Reviewer ’s report  
 
Title: Development and Validation of a Person -Centered Abortion  Scale: The Experiences of 
Care in Private Facilities in Kenya  
 
Version: 1 Date: 24 Apr 2020  
 
Reviewer: shafat ali  
 
Reviewer's report:  
 
Comments  
Authors have nicely done and presented the work entitled "Development and Validation of a 
Person -Centered Abortion Scale in Kenya". It seems that this validated scale will surely help in 
facilitating measurement and future research to better understand women's experiences during 
abortion care and to improve the quality of women's overall reproductive he alth experiences and 
improve health outcomes.  
However there are some concerns while reading the manuscript  
 Minor English language revision is required.  
 No differentiation has been made on single or multiple abortions in terms of care i.e., 
whether all  need similar care. Difference in Psychological condition or behavior has not been 
mentioned i.e. whether psychological condition was similar in women going for first abortion 
and women who had an earlier history of abortion. Does your validated scale dete rmine this 
difference?  
 The question that has not been asked to patients whether they want to have abortion by 
surgical or medical intervention (Not in the questionnaire provided). In my opinion questions 
like this should be asked, although the final deci sion depends on severity of condition but still we 
should know the opinion of patient.  
 I think controls should have been there in order to make study more elaborative and 
clear in order to see whether abortion patients receive more care than non -abortion  patients 
(abortion verses non -abortion).  
 I my opinion there should have also been included expert review and interviews  with 
doctors and nurses those involved in the care of these patients.  
 
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.  
 
No 
 
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 th e manus cript or would you recommend an 
additional statistical review?  
If an additional statistical review is recommended, please speci fy 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:  
 
Needs some language corrections before being published  
 
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 financial ly from the 
publication of this manuscript, either now or in the future?  
 
2.  Do you hold any stocks or shares  in an organisation t hat 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 interests  
 
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