Funding for this research was provided by:
U.S. Centers for Disease Control and Prevention (None)
Article History
Received: 28 October 2025
Accepted: 28 April 2026
First Online: 8 June 2026
Ethics approval and consent to participate
: This study was carried out in accordance with the prinĀciples of the Declaration of Helsinki, and following the guidelines of the Rwanda National Ethics Committee. The study protocol was approved by the College of MediĀcine and Health Sciences Institutional Review Board (CMHS/IRB) with approval No. CMHS/IRB/188/2025.
: Not applicable.
: The authors declare no competing interests.