AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2578-8965/274
Department of Community Medicine, Enugu State University College of Medicine, Parklane, Enugu, Nigeria.
*Corresponding Author: Okechukwu Chime Ogbodo, Department of Community Medicine, Enugu State University College of Medicine, Parklane, Enugu, Nigeria.
Citation: Okechukwu C. Ogbodo, Edmund. Ossai, (2025), Maternal Health Service - Experiences of Mothers in Urban and Rural Areas of Enugu State, South East Nigeria, J. Obstetrics Gynecology and Reproductive Sciences, 9(5) DOI:10.31579/2578-8965/274
Copyright: © 2025, Okechukwu Chime Ogbodo. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 23 June 2025 | Accepted: 24 July 2025 | Published: 04 August 2025
Keywords: maternal health service; experiences; quality of health care; satisfactory; enugu state
Introduction: Every day in 2023, over 700 women died from preventable causes related to pregnancy and childbirth. 99% of these deaths are preventable. Reducing these deaths will require an understanding of past experiences of mothers utilizing maternal health services.
Objective: To determine and compare experiences of mothers in urban and rural areas of Enugu State, South East, Nigeria, regarding maternal health services.
Methodology: This study was a cross sectional, community-based comparative study that assessed and compared the maternal health service experiences of mothers in urban and rural areas of Enugu State, South East, Nigeria. The data was analysed using Chi-square test of significance, Student t-test, Bi-variant, and logistic regression, at 95% confidence interval, and P-value was set at 0.05.
Results: Most of the mothers in urban (85%) and rural (72%) were more than 25 years of age. Mothers in both locations had satisfactory overall maternal health service experience (59.2% to 93.4%), but more mothers in urban areas had satisfactory overall service experience than mothers in rural areas.
Conclusion And Recommendations: Maternal experiences were satisfactory in urban and rural areas, but more respondents in urban areas had satisfactory experience than those in the rural areas. Therefore, there should be an improvement of the health system. This will enable provision of user-friendly maternal health services especially in the rural areas, which will improve the quality and delivery of maternal care and ensure sustainable evidence based maternal health service delivery.
Maternal health service aims to reduce maternal morbidity and mortality to the barest minimum.[1] From a broader perspective, maternal health service (MHS) encompasses premarital/pre-conceptual/adolescent care (PMC), antenatal care (ANC), natal care (NC), and postnatal care (PNC).1 Globally, every day in 2023, over 700 women died from preventable causes related to pregnancy and childbirth.2 99% of these deaths are preventable.[2 ]For every 1,000 live births in Nigeria during the 7 years before the 2018 Nigeria Demographic Health Survey, approximately five women died during pregnancy, during childbirth, or within 2 months after childbirth.[3] Experience of care with respect to a mother can be viewed from different perspectives.[4,5,6] Her contact and interaction with the staff providing care is referred to as relational aspect of experience,4 while her association with the processes that enable care is referred to as functional aspect of experience.[4 ]
However, a mother’s maternal experience regarding maternal health service is associated with the determinants of process of care such as the general cleanliness,4 and her contact with a competent staff and the interpersonal relationship between her and the staff for the purpose of determining the diagnosis and preferences of treatment.[5,6] Other determinants of process of care include, the support she receives before pregnancy, during pregnancy, during labour and after delivery,[7] and the respect she receives during her contact with the facility.[8] What the mothers are required to experience regarding maternal health service are also as contained in World Health Organisation (WHO) Safe motherhood Scheme (SMS) needs guideline,[9] National Primary Health Care Agency recommendations,10 and the WHO Recommendation on Antenatal care for positive pregnancy experience.[11 ]
Methodology:
The study area Enugu State is in South East geo-political zone of Nigeria. The State is located between latitude 6o 30' N and longitude 7o 30' E within an area of 7,161 square kilometres. Approximately 70% of the inhabitants live in the rural areas of the state. The estimated population of Enugu State based on the 2006 Nigeria’s census, and a growth rate of 2.33% is 4,411,100.3 Females constitute 50.1% of the population of Enugu State, while women of reproductive age (15 to 49 years) constitute 26% of her population.
Study Design: The study was a community-based comparative, cross sectional study.
Study Population: The study population was mothers in the study area who have parity one or more.
