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This document was agreed by the researchers who designed, conducted, analysed and reported the research in a paper from the International Health Group, Liverpool School of Tropical Medicine, UK (Helen Smith, Paul Garner); Malaria Research Group, Makarere University, Uganda; (Hasifa Bukirwa); Ifakara Health Research & Development Centre, Tanzania (Oscar Mukasa, Selemani Mbuyita, Masanja Honorati); Medical Research Council Laboratories, Banjul, The Gambia (Paul Snell); , Holy Trinity Development Foundation, Holy Trinity Foundation Hospital, Cameroon (Sylvester Adeh-Nsoh); Department of Health Promotion and Education, College of Medicine, University of Ibadan, Nigeria (Bright Orji).(hide)