Reviewer ’s report  
 
Title: DOUCHING PRACTICES AMONG WOMEN IN THE BOLGA TANGA 
MUNICIPALITY OF THE UPPER EAST REGION OF GHANA  
 
Version: 1 Date: 28 Aug 2017  
 
Reviewer: Emmanuel Ajuluchukwu Ugwa  
 
Reviewer's report:  
 
Good JOB. Indicate what local dialect was used. How was the sample size calculated and what 
was rationale? Provide evidence that vaginal douche with ordinary water is harmful. Chemical 
douche is no doubt harmful. Did you associate any harm including RTIs with the clients in this 
study? Education is not strongly associated with douching, please run a correlation statistics. Did 
you find any association between religion and douching? What position did the wo men use when 
they douche? What is the implication of your findings to women's reproductive health? What 
future research direction do you suggest? What are the limitations of your study?  
Recommended reference: Ugwa E. Vulvovaginal Candidiasis in Aminu Kano Teaching Hospital, 
North -West Nigeria: Hospital -Based Epidemiological Study. Annals of Medical and Health 
Sciences Research. 2015;5(4):274 -278. doi:10.4103/2141 -9248.160185.  
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 b y 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 specif y 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  
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holds  or has applied for patents relating to the content of the manuscript?  
 
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