Reviewer ’s report  
 
Title: Prevalence and factors associated with modern contraceptive discontinuation among 
reproductive age group women. Community based c ross sectional study in Humera town, 
northern Ethiopia.  
 
Version: 3 Date: 15 Aug 2018  
 
Reviewer: Chris Guure  
 
Reviewer's report:  
 
There have being some improvement of the manuscript but authors need to address some of the 
earlier concerns. Putting up a defends without addressing these concerns is unfortunate.  
1) Though the defe nse made below can be left to pass, authors must note that just by assuming 
that community based studies has a high non -response rate is not a justification to specify a 
10% for non -response. A pilot study could have been conducted if authors had concerns so 
that a more accurate and scientific justification arrived at. In any case, what was the non -
response rate in this study. This implies that your assumptions do not hold?  
Response: Community based study is one study setting where there is high non - respo nse rate  
due to not at homes and refusal to participate. By considering this we prefer to use10% 
nonresponse  rate to minimize non -response bias in this study.  
 
2) Another response that can't pass through is;  
Response: This comment and the last concern in result section (one which states about table  five 
and result) are similar. To the best of our knowledge it is in the result section that we should  
present all relevant data summaries and analyses from both descriptive and inferential statistics  
but interpr etation and elaboration of results should be done in the discussion section. Therefore;  
in this section, we tried to focus on elaborating the key findings from descriptive statistics and all  
variables identified as predictors of dependent variable by relat ing them to previous findings.  
Interpretation of results with, for instance  (AOR=6.88 CI=3.05, 15.51), must be done at the 
results section and not at the discussion section. If this is done elsewhere that doesn't make it 
justifiable. Comparing findings i s different from making statements like the following with their 
confidence intervals,  
Women who had community prohibition to use MC were nearly 7 times (AOR=6.88 CI=3.05,  
15.51) more likely discontinue using MC as compared to their  
OR 
In this study the chances of MC discontinuation is more than two times(AOR=2.51 CI=1.06,  
5.96) higher in women either she do notwho doesn't have or only have one alive male child as  
compared to women who had two or more.......  
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Yes 
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an  
additional statistical review?  
If an additional statistical review is recommended, please specify what aspects require further  
assessment in your comments to the editors.  
 
I am able to assess the statistics  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Acceptable  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five years received reimbursements, fees, funding, or salary from an  
organisation that may in any way gain or lose financially from the publication of this  
manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares  in an organisation that may in any way gain or lose  
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents relating to the content of the  
manuscript?  
 
4. Have you recei ved reimbursements, fees, funding, or salary from an organization that 
holds  or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
If you can answer no to all of the above, write 'I declare that I have no competing interests' 
below.  If your reply is yes to any, please give details below.  
 
I declare that I have no competing interest  
 
I agree to the open p eer review policy of the journal. I understand that my name will be included  
on my report to the authors and, if the manuscript is accepted for publication, my named report  
including any attachments I upload will be posted on the website along with the aut hors'  
responses. I agree for my report to be made available under an Open Access Creative Commons  
CC-BY license ( http://creativecommons.org/licenses/by/4.0/ ). I understand that any comments  
which I do not wish to be included in my named report can be inclu ded as confidential comments  
to the editors, which will not be published.  
 
I agree to the open peer review policy of the journal