Funding for this research was provided by:
Fogarty International Center (1R21TW010831-01)
Received: 30 October 2019
Accepted: 19 February 2020
First Online: 28 February 2020
Ethics approval and consent to participate
: This study was reviewed and approved by the Institutional Review Boards of INCAP, Wuqu’ Kawoq | Maya Health, Partners Healthcare (Boston), and UNAERC. All participants were above the age of 18 and provided verbal informed consent. Participants were not asked to provide a signed consent form in order to avoid creating a record linking their identities to study participation. The verbal consent process was approved by the three Institutional Review Boards above.
: Our manuscript does not include clinical details, images, or videos relating to an individual person. Study participants agreed to publication of interview quotations through the verbal consent process.
: The authors declare that they have no competing interests.