JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Capacity Assessment and Spatial Analysis of Cervical Cancer Services in The Gambia
Version: 1 Date: 07 Aug 2023
Reviewer's report:
Overall: This is a really nicely written, clear, and comprehensive study on availability of cervical
cancer prevention and treatment services in The Gambia.  Cervical cancer continues to be a
major public health problem, particularly in SSA, and it is critical to understand the availability
of services to allow for improvement of those services to decrease the burden of the disease.  I
only have minor comments and am excited to have reviewed this paper and to see it published.
Abstract:
• It is noted that 10 HFs offered treatment, but not mention is the total number of HFs, making
it unclear the relative coverage of HFs.  I suggest beginning the Results section of the abstract
by stating the number of secondary and tertiary HFs surveyed in this study.
Introduction:
• Nicely written; very clear and concise.
Methods:
• In the first sentence of the Study Design section, it is unclear if all privately owned centers and
clinics were also surveyed, or just a subset.  It is clear how the secondary and tertiary centers were
identified from the last sentence in the same paragraph, but how were private centers identified?
Tables and Figures:
• I suggest (if possible) marking the regions (WR1, WR2, etc) on the maps.
• For Figure 3, is the legend flipped?  It seems like the starred HFs DO offer both and the dotted
ones do not, but the legend says the opposite.
Results:
• The Introduction suggests that all HFs in the country were surveyed.  To confirm, this means
there was a 100% response rate to the survey (I see that you state the response rate was 100%
but is that out of every single HF or were only a subset contacted)?  The first sentence of the
Results makes me question if I am understanding correctly.  Are there a total of 102 secondary,
tertiary, and private clinics in the country?  If not, I suggest that you report the total of each
of those as well.
Discussion:
• Paragraph 6: Is there information on the country’s current screening rate?
Title: External validation of the de novo stress urinary incontinence prediction model after pelvic
organ prolapse surgery in Korean women: A retrospective cohort study
Version: 1 Date: 10 Sep 2023
Reviewer's report:
This was a retrospective study that aimed to externally validate the previously developed
prediction model for detection of de novo stress urinary incontinence (SUI) after pelvic organ
prolapse (POP) surgery in Korean women. The results demonstrated moderate discrimination
by the de novo SUI prediction model. It concluded that the prediction model is valid for use
in Korean women and can aid in shared decision-making regarding prophylactic continence
procedure during POP surgery.
The manuscript will be strengthened by correcting some problems as followings.
1. The inclusive and exclusive criteria had to be declared more clearly in “Methods”. Were the
583 subjects included in the study all primary cases? As the aims of the study were to validate
the prediction model for detection of de novo SUI, those who had undergone previous POP or
anti-incontinence surgeries had to be excluded.
2. As the outcome of the study went to detect of de novo SUI after POP surgery, the definition
of pre-operative stress-continence women had to be well defined and declared to reduce the
possible bias.
3. As preoperative prolapse reduction stress test was one of the parameters in the prediction
model, only those who had received pre-operative prolapse reduction stress (320 women) can
be enrolled for analysis rather than all 583 subjects.
4. The reason why the all subjects were divided into two groups (native tissue repair vs.
sacrocolpopexy) had to be mentioned in the “Materials and Methods”. In addition, the incidence
of de novo SUI had to be shown separately in the “Results” rather than only the overall incidence.
5. As shown in Table 1, 20 women who didn’t undergo stress test received a midurethral sling
as well. These subjects had better to be excluded to reduce potential bias, because it’s difficult
to differentiate overt, occult and de novo SUI.
Title: External validation of the de novo stress urinary incontinence prediction model after pelvic
organ prolapse surgery in Korean women: A retrospective cohort study
Version: 1 Date: 10 Sep 2023
Reviewer's report:
Line 24 - change the word “after” to “following”
Line 29 - Change “Outcomes” and “Prolapse” to lowercase
Line 30 - change “Mid-Urethral Sling” to lowercase
Line 77-78 - “40% of who do undergo continence surgery with negative testing will develop
postoperative SUI [4]” I recommend the authors review the statement and the reference ensuring
they march each other.
Line 159-160 - “A Diagnostic study including Outcome evaluation) trials and that revealed that”
I recommend the authors review this statement and correct the English as it is not clear what
they want to say.
Title: External validation of the de novo stress urinary incontinence prediction model after pelvic
organ prolapse surgery in Korean women: A retrospective cohort study
Version: 1 Date: 10 Sep 2023
Reviewer's report:
This retrospective cohort study aims to evaluate the external validation results of a prediction
model for de novo SUI after POP surgery. The authors should be commended for conducting
a well-designed and informative study. The conclusion is meaningful and provides a valuable
message to both patients and healthcare providers. However, I have a few questions:
1. If a patient presented with SUI at the beginning of postoperative follow-up but experienced
spontaneous resolution before the 1-year follow-up, how would this be recorded and assessed?
