Mensah, Mavis O.
Adjetey, Ebenezer
Aryee, Lois M.D.
Arnold, Charles D.
Prado, Elizabeth L.
Hastings, Paul D.
Guyer, Amanda E.
Oaks, Brietta M.
Nti, Helena
Bentil, Helena J.
Fajardo, Jonnatan
Adu-Afarwuah, Seth
Article History
Received: 25 July 2025
Accepted: 26 February 2026
First Online: 3 March 2026
Declarations
:
: Ethics approval for the present study was obtained from the Ghana Health Service Ethics Review Committee (GHS-ERC: 027105119) and the Institutional Review Board of the University of California, Davis (IRB ID: 1489918). We obtained written informed consent from the caregivers for this study and assent from the adolescents as part of the follow-up study. The consenting procedure was done orally in any of the three local languages (Twi, Ewe, and Ga-Adangme) understood and spoken by the participants. Participants signed or thumb printed the consent and assent forms and were given a copy as evidence of consent. The study followed the principles outlined in the declaration of Helsinki.
: Not applicable.
: The authors declare no competing interests.