University of North Carolina (UNC) at Chapel Hill - National Institute of Health, World Health Organization’s Regional Office for Africa, National Health Laboratory Services (NHLS) - Centre for Respiratory Diseases and Meningitis, World Health Organization (WHO) - Regional Office for Africa, University of North Carolina (UNC) at Chapel Hill - National Institute of Health, University of North Carolina (UNC) at Chapel Hill - National Institute of Health, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), University of North Carolina (UNC) at Chapel Hill - National Institute of Health, Ministry of Health, Nampula, Ministry of Health, Nampula, Ministry of Health, Sofala, Ministry of Health, Sofala, Eduardo Mondlane University (UEM) - Maputo Central Hospital, University of North Carolina (UNC) at Chapel Hill - National Institute of Health, National Institute for Quality Control in Health (INCQS) and University of North Carolina (UNC) at Chapel Hill - National Institute of Health