Title:  Assessment of Mothers’ Satisfaction Towards Child Vaccination Service in South Omo
Zone, South Ethiopia Region: a survey on clients’ perspective
Version: 4 Date: 18 Mar 2024
Reviewer:  Samuel Kusheta
Reviewer's report:
This is an important topic, “Client’s Perspective Assessment of Mother’s Satisfaction towards
childhood vaccination service in South Omo Zone, Southern Ethiopia”. Generally your
manuscript requires major editions of ESL with regard to typos, punctuation, conjunctions and
grammatical errors, so that with clear expressions, there will be enhanced understanding and
readability. Following are my specific comments by section.
1. Abstract:
- Add study design to title and how if it could be “Client’s Perspective Assessment of Mother’s
Satisfaction towards childhood vaccination service and its associated factors in South Omo
Zone, Southern Ethiopia: a cross-sectional study”.
- Background of the abstract section is too much. Try to condense and focus on mother’s
satisfaction level towards vaccination service.
- Methods: if your variables were treated as continuous, how were you used logistic regression?
- Results: how 449 among 1221 were 69.53%?
- Conclusion: how you conclude mother’s satisfaction level? Try to recommend based on your
findings.
2. Background:
- Define first time abbreviations.
- What type of reference citation it is “(5aaa)”?
- The level of satisfaction and its determinants factors were well known in various places in
Ethiopia from your literature review, so what was the importance of conducting this study? What
is its difference from the previous studies? Try to show the gaps clearly.
- Compressive knowledge??
- “Compressive knowledge of perceived maternal satisfaction towards vaccination service helps
for the development of a new strategy to achieve herd immunity.” How?
3. Methods:
- Could we abbreviate “Primary health care units” as PHCUs than PCU?
- Which study settings were included in your study, hospitals, health centers or health posts?
- How many of your study population were excluded due to care taker’s age and child’s
vaccination status?
- How would we have a sample size of 1221 in the abstract section versus 1262 in the methods
section?
- What Kth interval was used?
- Vacillated??
- Is there any standard tool to measure “Mother’s Satisfaction with vaccination service”? If so,
is it validated to be used in Ethiopia?
- “Based on Bloom’s cut-off point for knowledge, those who answered 5 or fewer questions
correctly were considered as having “poor knowledge”, those who answered 6 or 7 questions
correctly were considered as “moderate knowledge”, and those who answered 8 or 9 questions
correctly were considered as having “good knowledge””; this required citation.
4. Result:
- “similar to study done in Hawassa majority 905(74.11%) traveled 30 minutes and less to the
vaccination center”. Is this a result or discussion?
- Are health provider related variables not included in your study that can influence the mother’s
satisfaction towards the service, like providers’ respect to mothers and so on?
- Regarding result on satisfaction level, which one is working, 449 (69.53%) reported in the
abstract section or 849 (69.53%) reported in the results section?
- Is “overall maternal satisfaction” measured using yes/no responses?
- Rewrite the result section considering typos, grammar and punctuation errors.
5. Discussion:
- What is ARFI?
- How can we conclude “69.53% satisfaction level” in comparison with previous studies in
Ethiopia or any preset standards of acceptable satisfaction level? Is it high/low? Is it good/bad?
- The discussion section should also include result implications with possible scientific
justification other than a comparative discussion of findings with previous studies.
6. Conclusion: try to conclude for the mother’s satisfaction towards vaccination service and
recommend based on the findings.
- Consider editing the manuscript for ESL problems as a whole comment. Thank you.