AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2642-9756/249
1Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana, Contribution: Conceptualise the study, methodology, formal analysis, data curation, Writing – original draft, proof reading and writing – review & editing.
2Department of Biostatistics and Epidemiology, University of Health and Allied Sciences, Ho, Ghana. Contribution: Conceptualise the study, data curation, formal analysis and Software, Writing – original draft, Software and proof reading.
*Corresponding Author: Anthony Edward Boakye, University of Cape Coast, Cape Coast, Ghana.
Citation: Anthony E. Boakye, Rita Tekpertey, (2025), Breastfeeding Practices, Family Planning Exposure, and Women’s Emergency Contraceptive Use in Ghana, J. Women Health Care and Issues, 8(3); DOI:10.31579/2642-9756/249
Copyright: © 2025, Anthony Edward Boakye. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 05 March 2025 | Accepted: 12 March 2025 | Published: 19 March 2025
Keywords: breastfeeding; emergency contraceptive use; family planning exposure; ghana; women
Background: Emergency contraception (EC) decreases the chance of pregnancy after one episode of unprotected intercourse, including when the act occurs near the time the egg is released (ovulation)—when conception is most likely. Objective: Based on this, the study aimed to investigate how breastfeeding practices, and family planning exposure interplay to influence EC use among Ghanaian women.
Methods: Data for the study were extracted from the 2022 GDHS data. It was provided by Measure DHS Program/Initiative through the link https://dhsprogram.com/data. SPSS version 27 was used to processed the data and was analysed with frequency distribution, chi-squared test, and binary logistic regression. The frequency distribution was used to summarise participants responses into proportions. The Pearson’s chi-squared test of independence was used to test the hypotheses postulated in the study to either accept or reject the null hypotheses. However, the binary logistic regression was used to determine the effects of the IVs on the DV.
Results: The study found that both breastfeeding practices, and family planning exposure were less significantly related to women’s EC use in Ghana. It was revealed that 8664(92.6%) of the women never used EC in the past 12 months prior to the study.
Conclusion: The study results show that EC use among Ghanaian women was not significantly correlated with nursing behaviours or exposure to family planning services. This implies that although exposure to family planning and nursing are crucial aspects of postpartum reproductive health, they might not be the only factors influencing EC use.
Although emergency contraception (EC) infrequently talked about openly, yet, it is more widely used than many might think [1,2]. The safest way to prevent pregnancy after unprotected sex is the use of EC [3]. This is used to prevent pregnancy for a short period of time after unprotected sex [4]. Using an EC correctly after having an unprotected sex makes it much less likely that a woman would become pregnant [5,6]. It has been established that an EC usage is safer hence, it does not cause any long-term side effects, and do not affect a woman’s ability to become pregnant in the future [7,8]. Overall, the chance of pregnancy is about 5 percentage after one episode of unprotected sex, but closer to ovulation, it is about 20 to 30% [4]. EC decreases the chance of pregnancy after one episode of unprotected intercourse, including when the act occurs near the time the egg is released (ovulation)—when conception is most likely [4]. EC can be used up to 5 days (120 hours) after unprotected sex [5,9]. However, it is most effective within the first 12-24 hours and it is intended for emergency situations and does not protect against sexually transmitted infections [9]. Thus, out of 100 women who have unprotected intercourse mid-cycle, approximately 8 would become pregnant. With the use of EC pills, only 2 of the 100 women would become pregnant [5,10].
Available options for EC include medications taken by mouth and a copper intrauterine device (IUD) [11,12]. These medications (the so-called morning-after pills) include levonorgestrel, ulipristal acetate, and combination oral contraception (estrogen plus levonorgestrel). They inhibit or delay ovulation. They are more commonly used as EC than are IUDs, even though a copper intrauterine device is the most effective form of EC. The copper IUD prevents the fertilized egg from implanting in the uterus [11,12].
