Document is current

Article History

Accepted: 22 September 2022

First Online: 28 February 2023

Declarations

:

: For the implementation research carried out for this article and for all the articles in this supplement, we received approval from the Guatemala National Ethics Committee in April 2012. Informed consent from study subjects was always obtained in their native Maya language before proceeding with the research activity. The information was provided verbally to the study subjects in the local language and included the purpose of the study along with assurances that they were free not to participate and also were free to end their participation at any moment and that they would not be denied services if they chose not to participate. They were also given the assurance that the information they provide would be kept confidential and that their name would not be associated with the disseminated findings. For household surveys, including the baseline and endline household surveys, we obtained written informed consent in the form of a thumbprint or signature. For qualitative data collection methods such as focus group discussions, group interviews, and key-informant/in-depth interviews, we obtained verbal informed consent witnessed by third parties and documented in the transcripts of those activities. The study was declared exempt from human subjects review by the Institutional Review Board of the Johns Hopkins Bloomberg School of Public Health because its faculty member (HP) was not responsible for data collection activities and had no access to identifying information about the participants.

: Not applicable.

: The authors declare that they have no competing interests.