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“Alone, we can do so little; together, we can do so much” said Helen Keller, who despite being blind and deaf from early childhood, was an activist who embodied self-empowerment and inspired communities to advocate for themselves [1]. This message is echoed in the philosophy of “Ubuntu”, which emphasises the power of community and collective action in many African cultures [2].
Research in context Evidence before this study The effect of changing transmission intensity on the clinical presentation of malaria has been insufficiently documented and is rarely used to inform policy, even though concerns about increasing severe malaria and deaths as a consequence of a decline in the exposure to malaria in young children have long been a matter of debate.
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