Any woman or girl of reproductive age might need EC to avoid an unplanned pregnancy. Hence, there are no absolute medical contraindications, and there are no age limits to the use of EC [12]. However, the eligibility criteria that applies for general use of a copper IUD also applies for the use of a copper IUD for emergency purposes [12]. Evidence suggests that globally, the use of EC has embraced an increase over the past eight years from 22% in 2015-2017 to 33% in 2022-2023 [13].
Surprisingly, breastfeeding is recognized to have up to 98 percentage effective as a method of contraception [14,15]. Hence, it works as a form of birth control by delaying the return of a woman’s menstrual periods. However, its only effective, if it is frequent and regular. Particularly, breastfeeding as a contraceptive works only if: a woman’s baby is younger than 6 months old; menstrual periods have not returned; and the baby is exclusively breastfed on demand, night and day (that is, a minimum of 6 long breastfeeds every 24 hours, without a gap of more than 4 hours between feeds) [14,15]. However, once any of these factors change, breastfeeding cannot be relied on for preventing pregnancy and alternate contraception is recommended [16]. This indicates that a woman who is breastfeeding still stand the chance of becoming pregnant, therefore, they need to proactively apply safe contraceptive measures [17]. EC for breastfeeding mothers containing the active ingredient mifepristone 10mg are contraindicated [17]. Therefore, women who are breastfeeding can use the drug containing the active ingredient levonorgestrel, Postinor 1 or Postinor 2, without fear of affecting their baby. Although an emergency contraceptive pill for breastfeeding mothers only contains a small amount of progestin, it is not too harmful [17].
In Ghana, a significant approach for regulating the population is noted to be family planning methods [18,19]. Due to this, EC usage has become an essential fragment of family planning services to stop conception resulting from unprotected sexual intercourse or a contraceptive failure [18,19]. Despite family planning methods are effective in regulating and controlling unwanted pregnancies, yet, about 37.9% of pregnancies in Ghana are unplanned, with 14 percentage being unwanted and 23 percentage being mistimed [20]. As a result, thousands of pregnancies are terminated and over 300,000 babies are born due to unwanted pregnancies [20]. Studies have established that unwanted pregnancies are a major public health concern since their occurrence varies by region and socioeconomic category [21-23].
Evidence suggests that breastfeeding can stimulate a woman’s decision to use EC, mostly in the situation of family planning exposure [24,25]. Women may still seek EC to avoid unwanted pregnancies even when nursing can serve as a natural form of contraception [14]. This is particularly true if they have had unprotected intercourse or had contraceptive failure [26,27]. Research conducted in Ghana has examined how women of reproductive age know about and use EC [28-37], as well as the impact of breastfeeding and family planning exposure [24,38,39]. This suggests that none of the studies have examined the three variables combined. Therefore, understanding how breastfeeding practices, exposure to family planning, and EC usage interrelate is essential for developing targeted interventions. Based on this, the current study aimed to investigate how breastfeeding practices, and family planning exposure interplay to influence EC use among Ghanaian women.
Specifically, the study seeks to:
The study further hypothesized that there is no statistically significant relationship between breastfeeding practices, family planning exposure and EC use among women in Ghana.
Data Source
Data for the study were extracted from the 2022 GDHS data. It was provided by Measure DHS Program/Initiative through the link https://dhsprogram.com/data. Data extracted revolved breastfeeding, exposure to family planning, and EC use.
Measures
In the study, the independent variables (IVs) are breastfeeding practices, and exposure to family planning while the dependent variable (DV) is EC use. The IVs were carefully chosen hence, studying the effect of breastfeeding, and exposure to family planning on women’s EC use in Ghana is necessary to bring to bear how these variables interplay to influence women’s reproductive health choices and outcomes [40-47]. However, EC being the DV was chosen because studying it would help provides critical insights into reproductive health behaviours, unmet contraceptive needs, and the effectiveness of family planning services among women in Ghana. Further, studying its use will help identify how well women are able to access and use EC when needed—particularly after missed pills, condom breakage, or sexual assault [48-51].