Sample Size Determination: The sample size was determined using the formula for group comparative study.12 The total number of participants was 1,681 (841 from urban areas, and 840 from rural areas).
Sampling technique: Multistage sampling technique was used to select the participants. All the four urban Local Government Areas of the State were selected in the first stage, and four Local Government Areas were selected from the thirteen rural Local Government Areas using simple random sampling technique by balloting method. In the second stage, two wards were selected from each of the four urban Local Government Areas using simple random sampling technique by balloting method. Also, two wards were selected from each of the four selected rural Local Government Areas using simple random sampling technique of balloting method. In the third stage, two communities were selected from each of the selected wards in the urban and rural areas. In the fourth stage, one village/settlement was selected from each selected community was by simple random sampling technique by balloting method. All houses in the selected villages/settlements were included in this study. All households in these houses were included in this study. Mothers that met the study inclusion criteria living in these households were eligible for this study. The consenting mothers that met the inclusion criteria were selected until the sample sizes for the urban and rural areas were met.
Study Instruments: This was a pretested, semi-structured, and interviewer administered questionnaire adapted from sections of Nigeria’s National Primary Health Care Development Agency (NPHCDA) Primary Health Care Facility Quality Assessment- Schedule D; WHO Safe Motherhood Needs Assessment Package version 1.1- 2001 (revised edition),13 and Part IV- Surveyor’s Manual using the antenatal client exit interview and postpartum client exit interview guides.
Outcome Measures: The scoring system was adjusted to reflect mothers’ responses. A score of one was recorded when the response is correct and a score of zero was recorded when the response is incorrect. For the mothers’ maternal health experiences, depending on the service, a score of thirty nine and below (≤39) was considered not satisfactory or inadequate, a score of forty to fifty nine (40-59) was considered fairly satisfactory or moderately adequate, and a score of sixty and above (≥60) was considered satisfactory or adequate.
Statistical Analysis: Data was collected and edited manually same day to detect omissions and to maintain uniform coding. SPSS (Statistical Package for Social Sciences) version 25 was used for data entry and analysis. Analysis was done using generated tables, ratios, frequency, percentage calculations and cross tabulations. Chi-square test of significance, student t-test, Bi-variant, multivariant analysis using logistic regression were used in the analysis of data at 95% confidence interval. P-value was set at 0.05. The mean scores of the mothers in the urban areas and those mothers in the rural areas regarding their maternal health service expectations were compared using the student t test. The proportion of mothers in urban areas and those in rural areas whose mean scores corresponds to inadequate/not satisfactory, moderately adequate/fairly satisfactory, and adequate/satisfactory experiences was compared using the chi square test. Logistic regression models were fitted for the urban and rural areas combined, and separately for the urban and rural study areas. Results were reported using Odds ratio, at 95% Confidence Interval and the level of significance was set at <0.05.
Ethical Considerations:
Ethical approval and informed consent process for the study was granted by Enugu State University Teaching Hospital ethical committee. The research was conducted in accordance with the relevant guidelines and regulations as contained in the ethical and informed process obtained from Enugu State University Teaching Hospital ethical committee. All information from this study was confidential and no individual who participated in this study was linked to any information. The respondents were given the opportunity to withdraw from the study at any time during the study without any consequences to them.
Limitations: This study was a cross-sectional study and did not draw conclusions about causality.
This study involved a total of 1,681 mothers, 841 of the mothers were in urban areas, while 840 of the mothers were in rural areas.
