Title: Practice of Non-Institutional Delivery and its Associated Factors among Women Who
Gave Birth in Southern Ethiopia, 2022
Version: 6 Date: 06 Mar 2023
Reviewer's report:
I am happy on points addressed during revising of the manuscript.
However, still now there are concerns regarding the revision.
Author information
1. 1st and 3rd author affiliation was similar but the number was not correctly indicated. Please
look up on it.
Abstract section
1. Correct spelling error (such as "lobar",
2. Your finding of the magnitude of non-institutional delivery was consistent with EDHS 2016,
mini EDHS 2019 data. How you become confident to conclude as majority of participants has
practiced non-institutional delivery?
3. Sample size determined in materials and methods section was similar to  participated in study.
Why you indicated that 97% of study participants was participated in the study?
Introduction section
4. In introduction section "...more than 90% of women in high-income countries give birth at
a health center, whereas in low-income countries,..." Is that health center or health facility or
health institution? Use appropriate word
5. In introduction section "Many women, no matter where they give birth, have similar problems
after they give birth." This is not explanatory.
6. In introduction section "In 2017, due to non-institutional deliveries, health facilities, and
health care provider-related factors, 462/100,000 and 11/100,000 live births died in developed
and developing countries, respectively." Also not explanatory and please improve readability
(rephrase the sentence)
7. In introduction section "However, the last pregnancy was planned, and the complications that
occurred in previous institutional deliveries have not been assessed in previous studies." Please
rephrase the sentence.
8. In introduction section "Although the Ethiopian government and non-governmental
organizations have tried to stop women from giving birth outside health facilities, more than
50% of Ethiopian women have given birth outside these facilities [11]." Rephrase the sentence
9. General recommendation (rewrite, check grammatical and spelling errors, rephrase the
sentence and improve the coherence of the sentences)
Materials and Method section
1. Avoid repeated sentences such as " structured questionnaire" "dependent variable","
independent variable"
2. Is the home to home visit data collection method  or the way that helps to collect the data?
3. Rephrase the sentence and correct the grammatical errors
Results section
1. This study showed that the majority of them had a 0–3 history of abortion (108(93.7%)). Not
clear sentence.
2. Knowledge assessment on obstetric complications was not clear in both materials and
methods, and result section. Please list obstetric complications which are computed in the study.
3. Rephrase the sentences and correct the grammatical errors.
Discussion section
1. "The World Health Organization recommends that women without complications should have
at least four ANC visits " Not updated information
Competing interests
1. The author declare he has no competing interest. Rephrase it
References
1. Replace the old references with updated references.