2. As mentioned above and discussed in the discussion, since de novo SUI can have spontaneous
remission, can a model and validation for within 1-year data truly assist in shared decision-
making?
3. There was no data regarding transvaginal mesh in this study. Additionally, TVT was the
only type of MUS (Midurethral Sling) in "the Outcomes Following Vaginal Prolapse Repair
and Midurethral Sling trial." However, the authors did not mention the type of MUS in their
methods and table. The author mentioned that the prediction model underestimated de novo
SUI in women who received sacrocolpopexy. However, the original data did not specify
sacrocolpopexy in apical suspension procedures (apical suspensions included uterosacral-
ligament suspension, sacrospinous-ligament suspension, McCall culdoplasty, iliococcygeal
repair, purse-string repair of enterocele, and the use of an apical-suspension kit in the NEJM
report). These factors could introduce bias when applying the study's  findings.
Title: External validation of the de novo stress urinary incontinence prediction model after pelvic
organ prolapse surgery in Korean women: A retrospective cohort study
Version: 2 Date: 26 Oct 2023
Reviewer's report:
The authors addressed my inquiries and conducted a subgroup analysis. However, given a
moderate mismatch between the prediction model and the study cohort in this manuscript,
I would recommend adjusting the conclusion to a more cautious tone before accepting the
manuscript.
Title: Individual and community level factors associated with modern contraceptive utilization
among married women in the emerging region of Ethiopia: a multilevel mixed effects analysis
of the 2019 Ethiopia Mini-Demographic and Health Survey
Version: 0 Date: 24 Aug 2023
Reviewer's report:
Well done and please consider the following:
Review summary
Abstract
Well done but practical significance needs to get considering while reporting association and
conclusion section contains huge information
Introduction
Last sentence of the first paragraph reported ‘However, this trend varies widely across regions,
stagnating in the emerging regions of Ethiopia, where contraceptive use has increased by only
5% over 20 years. Added years (5, 6).’ What do you mean by Added years after full stop?
End of fourth paragraph reported ‘However, only 41% of married women used birth control
in 2019. However, expanding access to contraceptives remains a major challenge.’ You better
rephrase as ‘However, only 41% of married women used birth control in 2019 indicating major
challenge to access contraceptives.’ This may help to omit using ‘however’ twice and focus on
the gap with evidence
Moreover, those studies which used Ethiopia Demographic and Health Survey (EDHS) data did
not assess individual and community-level factors in contraceptive utilization (30). What if those
variables were addressed though they not categorized under individual and community level?
What is the difference between family planning service utilization and modern contraceptive
service utilization? It may help for conlusion
Method
Variable measurement
The dependent variable of modern contraceptive utilization was classified dichotomously as
"Yes/No". This seemed as if you worked on magnitude of modern contraceptive utilization, but
the title and objective were about determinants…why?
Result
Table 1 reported in two pages; please either select very pertinent variables in report in a single
page or make it two tables like Table 1A and Table 1B
The same is true for Table 2…
Discussion section: well done except conclusion is not convincing if not compared with that
general family planning utilization and their difference is specified.
Title: Individual and community level factors associated with modern contraceptive utilization
among married women in the emerging region of Ethiopia: a multilevel mixed effects analysis
of the 2019 Ethiopia Mini-Demographic and Health Survey
Version: 2 Date: 29 Nov 2023
Reviewer's report:
"PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses one or several
testable research questions? (Brief or other article types: is there a clear objective?)
Yes - there is a clear objective
DESIGN - Is the current approach (including controls and analysis protocols) appropriate for
the objective?
Yes - the approach is appropriate
EXECUTION - Are the experiments and analyses performed with sufficient technical rigor to
allow confidence in the results?
Yes - experiments and analyses were performed appropriately
STATISTICS - Is the use of statistics in the manuscript appropriate?
Yes - appropriate statistical analyses have been used in the study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
Yes - the author's interpretation is reasonable
OVERALL MANUSCRIPT POTENTIAL - Has the author addressed your concerns sufficiently
for you to now recommend the work as a technically sound contribution? If not, can further
revisions be made to make the work technically sound?
Yes - current version is technically sound
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: This is a secondary analysis of the 2019 Ethiopia Mini-Demographic
and Health Survey, investigating factors associated with effective contraceptive use in the
emerging regions of Ethiopia.
The analysis is well performed.
ADDITIONAL REQUESTS/SUGGESTIONS:
The authors have satisfactorily addressed all the issues previously raised by the reviewers. When
necessary, they accordingly modified the manuscript."
Title: Time to initiation of modern contraceptive method use after childbirth and its predictors
in Southern Ethiopia: a retrospective follow-up study
Version: 4 Date: 13 Sep 2023
Reviewer's report:
PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses one or several
testable research questions? (Brief or other article types: is there a clear objective?)
Yes - there is a clear objective
DESIGN - Is the current approach (including controls and analysis protocols) appropriate for
the objective?
Yes - the approach is appropriate
EXECUTION - Are the experiments and analyses performed with sufficient technical rigor to
allow confidence in the results?
Yes - experiments and analyses were performed appropriately
STATISTICS - Is the use of statistics in the manuscript appropriate?
Yes - appropriate statistical analyses have been used in the study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
Yes - the author's interpretation is reasonable
OVERALL MANUSCRIPT POTENTIAL - Has the author addressed your concerns sufficiently
for you to now recommend the work as a technically sound contribution? If not, can further
revisions be made to make the work technically sound?
Yes - current version is technically sound
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: The authors have responded in a satisfactory manner to my previous
comments and suggestions.  The manuscript is improved.  I do not have any further comments
or critiques.  I believe it is now suitable for publication.
ADDITIONAL REQUESTS/SUGGESTIONS:
No
Title: Womandla Health: Development and Rationale of a Behavioral Intervention to Support
HIV Treatment Adherence Among Postpartum Women in South Africa
Version: 1 Date: 05 Oct 2023
Reviewer's report:
This interesting paper is describing the process of creating an intervention that will be conducted
to support HIV treatment adherence among postpartum women in Cape Town South Africa.
The background and theoretical framework were described very clearly, and they appropriately
set up the need for the intervention. The methods for the qualitative work that informed the
intervention development was clear and thorough. The results of this qualitative study apparently
were reported elsewhere, but the findings that informed the intervention development were
summarized well.
The description of the intervention was clear and made a lot of sense, though a description of
how the lay health worker will be trained in motivational interviewing (MI) would be beneficial,
as well as a description of the continual reinforcement and monitoring that has been found to
be important with MI.
In the Discussion, the only thing I would add is a description of what is considered "successful"
for the pilot study before it is scaled up to a larger study or clinical use.
Title: Womandla Health: Development and Rationale of a Behavioral Intervention to Support
HIV Treatment Adherence Among Postpartum Women in South Africa
Version: 2 Date: 23 Nov 2023
Reviewer's report:
The authors adequately addressed the majority of the comments. Only outstanding point was in
response to comment 2.1. The authors said  they made several adjustments to clarify the overlap
with previous work but I wasn't able to locate where in the manuscript these changes were made.
Title: Are Physicians Creating a Barrier to Pre-Conception Care Access? A Qualitative Study
Exploring Patients’ Experiences and Perspectives Around Pre-Conception Care.
Version: 2 Date: 05 Jul 2023
Reviewer's report:
In this article, the necessary principles for conducting a qualitative study have not been observed.
For the following reasons:
-The study method is weak.
- Inclusion and exclusion criteria are not mentioned.
- How to select participants is not mentioned.
- Reliability, Credibility, Dependability, and Confirmability are not mentioned.
- Themes do not have enough depth and richness.
Title: Are Physicians Creating a Barrier to Pre-Conception Care Access? A Qualitative Study
Exploring Patients’ Experiences and Perspectives Around Pre-Conception Care.
Version: 2 Date: 13 Jul 2023
Reviewer:  Valerie Fleming
Reviewer's report:
Thank you for the opportunity to read this work.  At present it is not ready for publication but
I hope the comments that follow are constructive.
1. Introduction: this needs to be more focused. is it setting the scene for pre-conception care
generally or in women with chronic disease? Some background about what is routine pre-
conception  care in Saudi Arabia would be helpful for the reader. Given that you interviewed
two men, what is their position in it?
2. Methods: phenomenological approach is mentioned. sadly this is not followed through.  U see
no aspects of phenomenology whatsoever.  if it has been used, how? Whose approach?  other
points to note: When and where were the interviews carried out?  Were participants given any say
in this? Were the interviewers trained in qualitative research? What were the main ethical issues?
In particular how were gatekeepers involved? How was it ensured that the doctors providing
the care were not involved? When was translation from Arabic to English done? Was coding in
Arabic initially? These are all important questions.Finally it would be useful to see the guiding
questions in an appendix.
3. Results: I am a bit confused with the flow here.  Does the second 1. actually mean 2 or is it
a sub theme?  The quotes should have labels for transparency purposes. I'm not convinced the
diagram actually emerges for the results....the link needs to be clearer.
4. Discussion: This reads well but lacks the conviction f having arisen from the results.  Clearer
links need to be shown.   reflexivity has been mentioned in the methods but how it has been
applied is not shown here.