Variables | Location | Total | Chi-square (p-value) | |
Age of clients Mean ±SD Age group in years 16-20 21-25 26-30 31 and above Tribe Ibo Yoruba Hausa Others Religion Christianity Islam African Traditional Religion Others Level of education (Respondents) None Primary Secondary Post Secondary
| Urban n= 841 (%) | Rural n=840 (%) |
90(5.4) 271(16.1) 608(36.2) 712(42.4)
1665(99.0) 5(0.3) 7(0.4) 4(0.2)
1658(98.6) 7(0.4) 16(1.0) -
70(4.2) 315(18.7) 937(55.7) 359(21.4)
|
0.183*(0.855)
72.684(0.000)
0.015
0.001f
322.608(0.001)
|
30.7 ±5.8
15(1.8) 111(13.2) 364(43.3) 351(41.7)
827(98.3) 4(0.5) 6(0.5) 4(0.5)
832(98.9) 7(0.8) 2(0.2) -
6(0.7) 68(8.1) 463(55.1) 304(36.1)
|
30.7 ±7.8
75(8.9) 160(8.9) 244(29.0) 361(43.0)
838(99.8) 1(0.1) 1(0.1) 0(0)
826(98.3) 0(0) 14(1.7) -
64(7.6) 247(29.4) 474(56.4) 55(6.5)
|
Table 1a: Socio-demographic characteristics of respondents
*Student t test
Majority (85%) of the respondents in urban areas, and rural areas (72%) were more than 25 years of age). The highest proportion of the respondents in the urban areas were in the age group 26-30 years (43.3%), while the highest proportion of respondents in the rural areas were in the 31 years and above age group (43%). The proportion of the mothers in the urban areas who had post-secondary school education was 36.1%, while the proportion in the rural areas was 6.5%. The proportion of mothers who did not study further after primary school in the urban areas was 8.1% as against 29.4% of those in the rural areas. However, majority of the mothers (55.7%) in the two areas (55.1% of those in urban areas and 56.4% of those in rural areas) stopped their education after completing secondary school education.
Variables | Location | Total | Chi-square (p-value) | |
Number of pregnancy Mean ±SD One Two –five Six and above | Urban n= 841 (%) | Rural n=840 (%) |
315(18.7) 1148(68.3) 218(13.0)
|
-8.898*(0.000) 71.709(0.000)
|
2.9 ±1.6 188(22.4) 600(71.3) 53(6.3) |
3.7 ±2.1 127(15.1) 548(65.2) 165(19.6) | |||
Number of living children Mean ±SD No Living child One child Two –five children Six and above |
2.7 ±1.5 9(1.1) 213(25.3) 582(69.2) 37(4.4) |
3.3 ±1.9 10(1.2) 149(17.7) 567(67.5) 114(13.6) |
19(1.1) 362(21.5) 1149(68.4) 151(9.0)
|
-7.919*(0.000) 50.828(0.000)
|
Table 1b: Socio-demographic characteristics of respondents continues
*Student t test
Urban mothers average number of pregnancies was 2.9 pregnancies, while those in the rural area had 3.7 pregnancies. Mothers in the rural areas (13.6%) had more than five children when compared with those in the urban areas (4.4%). The mothers in urban areas had an average of 2.7 children, while their counterparts in the rural areas had 3.3 children.
Variables | Location | Total | Chi-square (p-value) | |
Facility used for maternal health service Health Post Health Centre Comprehensive hospital District/Specialist hospital Tertiary/Teaching hospital Private Facility Traditional Birth Attendant Church Spiritual home Home | Urban n= 841 (%) | Rural n=840 (%) |
58(3.5) 645(38.4) 9(0.5) 29(1.7) 56(3.3) 609(36.2) 245(14.6) 2(0.1) 4(0.2) 11(0.7) |
|
38(4.5) 188(22.4) 3(0.4) 13(1.5) 37(4.4) 450(53.5) 98(11.7) 2(0.2) 3(0.4) 5(0.6) |
20(2.4) 457(54.4) 6(0.7) 16(1.9) 19(2.3) 159(18.9) 147(17.5) 0(0) 1(0.1) 6(0.7) | |||
Means of transportation Walk Taxi/bus Motorcycle/Tricycle Personal vehicle Others |
286(34.0) 390(46.4) 116(13.8) 47(5.6) 2(0.2) |
494(58.8) 176(21.0) 125(14.9) 39(4.6) 6(0.7) |
780(46.4) 566(33.7) 241(14.3) 86(5.1) 8(0.5) |
0.000f |
Table 2: Respondents access to facility for maternal health service
Mothers (54.4%) in the rural areas used health centre as their facility for maternal health care, when compared with their urban counterparts (22.4%). 53.5% of the women in the urban area sought their maternal health care services at private health facilities while the proportion in the rural area was 18.9%. Mothers in both locations also patronize patronized traditional birth attendants - 11.7% in urban areas and 17.5% in rural areas. The result also showed that there were more women in the rural area (58.8%) who trekked/walked to the health facility when compared with those in the urban area (34%). Majority of the mothers in urban areas (46.4%) went to the health facility by taxi/bus when compared with the rural respondents (21%).
