... the Institutional Review Board of the IndianaUniversity School of Medicine (Indianapolis, Indiana).Informed consent was obtained for key informant inter-views, and all clinical investigation ... Investigatortriangulation was used by involving additional investiga-tors in reviewing the recordings and field notes and in confirming or disconfirming the codes and the subse-quent themes. Data triangulation ... Health Services Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA, 2The Regenstrief Institute, Inc, Indianapolis, IN, USA, 3USAID – Academic Model...