Reviewer’s report
Title: 
Women’s empowerment and female genital mutilation intention for
daughters in Sierra Leone: a multilevel analysis
Version: 
0 
Date: 
28 Jul 2020
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BMC Women's Health Women
Manuscript Number: BMWH-D-20-00551 
Full Title: Women empowerment and female genital mutilation intention for
daughters in Sierra Leone: a multilevel analysis Article Type: Research article 
Generally 
The title reflects the study accurately. 
Subject it involves an important and exciting area of epidemiology 
The study is (Not Original), 
Edward Kwabena Ameyaw, Justice Kanor Tetteh, Ebenezer Kwesi Armah-
Ansah, Kofi Aduo-Adjei & Aisha Sena-Iddrisu Female genital mutilation/cutting
in Sierra Leone: are educated women intending to circumcise their daughters
Research article Open Access Published: 23 July 2020 
RESEARCH ARTICLE Kathryn M. Yount ,Yuk Fai Cheong,Rose Grace
Grose,Sarah R. Hayford
Community gender systems and a daughter's risk of female genital
mutilation/cutting: Multilevel findings OPEN ACCESS PEER-REVIEWED
from Egypt Published: March 6, 2020https://doi.org/10.1371/journal.
pone.0229917
The message of the study good and have additional knowledge to the medical
literature. 
Abstract 
The abstract reflects the research and very easy to understand. 
It is a good summary it is well written 
Some the text taken from the web 
The main aim of this study was to assess the association between women
empowerment and women's intention to have their daughters undergo FGM/C in
Sierra Leone. 
Introduction 
Background Female genital mutilation is common in Sierra Leone . 
As a result,
empowering women will provide protective benefits for women against FGM/C. 
Materials and Methods 
Methods Data for this study was extracted from the 2013 version of Sierra Leone
Demographic and Health Survey. 
A total sample of 7,706 women aged 15-49 were included for analysis. 
The prevalence of FGM/C intention was computed in frequencies and
percentages. 
Subsequently, three-level multi-level analyses were fitted to data to measure the
association between women empowerment, contextual factors and intention to
circumcise daughters. 
Results
A significantly high proportion among women who participated in labour force
indicated that they intend to circumcise their daughters (91%, CI=90.4-91.9). 
Similarly, women with high acceptance of wife beating also intended to
circumcise their daughters (94.9%, CI=93.8-95.8). 
High FGM/C intention was also noted among women having low decision-
making power (91.0%, CI=89.0-92.8). 
At multivariable analysis level, the odds of FGM/C intention were significantly
high among women who participated in labour force (aOR=2.5, CI=1.3-4.7)and
accepted wife beating (aOR=2.7, CI=1.7- 4.5). 
Conversely, the odds of FGM/C intention were significantly low among women
with high knowledge (aOR=0.4, CI=0.3-0.7) and women aged 45-49 years
(aOR=0.2, CI=0.0-0.6). 
4 tables clear illustrate the results 
Conclusion 
The study underscores the need to align anti-FGM/C policies to women who
have undergone the practice, those with low knowledge, women who support
wife beating and young women. Such interventions could highlight the adverse
implications of the act by stress
Very delicate and expected
References
Total 44 some are old before 2010 and some not (validated or not checked) 
The manuscript is written in simple (English language with few spelling and
grammar mistakes.) 
The statistical analysis is appropriate 
Methods: Data for this study was extraction 
The table 
number 4 illustrates the result 
Plagiarism .. There some sentence in the manuscript taken from the web 
No conflicts of interests 
Ethically approved 
It is a good study 
Well design 
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Is the study design appropriate to answer the research question (including the use
of appropriate controls), and are the conclusions supported by the evidence
presented?
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