Reviewer ’s report  
 
Title: Individual -level and Community -level Determinants of Cervical Cancer Screening among  
Kenyan Women: A Multilevel Analysis of a Nationwide Survey  
 
Version: 1 Date: 11 Jul  2017  
 
Reviewer: Paolo Giorgi Rossi  
 
Reviewer's report:  
 
The paper has been improoved and all the main comments have been addressed.  
 
I suggest to improve the references of the introduction: for HPV testing efficacy in low resource 
countries the only study that really gave a clear  answer is Sankaranarayanan 2009 NEJM. also 
for self sampling there are other studies that better summarize the issue in LMIC (as Lazcano -
ponce lancet oncology 2010) and for the accuracy (Arbyn Lancet oncol systematic review).  
 
 
 
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 by 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 additio nal statistical review is recommended, please specify 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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below. If your reply is yes to any, please give details below.  
 
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