*2.3. Procedure*

Ethical approval was obtained from the registered Health Research Ethics Committee at the North-West University (NWU-000008-19-A1), South Africa, which conforms to the principles outlined in the Declaration of Helsinki. Written permission to conduct the study at the Khula Development Group was obtained from the chief operational officer of this organization, who acted as a gatekeeper. The branch manager and two other employees at the Khula Development Group fulfilled the role as mediator and independent persons during the recruitment process. The independent persons conducted home visits to recruit participants, and they were also responsible for obtaining written consent forms from all participants. Arrangements were made to conduct the interviews with the participants at the offices of the Khula Development Group.
