Submited on: 10 Nov 2010 01:28:38 PM GMT
Published on: 10 Nov 2010 07:03:25 PM GMT
Review of Medical Relief Services in Rural Honduras
Posted by Dr. Reynolds GL on 01 Jun 2011 11:03:34 PM GMT

1 Is the subject of the article within the scope of the subject category? Yes
2 Are the interpretations / conclusions sound and justified by the data? Yes
3 Is this a new and original contribution? Yes
4 Does this paper exemplify an awareness of other research on the topic? No
5 Are structure and length satisfactory? Yes
6 Can you suggest brief additions or amendments or an introductory statement that will increase the value of this paper for an international audience? Yes
7 Can you suggest any reductions in the paper, or deletions of parts? No
8 Is the quality of the diction satisfactory? Yes
9 Are the illustrations and tables necessary and acceptable? Yes
10 Are the references adequate and are they all necessary? Yes
11 Are the keywords and abstract or summary informative? Yes
  • Other Comments:

    This reviewer was puzzled by the lack of any information regarding the needs for prenatal care among the rural Hondurans that were the focus of the research.  The mean age of the patient population was noted to be 40 for the women, but this does suggest that there were younger participants.  Were the two clinics surveyed known locally as being for general medical needs with a separate and different (unsurveyed) clinic being known locally as the prenatal clinic?  This needs to be made clearer.


    The methods with respect to how the 2008-2009 needs assessment information was reconciled to the 2010 AHI database are only sketchily described.  In terms of cross referencing the diagnostic categories, were mutliple individual used to cross-validate this cross-referencing?  Was a random sample drawn to determine that the cross-referencing categories used were checked for inter-rater reliability?  If only one or two individuals were involved in this cross-referencing then this is a potential limitation of the research.  Inter-rater reliability of this cross-referencing and coding could have been done and Kappa statistics of inter-reliability reported.

  • Competing interests:
  • Invited by the author to review this article? :
  • Have you previously published on this or a similar topic?:
  • References:
  • Experience and credentials in the specific area of science:

    I have experience in maternal child and family health (hence the comments about the prenatal clinics) as well as experience with psychometrics and measurement (inter-rater reliability) as well as community-based research and program evaluation.

  • How to cite:  GL R .Review of Medical Relief Services in Rural Honduras[Review of the article 'Medical Relief Services In Rural Honduras: An Assessment Of Healthcare Needs And Delivery With A Comparison Of Two Neighboring Communities ' by Bearman G].WebmedCentral 2011;2(6):WMCRW00794
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