Title: Using human-centered design to co-design dedicated menstrual health spaces with people
who menstruate in Bidi Bidi refugee settlement, Uganda: Learnings for further adaptation and
scale in humanitarian settings
Version: 2 Date: 10 Feb 2023
Reviewer's report:
I want to thank the editors for allowing me to review this paper. I would also like to congratulate
the authors for choosing an important topic i.e., "Using human-centered design to co-design
dedicated menstrual health spaces with menstruators".  However, this is a good study and
deserves to be published, however, I have a few comments/suggestions/questions to improve
the paper.
We are moving away from the narrative of using the term "menstruators" to "individuals who
menstruate" (Babbar & Sivakami, 2023; Kumau et al., 2022; Martin et al., 2022).
Kamau, R., Martin, J. S., Calderón-Villarreal, A., & Jacobs, C. (2022). Inclusivity starts with
language. The Lancet, 399(10323), 434-435.
Martin, J., Babbar, K., & Maschette, U. (2022). Menstrual health for all requires wider high
level commitment. bmj, 378.
Babbar, K. & Sivakami, M. (2023). Promoting Menstrual Health: Towards Sexual and
Reproductive Health for All.ORF Issue Brief No. 613.
Abstract
You may want to change the term from products to period products. I was wondering was do
products mean.In the methods section, when you say menstruators, do you mean only the women
who menstruate or trans and non-individuals as well who menstruate?
Introduction
In the introduction section, you could talk about the COVID-19 lockdown and its impact on
period product distribution & consumption (Babbar, Rustagi & Dev, 2022; Babbar & Dev, 2021;
Garg et al., 2020; Sommer et al., 2022).
Babbar, K., Rustagi, N., & Dev, P. (2022). How COVID#19 lockdown has impacted the sanitary
pads distribution among adolescent girls and women in India. Journal of Social Issues.
Babbar, K., & Dev, P. (2021). Covid-19 and period products usage among menstruating women
in urban and rural India.
Garg, S. G., Alvi, R., Gupta, S., & Ahmad, A. (2020). Exploring college student's menstruation-
related difficulties during early COVID-19 lockdown period in North India. Journal of Public
Health and Primary Care, 1(1), 22.
Sommer, M., Phillips-Howard, P. A., Gruer, C., Schmitt, M. L., Nguyen, A. M., Berry, A., ... &
Maroko, A. R. (2022). Menstrual product insecurity resulting from COVID-19#related income
loss, United States, 2020. American Journal of Public Health, 112(4), 675-684.
I feel you can further motivate why there is a need to go beyond the provisioning of period
products (Martin et al., 2022). You can also argue on the need of managing menstruation
properly from the human rights perspective (Hennegan, 2017; Babbar et al., 2022), and the
pathway to fulfill SDGs (Sommer et al., 2021) .
Hennegan, J. M. (2017). Menstrual hygiene management and human rights: the case for an
evidence-based approach. Women's Reproductive Health, 4(3), 212-231.
Babbar, K., Martin, J., Ruiz, J., Parray, A. A., & Sommer, M. (2022). Menstrual health is a
public health and human rights issue. The Lancet Public Health, 7(1), e10-e11.
Sommer, M., Torondel, B., Hennegan, J., Phillips-Howard, P. A., Mahon, T., Motivans, A., ...
& Monitoring Menstrual Health and Hygiene Group. (2021). How addressing menstrual health
and hygiene may enable progress across the Sustainable Development Goals. Global health
action, 14(1), 1920315.
Martin, J., Babbar, K., & Maschette, U. (2022). Menstrual health for all requires wider high
level commitment. bmj, 378.
Line 111-119: Needs to be moved to the method section.
I would suggest ending the introduction with the purpose of why do we need to conduct this
study. Would suggest the authors to re-arrange the introduction section for easier readability of
the authors. 
Methods
Was the literature review considered according to the PRISMA guidelines? If yes, then, please
include it with the revision. Please look at the below-mentioned link for more information on it.
https://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42014010631
Line 195: How do you identify the promising concepts?
Line 215-220: On what basis are these three criteria chosen?
Results
In the background research section, how many studies did you identify? Out of them, how many
were left after inclusion/exclusion criteria? Please provide other details. 
Discussion
I do not feel that there is a significant novel contribution to the data shown at present, or the
novelty is not clearly stipulated. I would suggest adding more info on how are you expanding
the existing literature.