Thanks for your response. Clearly you have intersectional issues of disability and socioeconomic factors to contend with in this outcome - as well as of course specific vulnerabilities related to age and development. Your study sounds like an excellent and indepth way to be able to have socioecological lens to understand the impacts on outcomes. I would be interested to hear more about which aspects of socioecological context are emerging for you as you do this study - it sounds like based on the answer to the second question that there are issues related to stigma and transportation that are important. I am also wondering if you have seen parental education be an issue. I am also curious if the same factors that lead to increased vulnerability to the problem of cerebral malaria are also the factors that contribute to worse outcomes with this condition - which results in both a double hit for some individuals, as well as less motivation by those in power to shift policy and practice to prevent the condition.