**Acknowledgements**

We express sincere votes of thanks to the management of the International Medical & Technological University (IMTU) for guidance and promotion of this research activity. We also aknowledge I-Katch technology Ltd through its *Coffeeshop clinical research & scientific writing programme*. Moreover, we hereby express our thanking note to Café aroma in Dar es Salaam, Tanzania. Café aroma provided a near perfect environment (coffee, free-wifi and wonderful caloric-burning standing office tables) through which most of our meetings during study research question formulation, early study designs and data analysis were done, at times in their busiest business hours. *Dr Godfrey Ruben Swai* of The Registered Trustees of Ultimate Family Healthcare in Dar es salaam, Tanzania is credited for timely peer review, and insightful opinion on the quality of the final draft. Lastly but most important, we wish to eternally recognize the willingness of all women who consented wholeheartedly to be part of the primary study.