Data Processing and Analysis
SPSS version 27 was used to processed the data and was analysed with frequency distribution, chi-squared test, and binary logistic regression. The frequency distribution was used to summarise participants responses into proportions. The Pearson’s chi-squared test of independence was used to test the hypotheses postulated in the study to either accept or reject the null hypotheses. However, the binary logistic regression was used to determine the effects of the IVs on the DV.
Ethical Consideration
The 2022 GDHS program obtained ethical clearance for the survey from both Ethical Review Committee of the Ghana Health Service and ICF Institutional Review Board. The ethical clearance assure that the survey procedures were in accordance with Ghana’s ethical research standards and US and international ethical research standards.
To identify the number of women who use EC in Ghana instigated data extraction on a single item used by the DHS thus (used EC in the past 12 months) for analysis. After the analysis, the results revealed that 8664(92.6%) of the women never used EC in the past 12 months while 689(7.4%) answered in affirmative.
In order to unravel the number of women who breastfeed in Ghana triggered data extraction on a single item used by the DHS thus currently breastfeeding for analysis. After the analysis, the results revealed that 5158(55%) of the women were breastfeeding while 4195(45%) of them were not breastfeeding.
Table 1 presents the outcome of Pearson’s chi-squared test of independence on breastfeeding practices and EC use among women in Ghana. This analysis was necessary hence, it was used to test the hypothesis there is no statistically significant relationship between breastfeeding practices and EC use among women in Ghana. Statistically significant relationship was found between breastfeeding practices [x2=37.527, p less than 0.001] and EC use among women in Ghana.
Table 1: Relationship between Breastfeeding Practices and Emergency Contraception Use among Women in Ghana.
Note: Row percentages in parenthesis, Chi-square significant at (0.001), (0.05), (0.10)
No: never used Yes: used
Source: GDHS (2022).
Further analysis was conducted with binary logistic regression on breastfeeding practices and EC use among women in Ghana. This analysis was done to ascertain the effect breastfeeding practices have on women’s EC use in Ghana (See Table 2). After processing the data, the logistic regression model was significant at -2LogL = 4882.778; Nagelkerke R2 of 0.10; x2=37.286; p less than 0.001 with correct prediction rate of 92.6%. Significantly, the Model Summary which shows a Nagelkerke R2 of 0.10 suggests that the model explains 10% of variance in the likelihood of women’s EC use in Ghana. With this percentage contribution to the entire model, the results confirmed the whole model significantly predict women’s EC use in Ghana.
It emerged in Table 2 that currently breastfeeding was significantly related to women’s EC use at p=0.001, (OR=0.616, 95%CI ([0.527-0.720]). This factor labels those women to have 0.61times less likely to use EC compared with their counterparts who intimated they are not breastfeeding (see Table 2).
Table 2: Binary Logistic Regression Results on Currently Breastfeeding and Emergency Contraception Use in Ghana.
| Variable | B | Wald | Sig. | Exp(B) | 95CI | |
| Currently breastfeeding (No=1.0) | ||||||
| Yes | -0.485 | 36.949 | 0.000 | 0.616 | 0.527 | 0.720 |
| Constant | -2.289 | 1836.817 | 0.000 | 0.101 | ||
Source: GDHS (2022). Significant at 0.05.
To ascertain the proportion of women who are exposed to family planning instigated data extraction on a single item used by the DHS thus exposure to need for contraception (definition 3) for analysis. After analysis, the results revealed that 62.3% of the women are fecund while 2.4% are infecund, menopausal (See Table 3).
| Variable | Frequency | Percentage |
| Exposure to need for contraception (definition 3) | ||
| Fecund | 5823 | 62.3 |
| Pregnant | 839 | 9.0 |
| Postpartum amenorrheic | 2467 | 26.4 |
| Infecund, menopausal | 224 | 2.4 |
| Total | 9353 | 100. 0 |
Source: GDHS (2022).
