Funding for this research was provided by:
International Development Research Centre (CR-48490, 109101-001)
Canadian Institutes of Health Research (406536)
Fonds de Recherche du Québec - Santé (262314)
Réseau de recherche en santé des populations du Québec (NA)
Received: 22 November 2019
Accepted: 31 October 2020
First Online: 7 January 2021
Ethics approval and consent to participate
: The study protocol was approved by the Health Research Ethical Committee of the University of Montreal, certificate number 17–053-CERES-P, and from the Institutional Review Board of the <i>Universidad San Francisco de Quito</i> in Ecuador, certificate number 2016-118E. As approved by the ethics committees and documented in survey data collection, all participants gave informed verbal consent. This form of consent was chosen given low literacy rates among the study population and cultural discomfort with signing documents.
: The authors declare that they have no competing interests.