Reviewer’s report
Title: 
Title: Knowledge, Attitudes, and Practices of Cervical Cancer Prevention
and Pap Smears in Two Low-Income Communities in Lima, Peru
Version: 
3 
Date: 
23 Jan 2021
Reviewer's report:
BMWH-D-18-00530R3
"Knowledge, Attitudes, and Practices of Cervical Cancer Prevention and Pap
Smears in Two Low-Income Communities in Lima, Peru"
General remarks
The authors performed a cross-sectional survey to assess knowledge, attitudes,
and practices regarding cervical cancer and its prevention in the peri-urban
communities of Oasis and Pampas in southern Lima, Peru that can be used to
inform future campaigns about cervical cancer prevention. Their study included
several open-ended questions, which were administered to women in Pampas
and Oasis between 2015 and 2016 to evaluate the knowledge, attitudes, and
practices regarding cervical cancer and Pap smears. In total, 224 women were
interviewed. Knowledge about cervical cancer and Pap smears was high, and
attitudes were predominantly positive among most participants. Most participants
knew how often they should get Pap smears (89.7%), when to begin seeking
screening (74.6%), knew the price of a Pap smear (61.9%), and felt Pap smears
were important for their health (70.1%). 
About one third (29.5%) of
premenopausal women reported receiving a Pap smear in the last year. 
Open
ended questions revealed underlying confusion around Pap smears, and low
confidence in the healthcare system. Authors concluded that although knowledge
of cervical cancer prevention was generally high among women in peri-urban
Peruvian communities, their findings also revealed a certain distrust in the
system and uncertainty about the processes of a cervical cancer prevention
program. Moreover, thair results suggest that, in these communities and others
like them, measurement instruments and health education campaigns should be
locally tailored to address these underlying concerns.
The topic is very interesting and could serve as a basis for further research. 
There are some corrections needed before the article is suitable for publication,
which are marked in the attached document.
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Is the study design appropriate to answer the research question (including the use
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