From the ∗Department of Health Services Policy & Management
†South Carolina Smart State Center for Healthcare Quality, University of South Carolina, Columbia, SC
‡Duke Global Health Institute, Duke University, Durham, NC
§Kilimanjaro Christian Medical Centre, Moshi, Tanzania
¶Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK
∥Tanzania Women's Research Foundation, Moshi, Tanzania
∗∗Center for Health Policy & Inequalities Research, Duke University, Durham, NC
††Department of Social Sciences, Wageningen University, Wageningen, The Netherlands
‡‡School of International Service, American University, Washington, DC
§§Department of Internal Medicine, Duke University School of Medicine, Durham, NC
Acknowledgments: The authors are grateful to the study participants and to the study research assistants for input on study procedures and study implementation. The authors thank the staff of the Kilimanjaro Clinical Research Institute, the University of South Carolina’s Arnold School of Public Health, especially the Department of Health Services Policy & Management and the Center for Health Care Quality, the Duke Global Health Institute and Duke University's Center for Health Policy and Inequalities Research, for administrative support, and the Kilimanjaro Regional Administration and the Moshi District Council Administration for their support of the study’s development and implementation.
The study protocol was approved by the institutional review boards at Duke University and the University of South Carolina in the United States, the Ethics Review Committee at Kilimanjaro Christian Medical University College, and the National Institute for Medical Research.
Sources of Funding: Research reported in this publication was supported by the National Institute of Mental Health of the National Institutes of Health in the United States under Award Numbers R01MH106388 and R21MH96631 and by the Duke University Center for AIDS Research (CFAR), an NIH funded program (P30AI064518). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Conflicts of Interest: None declared.
Correspondence: Nathan M. Thielman, MD, MPH, Duke Global Health Institute, Duke University, Box 90519, Durham, NC 27708. E-mail: [email protected].
Received for publication December 1, 2021, and accepted January 24, 2022.
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