Table 4 presents the outcome of Pearson’s chi-squared test of independence on exposure to family planning and women’s EC use in Ghana. This analysis was conducted to test the hypothesis there is no statistically significant relationship between exposure to family planning and women’s EC use in Ghana. Statistically significant relationship was found between exposure to family planning [x2=120.723, p less than 0.001] and women’s EC use in Ghana.
Table 4: Relationship between Family Planning Exposure and Women’s Emergency Contraception Use in
Note: Row percentages in parenthesis, Chi-square significant at (0.001), (0.05), (0.10)
No: never used Yes: used
Source: GDHS (2022).
Further analysis was conducted with binary logistic regression on exposure to family planning and women’s EC use in Ghana. This analysis was done to ascertain the influence of exposure to family planning on women’s EC use in Ghana (See Table 5). After processing the data, the logistic regression model was significant at -2LogL = 4780.887; Nagelkerke R2 of 0.36; x2= 139.177; p less than 0.001 with correct prediction rate of 91.4%. Significantly, the Model Summary which shows a Nagelkerke R2 of 0.36 suggests that the model explains 36% of variance in the likelihood of women’s EC use in Ghana. With this percentage contribution to the entire model, the results confirmed the whole model significantly predict women’s EC use in Ghana.
It emerged in Table 5 that pregnant was significantly related to women’s EC use at p=0.001, (OR=0.524, 95%CI ([0.382-0.719]). This factor labels those women to have 0.52times less likely to use EC compared with their fecund counterparts (see Table 5). Further, postpartum amenorrheic was significantly related to women’s EC use at p=0.001, (OR=0.277, 95%CI ([0.215-0.356]). This factor labels those women to have 0.28times less likely to use EC compared with their fecund counterparts (see Table 5). However, infecund, menopausal was not significant which could be as a result of chance. This suggests women’s EC use in Ghana is not dependent on infecund, menopausal (see Table 5).
Table 5: Binary Logistic Regression Results on Family Planning Exposure and Women’s Emergency Contraception Use in Ghana.
| Variable | B | Wald | Sig. | Exp(B) | 95CI | |
| Exposure to need for contraception (Fecund=1.0) | ||||||
| Pregnant | -0.646 | 16.052 | 0.000 | 0.524 | 0.382 | 0.719 |
| Postpartum amenorrheic | -1.285 | 98.932 | 0.000 | 0.277 | 0.215 | 0.356 |
| Infecund, menopausal | -0.130 | 0.285 | 0.594 | 0.878 | 0.544 | 1.416 |
| Constant | -2.248 | 2542.477 | 0.000 | 0.106 | ||
Source: GDHS (2022). Significant at 0.05.
This study investigated the interplay between breastfeeding practices, family planning exposure, and EC use among women of reproductive age in Ghana, using recent DHS data. The findings reveal a weak association between breastfeeding practices and EC use among women in Ghana. This finding is consistent with previous studies which found that breastfeeding women with unplanned pregnancies were less likely to have used contraception than women who had weaned [39,52]. The plausible explanation to this finding could be that some women might mistakenly believe that breastfeeding provides complete protection against pregnancy, particularly when breastfeeding is frequent and exclusive (a method called Lactational Amenorrhea Method or LAM) [53-55]. This misconception can lead to decreased use of other contraceptive methods, including EC, even if unprotected sex occurs [39,56]. This finding suggests that women might be convinced that when breastfeeding frequency, duration, or intensity increases, the likelihood of using EC decreases [39,57]. Particularly, when breastfeeding is done exclusively and frequently (as in Lactational Amenorrhea Method - LAM), it can naturally suppress ovulation and reduce the risk of pregnancy [58]. Therefore, women relying on breastfeeding for contraception might not think of EC [39].
