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Additional approval was received by the National Commission for Science, Technology and Innovation (NACOSTI), a Kenyan government research regulatory body (reference number NACOSTI\/HW\/3\/1\/16). All participants over 18 years of age provided written informed consent to participate in study interviews, and participants below 18 provided written assent and caregiver consent. A detailed, standardized informed consent\/assent form written in either Kiswahili or English was read aloud with adequate time for questions and clarifications, and written consent\/assent was obtained by trained, bilingual research assistants with experience in recruiting youth for research. 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