Variables | Location | Total | Chi-square (p-value) | |
First ANC Health talk Not Satisfactory Fairly Satisfactory Satisfactory First ANC consultation with staff Not Satisfactory Fairly Satisfactory Satisfactory Investigations done on first ANC visit Inadequate Moderately adequate Adequate Treatment/drugs received at first ANC Inadequate moderately adequate Adequate Subsequent antenatal visits Not Satisfactory Fairly Satisfactory Satisfactory | Urban n= 841(%) | Rural n=840 (%) |
97(5.8) 111(6.6) 1473(87.6)
183(10.9) 703(41.8) 795(47.3)
1263(75.1) - 418(24.9)
254(15.1) 234(13.9) 1193(71.0)
215(12.8) 318(18.9) 1148(68.3) |
61.228(0.000)
504(0.000)
25.649(0.000)
129.025(0.000)
145.440(0.000)
|
29(3.4) 23(2.7) 789(93.8)
24(2.9) 192(22.8) 625(74.3)
587(69.8) - 254(30.2)
208(24.7) 123(14.6) 510(60.6)
5(3.0) 176(20.9) 640(76.1) |
68(8.1) 88(10.5) 684(81.4)
159(18.9) 511(60.8) 170(20.2)
676(80.5) - 164(19.5)
46(5.5) 111(13.2) 683(81.3)
190(22.6) 142(16.9) 508(60.5) |
Table 3: Maternal experiences of the respondents during antenatal care (ANC) visits
Majority of the mothers in both locations (urban-93.8%, rural-81.4%) had satisfactory experience regarding health talk received during first ANC visit. As regards consultation with staff at first ANC visit, 74.3% of women in urban and 20.2% of those in the rural areas had satisfactory experience.
However, 60.8% of women in the rural areas had fairly satisfactory experience during their consultation with staff, as against 22.8% of women in the urban areas. Only 30.2% and 19.5% of women in urban and rural areas respectively performed adequate investigations. A higher proportion of women in the rural areas (81.3%) received adequate treatment/drugs at their first ANC visit when compared with women in the urban areas (60.6%). Also, more mothers in urban areas had inadequate treatment/drugs experience during their first ANC visit than their rural counterparts (urban-24.7%, rural-5.5%). Majority of the respondents (urban-76.1%, rural-60.5%) had satisfactory experience during subsequent ANC visits, but the experience of 22.6% of those in the rural areas was not satisfactory. Also, 20.9% of women in urban areas, and 16.9% of those in the rural areas had fairly satisfactory experience during their subsequent ANC visits.
Variables | Location | Total | Chi-square (p-value) | |
Examinations performed by staff Not Satisfactory Fairly Satisfactory Satisfactory Investigations done Inadequate moderately adequate Adequate Treatments received Inadequate moderately adequate Adequate Support received Not Satisfactory Fairly Satisfactory Satisfactory | Urban n= 841(%) | Rural n=840 (%) |
554(33.0) 210(12.5) 917(54.6)
1530(91.0) 119(7.1) 32(1.9)
1171(69.7) 461(27.4) 49(2.9)
84(5.0) 246(29.3) 542(64.5) |
226.011(0.000)
31.604(0.000)
0.830(0.660)
96.524(0.000) |
161(19.1) 68(8.1) 612(72.8)
795(94.5) 30(3.6) 16(1.9)
579(68.8) 235(27.9) 27(3.2)
32(3.8) 94(11.2) 715(85.0) |
393(46.8) 142(16.9) 305(36.3)
735(87.5) 89(10.6) 16(1.9)
592(70.5) 226(26.9) 22(2.6)
52(6.2) 246(29.3) 542(64.5) |
Table 4: Experiences of respondents during labour
The experiences of majority of the mothers in urban areas (72.8%) regarding examinations performed by staff during labour were satisfactory when compared with women in the rural areas (36.3%). Examinations performed on 46.8% of mothers in the rural areas, and 19.1% of their counterparts in the urban areas were not satisfactory. Also, examinations performed on 8.1% of women in urban areas, and 16.9% of those in the rural areas were fairly satisfactory. These results were statistically significant. Investigations done on majority of women in urban (94.5%) and rural (87.5%) areas during labour were inadequate, and this result was statistically significant. Treatments received by majority of the respondents (urban-68.8%, rural-70.5%) during labour were inadequate and almost same, but the result was not statistically significant. Also, relatively similar proportion of the respondents in the two locations (urban-27.9%, rural-26.9%) received moderately adequate treatment, but the result was not statistically significant. Eighty five percent (85%) of women in the urban areas, and 64.5% of their counterparts in the rural areas received satisfactory support during labour. Only 3.8% of women in the urban areas, and 6.2% of women in the rural areas received support that is not satisfactory, while 11.2% of the respondents in urban areas, and 29.3% of their rural counterparts received fairly satisfactory support.
