We will use a switching replication design in which fifty guardians will be randomly assigned using a lottery to receive the intervention and fifty will be assigned to a group who will receive the intervention at a later time point

We will use a switching replication design in which fifty guardians will be randomly assigned using a lottery to receive the intervention and fifty will be assigned to a group who will receive the intervention at a later time point

This was assessed by the Yorùbá version of the Strengths and Difficulties Questionnaire - Parent Report (SDQ-P; Goodman, Ford, Simmons; Gatward, & Meltzer, 2000), a 25-item screening measure of emotional and behavioral problems for children aged 3 to 17-years extensively used in Africa (Hoosen et al., 2018). The SDQ-P utilized a three-point Likert scale (0=not true; 1=somewhat true; 2= certainly true). Five subscales were derived from the measure including conduct problems, inattention-hyperactivity, emotional symptoms, peer problems, and prosocial behavior. A total score was calculated by summing the subscales with higher scores indicating more recognition of CAMH problems (range= 0 - 50).

Adapted from the 2001 National Survey of Children with Special Health Care Needs in the United States (Porterfield & McBride, 2007), we asked caregivers: "Has there been a time in past year when your child/ any of your children (1) seemed sad and did not feel like doing anything over 2 weeks (yes/no)?; (2) not able to sit still or concentrate for long, always getting into trouble (yes/no)?; (3) displayed strange public behavior such as talking or laughing to themselves when no one is around (yes/no)?; (4) behaved in any way or reported feeling anyway that worried them, you, or others in your family or community?" If caregivers affirmed any of the 4 statements, they were subsequently asked: "During the past 12 months, was there any time when your child needed help because you were worried about the problems you just described? (yes/no)" Responses to the final question (0=no; 1=yes) was used to determine perceived need of CAMH services.

Caregivers' willingness to use accessible mental health service was adapted from a study examining child mental health service utilization among parents in rural Appalachia (S. L. Williams & Polaha, 2014). Caregivers were asked "If my child experienced a mental health condition such as Dapo, Tola, and Moji [fictional characters with depression, ADHD, and psychosis in a previously administered section], I would take my child to see a healthcare provider at the mental health clinic for children and adolescents at UCH" (1 = Not at All, 6=Definitely).