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Permission letters were obtained from relevant education authorities at different levels to reach the student participants and kebele (the smallest administrative area in Ethiopia) administration to access the rural mother participants. Informed written consent was obtained from the mothers and adolescents aged 18 and above, whereas written informed consent was obtained from caretakers of the adolescents below 18\u00a0years of age. The consent was obtained after providing the participants with the information related to the purpose of the study, and the risks and benefits of participating in the study. They have also been told that their participation was completely based on voluntary. To ensure the confidentiality of information, codes were used to designate the information obtained from the participants. 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