Reviewer’s report
Title: 
Quality of life and associated factors among women with obstetric fistula
in Ethiopia
Version: 
1 
Date: 
07 Apr 2021
Reviewer's report:
Dear author,
Congratulation on your manuscript! It seemed that this manuscript has been
improvised. However I found that there are still rooms for improvement.
Kindly refer to the suggestions below:
Abstract:
- Background: It would be advisable to include some brief information about
obstetric fistula, the outcomes of it and how it could affect quality of life.
- Recommendation: Author could provide more applicable recommendations
such as preventive measures (short term: to increase health education, long term:
policy changes)
Methods:
- Author stated that he/ she translated the English questionnaires into native
languages. Please provide some evidence of validation study done on calibrating
the translated questionnaire (e.g. Cronbach's alpha or ICC).
Results:
-Tables: some information can be simplified by describing it in the table
footnote.
- Description of results (simple linear regression) can be improved by providing
them in a table side by side with the multiple linear regression according to each
questionnaire.
Discussion:
Author could also provide some evidence from other studies so that the readers
have better ideas on how large is the problem found in other studies.
Recommendation:
Author should focus on preventive measures more than treating the outcomes.
Preventive measures could be seen in short term as well as long term measures.
This hope to provide more insight to the paper.
General comments:
Please check spelling and punctuation.
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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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