Title: Menstrual hygiene management practice and associated factors among high school and
preparatory school adolescent students in Debre Markos town, Northwest, Ethiopia: A mixed-
method study
Version: 2 Date: 23 Dec 2023
Reviewer's report:
Reviewer Comment
1. Abstract
background information it lacks coherency of information
In the result section there is no qualitative result
2. Introduction
WASH ----put the abbreviation meaning in the first encounter
It has been given little emphasis about the problem in Ethiopia …..make more elaboration
3. Methods
What is the inclusion and exclusion criteria
What are the dependent and independent variables
Ethical consideration
• what is the reference number from  institutional ethical approval  letter
• How do we consider students age in terms of consent for participating in the research
4. Result
Socio-demographic characteristics
It is not important to state every thing from table in the text form. Focus on reporting the most
important figures that need emphasis
Factors associated with menstrual hygiene management
It is not important to report the crude odds ratio results in text
Table 5. if the variables are not a candidate for multivariate analysis remove it . but if the
variables are candidate with p value…fill the rows with AOR and p value determined in the
analysis
Social support related characteristics of respondents
A lot of description in text, table and figures
But the figure showed almost there is no difference between good or poor practices due to social
support. How do you justify the finding
Discussion
THE ARE INCONSITENT AND UNMATHED RESULT and INTERPRETATION WITH
THE RESULT …AS EXPLAINED BELOW
factors associated with menstrual hygiene practice were: age of the respondent, discussion with
parents about menstruation, knowledge of the respondents, and
maternal occupation of private employee, self-employee. how about house wife?
Besides how do the findings interpretation when the adjusted odds ratio is less than 1?
The interpretation has to be against the reference …. But in some of your variables the reverse
is true
1. The current study also found that students whose age less than sixteen were 2.13 times less
likely to have good practice than age of 17 years and above.
2. This study showed that, girls who were not discussing about menstruation with their parent
were 1.62 times less likely to had good practice about menstrual hygiene than were discussing.
3. In this study a significant association was also observed between maternal occupation and
girl’s practice, girls whose mother was private employee 3.31; self-employee 1.93 and house
wife 1.93 times more likely to had good practice towards menstrual hygiene than whose mother
was government employee.
From where these AOR DERIVED …LOOK YOUR RESULTS ????????
4. A significant association was also observed between girls’ knowledge and practice; girls who
have good knowledge were 1.59 times more likely to had goods practice than girls who had poor
knowledge. 0.63(0.43, 0.94)
5. This study showed that, girls who were not discussing about menstruation with their parent
were 1.62 times less likely to had good practice about menstrual hygiene than were discussing.