Reviewer ’s report  
 
Title: “Regardless, you are not the first woman”: An illustrative case study of contextual risk 
factors impacting sexual and reproductive health and rights in Nicaragua  
 
Version: 1 Date: 03 Aug 2018  
 
Reviewer: Brianna Ma gnusson  
 
Reviewer's report:  
 
Overall the manuscript is well written. I do have a questions though:  
1) If you conducted 10 interviews, why only report on 1?  I can understand that perhaps Ana -
Maria's story is the most dramatic of the bunch, but isn't there something to be learne d from the 
others?  
 
Comments:  
1) In the abstract you list as the aim "to understand young women's personal experiences of 
unintended pregnancy". I think this was the aim of the overall study, but does not seem to 
reflect the manuscript in it's current stat e.  
 
2) I wonder if the use of the word "state" is the right one.  I believe you mean countries and 
perhaps state is an acceptable synonym, but not one I see often.  
Are the methods appropriate and well described?  
If not, please specify what is r equired 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.  
 
No 
  
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 specify what aspects req uire 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  
Please complete a declaration of co mpeting interests, considering the following questions:  
 
1. Have you in the past five years received reimbursements, fees, funding, or salary from an  
organisation that may in any way gain or lose financially from the publication of this  
manuscript, either n ow or in the future?  
 
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose  
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents rela ting to the content of the  
manuscript?  
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds  or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interest s? 
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
If you can answer no to all of the above, write 'I declare that I have no competing interests' 
below.  If your reply is yes to any, please give details below.  
 
I declare that I have no competing interests.  
 
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on my report to the authors and, if the manuscript is accepted for publication, my named report  
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I agree to the open peer review policy of the journal