Variables | Location | Total | Chi-square (p-value) | |
Health talk Not Satisfactory Fairly Satisfactory Satisfactory Procedures performed Not Satisfactory Fairly Satisfactory Satisfactory Investigations done Inadequate moderately adequate Adequate Treatment received Inadequate moderately adequate Adequate | Urban n=841 (%) | Rural n=840 (%) |
222(13.2) 308(18.3) 1151(68.5)
866(51.5) 567(33.7) 248(14.8)
1402(83.4) 238(14.2) 41(2.4)
977(58.1) 552(32.8) 152(9.0) |
126.341(0.000)
110.280(0.000)
212.317(0.000)
54.705(0.000) |
44(5.2) 213(25.3) 584(69.4)
343(40.8) 384(45.7) 114(13.6)
795(94.5) 16(1.9) 47(5.6)
414(49.2) 334(39.7) 93(11.1) |
178(21.2) 95(11.3) 567(67.5)
523(62.3) 183(21.8) 134(16.0)
614(73.1) 225(26.8) 11(1.3)
563(67.0) 218(26.0) 59(7.0) |
Table 5: Maternal experiences during post-natal care service
Majority of the mothers in both locations (urban-69.4%, rural-67.5%) received satisfactory health talk during their post natal visits. However, the health talks received by 21.2% of mothers in the rural areas and 5.2% of women in urban areas were not satisfactory. A higher proportion of women in urban areas (25.3%) received fairly satisfactory health talk, as against 11.2% of those in the rural areas. These results were statistically significant. Procedures performed on the women were satisfactory in 13.6%, and 16.0% of those in urban and rural areas respectively. Majority of the women in urban areas (45.7%) had fairly satisfactory procedures performed on them during post natal visits (rural-21.8%). Procedures performed on 62.3% of women in the rural areas, and 40.8% of their counterparts in the urban areas were not satisfactory. As regards investigations done during post natal visits, 94.5% of women in the urban areas, and 73.1% of women in the rural areas received inadequate investigations. Investigations done were moderately adequate for 1.9% of the respondents in the urban areas, and 26.8% of the respondents in the rural areas. Small proportion of the women (urban-5.6%, rural-1.3%) was adequately investigated. Majority of the women in both locations (58.1%) received inadequate treatment during post natal care visits (urban-49.2%, rural-67.0%). More women in the urban areas (39.7%) received moderately adequate treatment than those in the rural areas (26.0%). The treatment received by 11.1% of women in the urban areas, and 7.0% of women in the rural areas was adequate. These results were statistically significant.
