Funding for this research was provided by:
International Development Research Centre of Canada (IDRC 108544-029)
Received: 19 December 2019
Accepted: 19 August 2020
First Online: 27 August 2020
Ethics approval and consent to participate
: We received research ethics approval from the Non-Medical Research Ethics Board at University of Livingstonia in Malawi (UNILIA-REC-4/18), and at McGill University, Canada (REB File #: 503-0518). The study also received written consent from the Dowa district health office. Informed consent was obtained from all participants before each interview.
: We informed the participants that the study will be published to partially fulfill the requirement for a PhD. With full understanding of the research and its intended purpose, all participants gave full consent for us to publish the findings.
: We declare no competing interests.