Ethics approval and consent to participate
This study was reviewed and approved by the Makerere University School of Public Health’s Research and Ethics Committee (Protocol #: 825) and cleared by the Uganda National Council for Science and Technology (UNCST). All participants provided written informed consent prior to participation in the study. All study procedures were performed in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.