The mean age of the respondents in both locations was 30.7 years. Similarity in the mean age of the two groups could be attributed to the fact that the mothers in both locations may have started childbearing at the same age. This mean age of the respondents was similar to the mean age (30.4 years) of women that participated in a study to determine the determinants of antenatal and delivery care utilization in Tigray region, Ethiopia.[14] Women clients that were assessed to determine their perception of antenatal care services at primary Health centres in an urban area of Lagos, Nigeria also had similar mean age (30.68).[15] However, the mean age was higher than the mean ages of women (urban=27.9±5.5 years, rural=26.2± 5.7 years) in a similar study done in 2014 in Enugu State, Nigeria.[16 ]
More mothers in the rural areas (13.6%) had more than five children when compared with those in the urban areas (4.4%). This could be attributed to the fact that in Nigeria only nine percent of women in rural areas use contraceptive methods when compared with twenty seven percent of mothers in the urban areas that use contraceptive methods.[17] This study showed a significant difference in the educational attainment of the respondents in the two locations. More mothers in the urban areas (36.1%) had post-secondary school education when compared to their counterparts in the rural areas (6.5%), however it should be noted that the literacy level in Nigeria is higher in the urban than in the rural areas as observed by the NDHS 2013.[17]
As regards the overall general services given at the facilities, more mothers in urban areas had satisfactory experience than women in the rural areas. However, more mothers in the rural areas had fairly satisfactory experience in all aspects of overall general services when compared with their counterparts in the urban areas. A higher proportion of mothers in urban areas (85.7%) had satisfactory experience with the general condition of the facility when compared with women in the rural areas (30.6%). In Nigeria, urban health centres are cleaner than rural health centres. Similarly, significant proportion of similar respondents in urban and rural areas of Belgium,18 and Australia,19,20 found the environment and clinics clean and tidy. In contrast, mothers in Vietnam,21 India,22 Saudi Arabia,23 Malawi,24 Ghana,25 and Nigeria, 26 observed that the facilities were dirty or untidy. In Nnewi, South East, Nigeria, most women perceived that the health facilities had a good appearance, and were in fair condition.27 However, an evaluation of PHC in Nigeria observed that the PHC facilities were dilapidated with little or no evidence of maintenance or repair.28
Majority of the mothers in urban (97.7%), and rural (86.5%) areas had satisfactory experience with the overall treatment they received. This is similar to the overall findings in a similar study in Enugu,16 regarding the different treatments received. This could be attributed to the availability of the drugs in the health facilities in Enugu State, and Enugu State campaign on malaria prevention for pregnant women. More women in urban (92.5%), and rural (81.8%) areas had satisfactory experience with the attitude of the staff. Similarly, a high proportion of women in the urban (98.3%) and rural (88.5%) areas had satisfactory experience as regards the decision support they received from the staff. These satisfactory experiences could also be as a result of the recent efforts by Enugu State government to equip health facilities, and increase the number, training and supervision of health care workers, especially in the rural areas. Most women (urban-93.8%, rural-81.4%) had satisfactory experience regarding health talk received during first ANC visit. Similarly, very high proportions of women in urban (91.8%), and rural (94.1%) areas that participated in a facility based study in Enugu State, Nigeria16 perceived the health talks given during antenatal care as satisfactory. However, 84.3% of similar respondents in urban area of Lagos State, Nigeria perceived the health talks given to them to be satisfactory.[15]
Majority of the mothers in urban areas (74.3%), and only 20.2% of women in rural areas had satisfactory experience as regards consultation with staff at first ANC visit. This variation in the proportions could be as a result of presence of more staff in the urban areas,17 and more consultation time with staff in the urban areas.16 But, 60.8% of the mothers in the rural areas had fairly satisfactory experience during their consultation with staff, as against 22.8% of women in the urban areas. Only 30.2% and 19.5% of the women in urban and rural areas respectively performed adequate investigations during first ANC. This could be as a result of the fact that this study is a community based study which takes cognisance of women who were not satisfied with care given at health facilities, and the observation was for the first ANC visit. This shows that mothers in the two locations were not properly investigated during their first ANC visit. However, this is in contrast to the higher proportion of respondents that were investigated as reported by a facility based study done in both locations in Enugu State with similar respondents.16 The finding in the facility based study may have resulted from the fact that most women obtaining maternal health service from health facilities are satisfied with services they received.29,30 However, NDHS 2013 observed that high proportions of women in urban and rural areas had satisfactory investigations.17 NDHS 201317 observed that 83.8% of women in urban areas and 66.4% of rural respondents did urine tests, 90.1% of women in urban areas and 73.9% of women in rural areas had their blood taken, while 89.3% of women in urban areas and 74.2% of women in rural areas had their urine taken. However, the NDHS 2013 findings were for overall ANC visits.