The study found that relationship exists between breastfeeding practices and EC use among women in Ghana. Therefore, the null hypothesis is ignored. A p-value of less than 0.001 found is an indication that breastfeeding speaks more about EC use among women in Ghana. The relationship again expressed that both the explanatory and the outcome variables are not independent of each other. This finding is in line with previous studies which found that breastfeeding intensity and family planning exposure were significantly associated with EC uptake [38,59,60].
Similarly, the study found frail association between family planning exposure and EC use. This finding corroborated with previous studies which found that formal family planning counselling or institutional family planning exposure was not a significant predictor of EC utilisation and that no clear evidence exists that family planning exposure leads to adoption of other modern methods after EC use [59,61,62]. This suggests a weak link between structured family planning contact and EC uptake [59,61,62]. The plausible explanation to this finding could be that these women might be concerned about the side effects, could either be religious or cultural beliefs, and a lack of access to or knowledge about EC [63-65]. Additionally, some women may not perceive a need for EC, believing they are not at risk of pregnancy or because they prefer other methods of contraception [66-68]. The finding implies that these women might choose other, more regular contraceptive methods or might lack awareness about EC [62,69,70]. Probably, it could also suggest a preference for other methods due to perceived side effects or a belief that regular methods are more effective [62,71].
The study found that relationship exists between exposure to family planning and women’s EC use in Ghana. Therefore, the null hypothesis was not confirmed. A p-value of less than 0.001 found indicates that the relationship that exists between the explanatory and the outcome variables is stronger and that the variables are not independent of each other. This finding corroborated with previous studies which found that exposure to family planning messages has contributed to an increase in contraceptive use among women of reproductive age [72,73].
The study found that while 55% of the women reported breastfeeding and a significant proportion had some form of family planning exposure, yet, EC use remained notably low, with 92.6% of women reporting that they had not used EC in the 12 months preceding the survey. The findings are consistent with other studies which suggests that EC is often used discreetly and is less likely to be discussed openly in community or clinical settings [59,60,62,74]. This disconnects between knowledge and use highlights the importance of improving the quality of contraceptive counselling, particularly in postpartum care [60]. Interventions that integrate EC education into breastfeeding and postnatal services could address this gap and support women in making informed reproductive health decisions [40,75-78].
The results show that EC use among Ghanaian women was not significantly correlated with nursing behaviours or exposure to family planning services. The vast majority of the women (92.6%) had not used EC in the 12 months before to the study, even though more than half of them (55%) reported that they were nursing. This implies that although exposure to family planning and nursing are crucial aspects of postpartum reproductive health, they might not be the only factors influencing EC use. The low prevalence of EC use highlights the need for focused education and integrated postpartum contraceptive services that particularly address EC options and suggests possible gaps in knowledge, access, or counselling efficacy.
The study was unable to establish causality between breastfeeding practices, family planning exposure, and EC use. Hence, the exposure and result data were collected concurrently therefore, it is difficult to determine if one led to the other or if they just happened together. Also, the DHS program mostly relies on self-reported responses, so, the possibility of social desirability or recall bias is high. For example, the validity of results may be impacted by underreporting or erroneous reporting of sensitive subjects including abortion, sexual conduct, or the use of contraceptives including EC and these biases are likely to affect the results of the current study. Therefore, the findings should be interpreted with caution.
Abbreviations
The GDHS Program obtained ethical approval from both The Ghana Health Service’s Ethics Review Committee and The ICF The Institutional Review Board for ethical review. This dual approval process assure that the survey adheres to ethical guidelines and protects the rights of participants.
Not Applicable
The study made used of the 2022 GDHS data. Therefore, it is publicly available online at https://dhsprogram.com/data. This is Measure DHS Initiative or Program.
No conflict of interest declared.
The study was self-funded
Anthony Edward Boakye Conceptualise the study, methodology, formal analysis, data curation, Writing – original draft, proof reading and writing – review & editing.
Rita Tekpertey Writing – original draft, Software and proof reading
We acknowledge measure DHS program for making the datasets available to us on 20th August, 2023.
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
