Research Coordinating Committee (MRCC) at the National Institute for Medical Research, in Tanzania (Protocol ID: NIMR/HQ/R.8a/Vol.IX/2697 and NIMR/HQ/R.8a/Vol.IX/3494). Written consents were sought from all participants of this study, after they had understood the purpose and procedure of the discussions.
: Permission to publish this study was obtained from National Institute for Medical Research, in Tanzania (BD.242/437/01C/135).
: The authors declare no competing interests.