Funding Information: This study is based on the GEMS project, which was supported by the Bill & Melinda Gates Foundation (Project OPP 38874 and OPP1033572) awarded to Myron Mike Levine. CISM is supported by the Government of Mozambique and the Spanish Agency for International Development Cooperation (AECID). ISGlobal receives support from Spanish Ministry of Science and Innovation through the ?Centro de Excel?n...