A higher proportion of mothers in the rural areas (81.3%) had adequate treatment/drugs experience at their first ANC visit when compared with mothers in the urban areas (60.6%). However, NDHS 2013 observed a higher proportion of women in urban areas regarding adequacy of treatment/drugs received by women in both locations.17 This contrast could be because Enugu State is giving more attention to the health facilities in the rural areas, and probably because most of the respondents in the urban areas in this study patronized private facilities where user fee is high. Majority of the respondents (urban-76.1%, rural-60.5%) had satisfactory experience during subsequent ANC visits, but the experience of 22.6% of those in the rural areas, and 3% of those in the urban areas was not satisfactory. More respondents in urban areas (20.9%) also had fairly satisfactory experience during their subsequent ANC visits when compared with those in the rural areas (16.9%).
Majority of the mothers in urban areas (72.8%) had satisfactory examination experience during labour when compared with women in the rural areas (36.3%). Also, 46.8% of women in the rural areas, and 19.1% of their counterparts in the urban areas were not satisfactory. This difference in proportions in the two locations could be due to the fact that there are more facilities and also more staff in the urban areas than in the rural areas. Also, more deliveries are attended to by a skilled birth attendant in the urban areas than in the rural areas.[17] Majority of the women (urban-94.5%, rural-87.5%) received inadequate investigations during labour. The high proportions of women that had inadequate investigation experience could be attributed to the fact that women in labour in Nigeria are not routinely investigated. Most of the women in urban (85%), and rural (64.5%) areas received satisfactory support during labour. This is similar to the findings from a study done with similar respondents in Sweden, were 81% of the women experienced satisfactory care and support during labour.[31] In contrast, a study that assessed the factors of mother’s dissatisfaction with labour and delivery care procedure in educational and non-educational hospitals in Tabriz, Iran observed that most of the women were not satisfied with the support they received during labour.[32] Also 11.2% of the respondents in urban areas, and 29.3% of their rural counterparts received fairly satisfactory support. While only 3.8% of women in the urban areas, and 6.2% of women in the rural areas received support that is not satisfactory.
More mothers in urban areas (25.3%) received fairly satisfactory health talk during post natal care, as against 11.2% of those in the rural areas, while the health talks given to 21.2% of women in the rural and 5.2% of women in urban areas during post natal care were not satisfactory. But most of the mothers in both locations (urban-69.4%, rural-67.5%) received satisfactory health talk during their post natal visits. This could be due to the fact that health education is now an important aspect of maternal health care services. Similarly, majority of women that participated in a study in Enugu State, Nigeria were given satisfactory information on breast feeding, immunisation, family planning and on care of the baby during the postnatal care period.64 Procedures performed on 13.6% of women in urban areas and 16% of women in the rural areas during post natal care were satisfactory. But, more women in urban areas (45.7%) had fairly satisfactory procedures performed on them during post natal visits (rural-21.8%), while the procedures performed during post natal visits on 62.3% of women in the rural areas, and 40.8% of those in the urban areas were not satisfactory. However, in Nigeria, mothers are not usually tested during post natal visits.[17]
Most of the respondents had inadequate investigation experience during their post natal visits. The proportion of mothers in the urban areas (94.5%) that had inadequate investigation is higher than that of those in the rural areas (73.1%). More mothers in the rural areas (67%) had inadequate treatment experience during post natal care visits than those in the urban areas (49.2%). However, more women in the urban areas (39.7%) received moderately adequate treatment than those in the rural areas (26.0%). Also, the treatment received by 11.1% of women in the urban areas, and 7.0% of women in the rural areas during post natal care was adequate. Similarly, in rural Gambia, maternal experiences during post natal period was low regarding examination but high regarding other aspects of post natal care.[33]
Most of the participants in the FGDs in both locations expected the environment to be clean. This is because it is a positive expectation. This is as obtained in a study done in Australia in 2013,[34] “Women’s expectations and experiences of maternal care in NSW- what women highlight as most important” Almost all the mothers reported satisfactory experience as regards the general condition of the facilities. FGDs observed that the women expectation from the staff is low in the rural areas as most of the women expected only courteous reception. Majority of the mothers in rural areas expected that they will not see any nurse to support them because the nurses are usually few or not available. Most mothers in urban areas had better expectation than their rural counterparts. This was as observed in the quantity analysis of maternal expectation in this study, and among ethnic minority groups in United Kingdom.[35] care.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti