Title: Utilization of modern contraceptives and associated factors among women of homeless
reproductive age in Adama town, Oromia, Ethiopia
Version: 2 Date: 09 Aug 2024
Reviewer:  Wondu Feyisa Balcha
Reviewer's report:
Comments
Title: Utilization of modern contraceptives and associated factors among women of homeless
reproductive age in Adama town, Oromia, Ethiopia
Abstract:
Objective – you already conducted the study, therefore change the tense
Conclusion – your conclusion should be based on your title and findings (revise it). Who are
those stakeholders? The general recommendation have to be target orinted and achievable
Bckgraound
Change the heading to Introduction. This section needs a major revision. Please put references
at the end of each full stops or idiea and don’t take more than three lines from one reference.
Fro instance, see paragraph one, it is vague and just a raport. Please write your manuscript as a
researcher rather than as a reporter. Make it short and clear with evidence (s).
Paragraph 2, be evidence based. Is HIV/AIDS is a cause or a consequence?
Lines number 63-64, use updated information regarding maternal mortality
Line numbers 68-70, you stated studies, however you only put one reference?
Use abbreviation or acroynums approperately. i.e., onec you have started using it starting from
the introduction section, no need of writing the full words after that. E.g., see MC where did you
started to use it and how did you used after that
Methods
Study area and period –was the data collected on one day? If so how did you did it???? Your
final sample size was 289 with a response of 286. How did you managed the acuuracy of the
data, b/c you data collectors was only 10 health care providers. This means on average one data
collector was interviwed 28-29 indivduals on one day. Was it feasible?
Sampling procedures – avoid “I” in your manuscript
Data processing and analysis – what does RDW and MCU mean. Please be consistant when you
used abbreviations
Data quality control – how did you check the reliability and validity of the tool. What did you
do after pretesting (clarify it).
Results
Your study area was Adama town, this means all of the study partcipants in your study were
lived in the town (urban residence). So, where did you found those who are lived rural area (rural
residence)?????????????????. Did you mean their place of birth???
Are you sure that majority of your study partcipants were followers of Muslim religion?. You
main data collection place was church, so where did you found them?
Monthly income – where did they find this income (is it from begging, or working …..how did
you addressed this question?) did you have references to classify as <2400 and >=2400 ETB?
Behavior-related factors – what does it mean? It is better to say knowledge of contraceptive
methods. When did you categorized them as having of knowledge of advantage of contraceptive
methods? Is it just by saying yes for one question or did you determined the mean or median? I
think this part need revision and you have to analysis you data again. See this study, how did they
determine the knowledge level of the women ‘’Factors associated with utilization of modern
postpartum family planing methods during the extended postpartum period among mothers who
gave birth in the last 12 months at Injibara town, Northwest, Ethiopia: a cross-sectional study’’
Remove the figures. Notably the first figure is totally inappropriate.
Reproductive health and sexual exposure among homeless women – your ways of description
is not attractive. You used repeatedly approximately, and when did we used the term however?
Rewrite it. you stated that approximately one-fifth of the homeless women (46 [16.1%]) had
sexual exposure, did you mean currently? b/c u already mentioned that majority of them were
married and divorced? Specify it.
Factors associated with the utilization of modern contraceptives among homeless women –
please nake it short and clear. No need of writing your title here and there. See published articles.
Include in the table the P-value of the AOR
Use this brackt ( ) when you write the results and for the AOR and CI use the square brackt [ ]
Discussion
No need of repetdly mentoning the title
Your discussed with studies conducted only in Ethiopia, what about studies conducted in other
countries. I saw you mentioned studies conducted in UK and other countries in the introduction
section. Please make the discussion ection compherensive with studies conducted in Africa and
other countries.
The possible explanation have to be evidence based.
Conclusion
No need of mention the prevalence. You can conclude it by saying higher, lower or comparable
with the previous studies or based on its significance (its effect) to the health of study partcipants.
Your recommendation needs major revision – try to make it sound inorder to have impact to
avoid the sexual and reproductive health problems of your study target group.
Acknowledgments – you have to acknowledge School of Public Health at Adama Hospital and
Medical College, and Adama Town Mayor office
Ethics approval and consent to participate – you stated the following in your manuscript Written
informed consent was obtained from the homeless women after a clear explanation of the
purpose of the study in the language they understood. Informed consent was obtained from the
parents for participants below age 16. Does all of the homeless who are below 16 lives with
thire parent. I don’t think so? Please avoid laying, we all know the reality. Most of homeless
individual lives with their friends. So, you have to write the reality.
When you returen the revision you have to include your tools as a supplementary matarials