Title: Menstruation Hygiene Management among Secondary School Students of Chitwan,
Nepal:A Cross-Sectional Study
Version: 4 Date: 23 May 2023
Reviewer:  Kanchan Thapa
Reviewer's report:
Dear Authors,
I really enjoyed reading your paper. It’s informative and provides the information from Nepal
where there are lesser reliable evidences and baseline date for public health program. Your paper
definitely add value in the field of public health science. Though the paper is written in high
quality, there are still rooms for improvement. Please find the below comments from my side.
1. You have stated a lot about menstrual hygiene still there are required emphasis why it is
important for Nepal and then to Chitwan.
2. Clarity in writing is required. May be series of revisions and rewriting along with polishing
your English is required. I found that you have ignored even simple grammatical errors at some
places.
3. Please compare your own conclusion with your abstract. Please be consistent with the
information you have provided.
4. You have stated about - Though, Nepal government has done significant progress towards
reproductive health, adolescent girls still face many sexual and reproductive health problems
and challenges, amidst gender discrimination and disparity in Nepali norms. “So it is better to
provide reference and provide specific information.
5. Also- To reduce such problems small effort like awareness to adolescent girls can play crucial
role. 7, 8, 9, 10 I believe you can organize such sentences in better way.
6. Please be clear about your research design- whether it is cross section, or intervention study
or quasi intervention study? Be consistent with information throughout the paper.
7. You stated about lottery methods in participants selection. And then to systematic sampling
method. Be consistent with the method and organize the statement in better way. Similarly, your
writing needs to improvise as you have written in such a way - 20 out of 250 were selected
from both public and private schools. A lottery method was used to select the secondary schools
from the district.
8. You should also take care of the usage of terminology such as Research participants, girls,
Sample, participants etc. Be consistent throughout the text.
9. You stated about pretesting of questionnaire was done. Its not clear about whether you
pretested intervention package or not? Provide the details about the development of education
intervention package, how it was reviewed, pre-tested, revised, translated etc.
10. What is the difference between pre testing and pilot testing? How it was conducted?
11. Why it is important to include SD? Please refer other paper who reports SD or SE.
12. You stated about pre testing and post testing, what is the ideal time for these two test and
why? What is the dropout rate for the both testing? How you manage participants during pre
and post-test? If more participants were willing to participate in the study how you managed?
13. Table 3. Is pre and post testing is the study types. Organize in better way.
14. Findings from the bivariate/regression could be organized in interpretive way.
15. The whole section of the discussion should be re-written. Please refer other papers too.
Organize your first paragraph to state about the findings of your study at first.
16. Take care of typos and grammars
17. The conclusion can be rewritten in better way.