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Article History

Received: 19 June 2019

Accepted: 8 January 2020

First Online: 12 February 2020

Ethics approval and consent to participate

: Data collection in the ward was approved by the Ward Medical Officer, village elders, and the Director of Naiboisho Development Initiative (NDI). Ethical clearance certification was obtained through the National Institute for Medical Research (NIMR) through the Tanzania Ministry of Health, Community Development, Gender, Elderly and Children Certificate number (NIMR/HQ/R.8a/Vol. IX/2941).All study participants provided either recorded verbal, or written consent for interviews and were provided a form that was read in Maa explaining to them the purpose of the study and their voluntary participation. All interviewees were assigned a number for the purpose of de-identification on all IDI recordings. Signed consent forms with identification numbers and interview recordings were kept locked in a secured place to protect participant identity. All recorded interviews were erased at the completion of the study. ID numbers coded by sub-village were used to track data on de-identified project participants.

: N/A. This study did not collect identifiable data on any individual. All interview participants provided consent for use of de-identified interview data in a published study.

: <i>The authors disclosed receipt of the following financial support for the research, authorship, and publication of this article: This study was supported by a grant from the Child Health Foundation (CHF). CHF approved the study design prior to disbursements of funds.</i> PM is employed by the Mennonite Central Committee (MCC) which funds the EbOO project. Neither MCC nor CHF was directly involved in data collection, analysis, interpretation, or writing of the manuscript. KS and BL declare no other competing interests.