PONE-D-24-08229Integrated group antenatal and pediatric care in Haiti: A comprehensive care accompaniment modelPLOS ONE

Dear Dr. Casella Jean-Baptiste,

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Ochuwa Adiketu Babah, FWACS, FMCOG

Academic Editor

PLOS ONE

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Additional Editor Comments:

Dear Authors,

Thank you for submitting your manuscript to PLOS One. The review process has been completed. There are comments below for you to address, after wish a decision on the suitability of the manuscript for publication in PLOS One will be made.

Reviewer coments:

The authors sought to evaluate the impact of the J9 model of care on perinatal outcomes among women in Haiti by employing mixed methods.

Below are a few comments for authors to consider.

It seems there was a significant difference between the ages of cases and controls (p-0.001). Was matching done? If not, was it considered in the analysis as a confounder since this could impact on the outcome measure?

If the mean of ages was chosen as a measure of central tendency, then the standard deviation must be indicated and not the range. Did the data show a normal distribution? The authors should clarify. If not, the median (IQR) will be preferred to the mean.

Table 2. Authors should ensure all the variables with their respective totals are well tabulated including the responses under each category of the variable for consistency (e.g. Delivery type, preeclampsia/eclampsia, post-partum visit < 6 weeks, etc). This has been done in Table 3.

In the qualitative aspect of the study, the authors indicated only one FGD (with 8 participants) was used because of the inability to obtain consent from the other study participants involved in the other FGD undertaken. Was this challenge rather not a limitation in achieving saturation or did it have no impact on the outcome?

Language editing is required in the sentence at lines 437-439.

Best regards,

[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?

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Reviewer #1: Yes

Reviewer #2: Yes

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

Reviewer #1: Yes

Reviewer #2: Yes

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Reviewer #1: Yes

Reviewer #2: No

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Reviewer #1: Yes

Reviewer #2: Yes

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5. Review Comments to the Author

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Reviewer #1: Thank you for producing such a well dedicated and informative study ,i appreciated it especially regardind the methodology ,abstract ,i advise to continue further research to get more reproducible results.

Reviewer #2: The authors sought to evaluate the impact of the J9 model of care on perinatal outcomes among women in Haiti by employing mixed methods.

Below are a few comments for authors to consider.

It seems there was a significant difference between the ages of cases and controls (p-0.001). Was matching done? If not, was it considered in the analysis as a confounder since this could impact on the outcome measure?

If the mean of ages was chosen as a measure of central tendency, then the standard deviation must be indicated and not the range. Did the data show a normal distribution? The authors should clarify. If not, the median (IQR) will be preferred to the mean.

Table 2. Authors should ensure all the variables with their respective totals are well tabulated including the responses under each category of the variable for consistency (e.g. Delivery type, preeclampsia/eclampsia, post-partum visit < 6 weeks, etc). This has been done in Table 3.

In the qualitative aspect of the study, the authors indicated only one FGD (with 8 participants) was used because of the inability to obtain consent from the other study participants involved in the other FGD undertaken. Was this challenge rather not a limitation in achieving saturation or did it have no impact on the outcome?

Language editing is required in the sentence at lines 437-439,

**********

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Reviewer #1: No

Reviewer #2: No

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Integrated group antenatal and pediatric care in Haiti: A comprehensive care accompaniment model

PONE-D-24-08229R1

Dear Meredith Casella Jean-Baptiste,

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.

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Kind regards,

Ochuwa Adiketu Babah, FWACS, FMCOG

Academic Editor

PLOS ONE