5. Conclusion: What is the main conclusion form the study?  It is missing.
Title: Are Physicians Creating a Barrier to Pre-Conception Care Access? A Qualitative Study
Exploring Patients’ Experiences and Perspectives Around Pre-Conception Care.
Version: 6 Date: 15 Nov 2023
Reviewer:  Valerie Fleming
Reviewer's report:
This is considerably better with all my points adequately addressed with one exception.  There
has been an attempt at justifying the theoretical approach.  However, this  attempts has just
led to excess jargon  eg "a hermeneutic, interpretative phenomenological approach" as is in
the response to reviewers .  This is very jumbled and does not sufficiently give depth to any
of the three approaches listed.  In the article itself there is no sign or any hermeneutic or
phenomenological analysis so to make it rigorous it should be restricted to an interpretative
thematic analysis.  That way the results will flow and it only involves a minor change from the
authors.
Title: Predictors of Information Needs among Women with Breast Cancer Receiving Adjuvant
Therapy at Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia: A Cross-sectional Study
Version: 1 Date: 02 Sep 2023
Reviewer's report:
I read with great interest the manuscript, which falls within the aim of this Journal and offers
a high-quality overview of the topic.  The tables are clear and interesting. Nevertheless, the
authors should clarify some points and improve the discussion by citing relevant and novel key
articles about the topic.
-The abstract should be revised in order to better summarize the contents of the manuscript.
- Moreover, an extensive correction of the English language is necessary. Typos errors should
be corrected.
- I find it interesting to include a reference to the screening programs for early cervical cancer
diagnosis (Golia D'Augè T, Giannini A, Bogani G, Di Dio C, Laganà AS, Di Donato V, Salerno
MG, Caserta D, Chiantera V, Vizza E, Muzii L, D’Oria O. Prevention, Screening, Treatment and
Follow-Up of Gynecological Cancers: State of Art and Future Perspectives. Clin. Exp. Obstet.
Gynecol. 2023, 50(8), 160. https://doi.org/10.31083/j.ceog5008160).
- Inclusion/exclusion criteria should be better clarified by extending their description.
Title: Predictors of Information Needs among Women with Breast Cancer Receiving Adjuvant
Therapy at Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia: A Cross-sectional Study
Version: 1 Date: 09 Sep 2023
Reviewer:  Giuseppe Gullo
Reviewer's report:
Dear authors,
I read with great interest the manuscript, which falls within the aim of this Journal. In my honest
opinion, the topic is interesting enough to attract the readers’ attention. Nevertheless, authors
should clarify some points and improve the discussion, as suggested below. Authors should
consider the following recommendations:
In my opinion you have to refer in the paper to the updated literature about the possibility in
early stage of breast density to have good result by nutraceutical supplementation as well to the
needed of these pts to preserv their fertility by freezing their oocYte by vitrification for future
use,ESPECIALLY IN YOUNG AND REPRODUCTIVE AGE, when they will decide to plan
a family and surely they need an IVF programm.
I also suggest to refer how these PSYCOLOGIVAL IMPLICATION THAT THESE PTS HAVE
IN THEIR INFERTILE PATHWAY ESPECIALLY AFTER GONADOTOXIC treatments.
I suggest you to read and cite these articles:
An association of boswellia, betaine and myo-inositol (Eumastós®) in the treatment of
mammographic breast density: A randomized, double-blind study
Oncofertility and Reproductive Counseling in Patients with Breast Cancer: A Retrospective
Study
Open vs. closed vitrification system: which one is safer?
Fertility preservation in female cancer sufferers: (only) a moral obligation?
Psychological variables in medically assisted reproduction: a systematic review
Title: Identification of Causes and Consequences of Kolberi among Iranian Kurdish Women:
A Grounded Theory Study
Version: 2 Date: 08 Apr 2023
Reviewer's report:
-What is the clear statement of the aims of the research?
The statement of problem has not clearly defined
-Please provide description and significance of the problem/phenomenon studied; review of
relevant theory and empirical work; problem statement is not defined well
-Please proved clearly methods for processing data prior to and during analysis, including
transcription, data entry, data management
-How has relationship between researcher and participants adequately considered?
-Were repeat interviews carried out? If yes, how many?
-Was a relationship established prior to study commencement?
-Were field notes made during and/or after the interview?
-Were questions, prompts, guides provided by the authors? Was it pilot tested?
-Were transcripts returned to participants for comment and/or correction?
-Authors should provide a description of the coding tree
- Themes identified in advance or derived from the data?
-There are not enough consistency between the data presented, findings and discussion
-Please provide clearly the explanation of how findings and conclusions connect to, support,
elaborate on, or challenge conclusions of earlier scholarship.
-Major themes were not clearly interpreted in the findings.