1. Yal , New Haven, Connecticut, 06511 , USA
2. e School of Nursing, Yale University , New Haven, Connecticut, 06511 , USA
3. School of Nursing and Midwifery, University of Ghana , Legon, Accra , Ghana
4. Christian Health Association of Ghana , Accra , Ghana
5. Center for Interdisciplinary Research on AIDS, School of Public Health, Yale School of Public Health, Yale University , New Haven, Connecticut, 06511 , USA
6. Division of Health Research, Faculty of Health and Medicine, Lancaster University , Lancaster, LA1 4YW , UK