Peer Review History

Original SubmissionJanuary 19, 2021
Decision Letter - Mary Hamer Hodges, Editor

PONE-D-21-02016

Challenges in access and satisfaction with reproductive, maternal, newborn and child health services in Nigeria during the COVID-19 pandemic: A cross-sectional survey

PLOS ONE

Dear Dr. Balogun,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by May 14 2021 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

  • A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.
  • A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.
  • An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols.

We look forward to receiving your revised manuscript.

Kind regards,

Mary Hamer Hodges, MBBS MRCP DSc

Academic Editor

PLOS ONE

Journal Requirements:

Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice.

When submitting your revision, we need you to address these additional requirements.

1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at

https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and

https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf

2. Please include additional information regarding the survey or questionnaire used in the study and ensure that you have provided sufficient details that others could replicate the analyses. For instance, if you developed a questionnaire as part of this study and it is not under a copyright more restrictive than CC-BY, please include a copy, in both the original language and English, as Supporting Information. Moreover, please include more details on how the questionnaire was pre-tested, and whether it was validated.

3. Please provide additional details regarding participant consent. In the ethics statement in the Methods and online submission information, please ensure that you have specified why  verbal consent was chosen, and how it was  documented and witnessed.

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

**********

2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

**********

3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

**********

4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

**********

5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: I read with interest the paper by Balogun et al that assessed the challenges faced by women who used RMNCH services in Nigeria’s epicentre and women’s satisfaction with care received during the COVID-19 pandemic. The methodology and the results of the paper are in in general appropriate for answering the research question. I have some comments for the scientific writing. Comments are attached below:

•Objective— The current objectives of the article cannot capture some of the main results in the article. For example, the analysis of the relationship between personal characteristics and “client satisfaction” is a main result reported. We cannot see from the objective that the authors intended to answer such question

•Method —the authors are recommended to define RMNCH services (line 117) in this study and give examples.

•Results —Authors need to make the digits of numbers consistent as well. For example, table 1, 3 have one decimal place for the numbers, whilst table 2 and 4 have two decimal places. The p values also need to be consistent in digits.

•Conclusion-The authors concluded that the overall satisfaction with care was fairly high. This is a cross-sectional study, so before and after comparison is not possible. The authors need to consider using benchmarks to support their interpretation. As the authors stated that they used a “validated tool” in this study, evidence from previous studies using the same tool could be brought in to make comparison.

•Authors should try to use consistent terminology throughout the document. Is there a difference between patient satisfaction (page 3) and client satisfaction (introduction and main text)? if not, sticking to one term is recommended.

Reviewer #2: This is a well written and interesting study. It is very clearly presented and has thorough and logical discussion and conclusion sections. It will certainly add to the knowledge about services provided during Covid-19. There are a few minor edits suggested in the attachment. The limitation of the study being conducted in Lagos, which has generally higher standards of delivery and health outcomes than other parts of Nigeria, is well noted.

**********

6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: Yes: Paula Quigley

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

Attachments
Attachment
Submitted filename: PONE-D-21-02016_reviewer-1.pdf
Revision 1

REVIEWER 1

Comment #1:

Objective— The current objectives of the article cannot capture some of the main results in the article. For example, the analysis of the relationship between personal characteristics and “client satisfaction” is a main result reported. We cannot see from the objective that the authors intended to answer such question.

Response: Thank you for the careful read of our paper and for such insightful comments. We have edited the objective in the abstract, introduction and discussion to read “The objective of this study was to understand the challenges faced by women who used RMNCH services in Lagos, Nigeria, their satisfaction with care received during the COVID-19 pandemic and the factors associated with their satisfaction.”

Comment #2:

Method —the authors are recommended to define RMNCH services (line 117) in this study and give examples.

Response: This has been defined and examples of RMNCH services provided across the levels of care have been stated in lines 119 – 127.

Comment #3:

Results —Authors need to make the digits of numbers consistent as well. For example, table 1, 3 have one decimal place for the numbers, whilst table 2 and 4 have two decimal places. The p values also need to be consistent in digits.

Response: Thanks for this comment. We have made all numbers in the results two decimal places. The p- values are consistently three decimal places.

Comment #4:

Conclusion-The authors concluded that the overall satisfaction with care was fairly high. This is a cross-sectional study, so before and after comparison is not possible. The authors need to consider using benchmarks to support their interpretation. As the authors stated that they used a “validated tool” in this study, evidence from previous studies using the same tool could be brought in to make comparison.

Response: We have highlighted that the overall satisfaction score was over 70% and compared it to another study that used the same sub-scales in lines 334-335. We used just one other study for comparison because other studies that used the same tool presented scores for the sub-scales but did not present the overall scores. Those other studies mentioned are:

• Devkota HR, Clarke A, Murray E, Groce N. Do experiences and perceptions about quality of care differ among social groups in Nepal? : A study of maternal healthcare experiences of women with and without disabilities, and Dalit and non-Dalit women. PLoS One. 2017 Dec 19;12(12):e0188554. doi: 10.1371/journal.pone.0188554. PMID: 29261691; PMCID: PMC5736179.

• Erchafo B, Alaro T, Tsega G, Adamu A, Yitbarek K, Siraneh Y, Hailu M, Woldie M. Are we too far from being client centered? PLoS One. 2018 Oct 15;13(10):e0205681. doi: 10.1371/journal.pone.0205681. PMID: 30321212; PMCID: PMC6188795.

Comment #5:

Authors should try to use consistent terminology throughout the document. Is there a difference between patient satisfaction (page 3) and client satisfaction (introduction and main text)? if not, sticking to one term is recommended.

Response: Thank you for drawing our attention to this inconsistency. We have changed patient satisfaction to client satisfaction in the places where it occurs.

REVIEWER 2

This is a well written and interesting study. It is very clearly presented and has thorough and logical discussion and conclusion sections. It will certainly add to the knowledge about services provided during Covid-19. There are a few minor edits suggested in the attachment. The limitation of the study being conducted in Lagos, which has generally higher standards of delivery and health outcomes than other parts of Nigeria, is well noted.

Response: Thank you for your kind comments. We have included the corrections in the attachment in the revised manuscript.

Decision Letter - Mary Hamer Hodges, Editor

Challenges in access and satisfaction with reproductive, maternal, newborn and child health services in Nigeria during the COVID-19 pandemic: A cross-sectional survey

PONE-D-21-02016R1

Dear Dr. %Mobolanle Balogun%,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Mary Hamer Hodges, MBBS MRCP DSc

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

Reviewer #2: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: (No Response)

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: (No Response)

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: (No Response)

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: (No Response)

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: (No Response)

Reviewer #2: (No Response)

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: Yes: Paula Quigley

Formally Accepted
Acceptance Letter - Mary Hamer Hodges, Editor

PONE-D-21-02016R1

Challenges in access and satisfaction with reproductive, maternal, newborn and child health services in Nigeria during the COVID-19 pandemic: A cross-sectional survey

Dear Dr. Balogun:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

If we can help with anything else, please email us at plosone@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Mary Hamer Hodges

Academic Editor

PLOS ONE

Open letter on the publication of peer review reports

PLOS recognizes the benefits of transparency in the peer review process. Therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. Reviewers remain anonymous, unless they choose to reveal their names.

We encourage other journals to join us in this initiative. We hope that our action inspires the community, including researchers, research funders, and research institutions, to recognize the benefits of published peer review reports for all parts of the research system.

Learn more at ASAPbio .