Funding for this research was provided by:
Universidad San Francisco de Quito
Pan American Health Organization
Received: 5 March 2020
Accepted: 17 August 2020
First Online: 24 August 2020
Ethics approval and consent to participate
: The Quito and Galapagos surveys were approved by the IRB of the Universidad San Francisco de Quito, while the Morona Santiago survey was approved by the IRB of the Universidad de las Americas, both in Quito, Ecuador. In all cases, participation was voluntary and informed consent was obtained before initiating each interview. Confidentiality was ensured by assigning identification numbers to substitute personal identifiers.
: Not applicable.
: The authors declare that they have no competing interests.