Received: 30 October 2018
Accepted: 4 October 2019
First Online: 3 December 2019
Ethics approval and consent to participate
: Any woman arriving at the facility to be followed for the time-motion study was greeted, introduced to the study and verbally consented. Verbal consent was obtained as no personal identifiable data were collected and the research activities were minimal risk. A short statement explained the study purpose (to measure activity and wait times), study procedures (wear a number badge and carry a time sheet throughout the visit), and confidentiality (no personal information such as name or test results would be collected). Women who disagreed would be free to continue their visits without timesheets and their arrival badge numbers would be skipped.The protocol and consent procedure were reviewed and approved by the scientific and ethical steering committees of the Kenya Medical Research Institute (protocol number 2271) and the Liverpool School of Tropical Medicine Ethics Committee (14.017). For U.S. CDC, while this activity was determined to be human subjects research, CDC staff involvement did not constitute engagement in human subjects’ research, thus not requiring human subjects research review by the CDC institutional review board.
: The authors declare that they have no competing interests.