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Research Article | DOI: https://doi.org/DOI:10.31579/2642-9756/240
1Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.
2Department of Biostatistics and Epidemiology, University of Health and Allied Sciences, Ho, Ghana
*Corresponding Author: Anthony Edward Boakye, Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.
Citation: Anthony E. Boakye, Rita Tekpertey, (2025), Literacy, Health Insurance Cover and Procurement of Mosquito Bed Net for Sleeping in Ghana, J. Women Health Care and Issues, 8(2); DOI:10.31579/2642-9756/240
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: 03 February 2025 | Accepted: 10 February 2025 | Published: 17 February 2025
Keywords: health; inspire; literacy; mosquito bed net; procurement; sleeping
Background: In Ghana, most households who own bed nets, do not sleep under them. This is evident that, 61% of households in 2022 had access to an insecticide-treated net, and only 40% slept under them the night prior to the GDHS survey.
Objective: Based on this, the study set out to investigate if literacy and health insurance cover of women inspire procurement of a mosquito bed net for sleeping in Ghana. Data were extracted from the 2022 GDHS. Frequency distribution was used to summarise respondents’ responses into proportions. The Pearson’s chi-squared test of independence was used to test association between the explanatory variables and the outcome variable. The binary logistic regression was used to assess the influence of literacy and health insurance cover of women on procurement of a mosquito bed net for sleeping.
Results: The study found listening to radio less than once a week as statistically significant at p=0.023, (OR=1.125, 95%CI ([1.017-1.244]). Using the internet for the last 12 months at p<0.001, (OR=0.538, 95%CI [0.495-0.584]). Women that have their health insurance being provided by employer at p=0.003, (OR=0.525, 95%CI [0.344-0.802]). Women covered by national/district health insurance at p=0.018, (OR=1.163, 95%CI [1.026-1.319]).
Conclusion: The study recommends that health care providers should endeavour to continue to reinforce education on ownership and usage of a mosquito bed net for sleeping since its usage consistently has financial benefits of prevention over treatment and can contribute to a good night’s sleep, free of nuisance biting from mosquitoes and other insects.
In this 21st century, knowledge societies are confronted with a health decision-making paradox [1, 2]. People are increasingly challenged to make healthy lifestyle choices and manage their personal and family journeys through complex environments and health care systems but are not being prepared or supported well in addressing these tasks [3-5]. Modern societies actively market unhealthy lifestyles, health care systems are increasingly difficult to navigate (even for the best educated people), and education systems too often fail to provide people with adequate skills to access, understand, assess and use information to improve their health [6, 7]. Literacy, beyond its conventional concept is regarded as a set of reading, writing and counting skills, it is understood as a means of identification, understanding, interpretation, creation, and communication in an increasingly digital, text-mediated, information-rich and fast-changing world [8, 9]. Literacy in women empowers and liberates them [10]. It is an important factor in ensuring significant health outcomes among them [11]. Literacy in women provides the foundation on which they are enabled to play an active role in improving their own health, engage successfully with community action for health, and push governments to meet their responsibilities in addressing health and health equity [12-14]. However, women without literacy, are negatively affected in terms of knowledge, preventive behaviour, ability to navigate the health care system, and ability to care for their children while women with literacy are more likely to adopt healthier behaviours and be able to receive and act on health information and services [6, 15, 16].
In this regard, it is noted that literacy enables women to protect themselves, their family and their community from various shocks (e.g., poor health) which increases the risk of impoverishment due to, for example, inability to maintain working or caring roles, and/or catastrophic out-of-pocket health expenditures [12, 17-19]. It enables women to have access to information, communications technology (including mobile technologies) and the internet [20]. Access to these help women to advance literacy [20]. Hence, the internet provides women with an access to near infinite information, and unlike a pro-health advertisement, also allows them to actively seek information [20]. Literacy is a stronger predictor of a woman’s health status than income, employment status, education level and racial or ethnic group [6, 21-24]. Weak literacy competencies have been shown to result in less healthy choices, riskier behaviour, poorer health, less self-management and more hospitalization [6, 25, 26].
With literacy, women are empowered to understand the need for health insurance [27-30]. For they are enabled to know how health insurance coverage significantly influences health decision-making [27-30]. Potentially, when women have access to health insurance, they are authorised to seek necessary care for improved healthcare outcomes, particularly for maternal health. Hence, health insurance coverage is an important factor in making health care affordable and accessible to women [31- 35]. Women with health insurance coverage are more likely to obtain the needed preventive, primary, and specialty care services, and have better access to new advances in health [36, 37].
Though, both women’s literacy and health insurance cover are allegedly noted to enable them make informed health choices about having a mosquito bed net for sleeping [38-41]. Hence, a mosquito bed net forms a protective barrier around people that sleep under them [42-43]. A mosquito net draped over a bed or a sleeping area offer the sleeper a protection against bites and stings from mosquitos, flies, and other pest insects and thus protect against the diseases they may carry. Examples of such preventable insect-borne diseases include malaria, dengue fever, yellow fever, zika virus, Chagas disease, and various forms of encephalitis, including the West Nile virus [44, 45]. However, in practice, sleeping under a mosquito net is a choice like any other and many middle-class Ghanaians do not prefer to use them. Hence, they consider them inconvenient, uncomfortable and unattractive. Even though, they vary in size, shape, color, material, insecticide treatment status, and number and type of active insecticide ingredients within the nets [38, 39, 46].
Surprisingly, in Ghana, most households who own bed nets, do not sleep under them [47]. This is evident that, 61% of households in 2022 had access to an insecticide-treated net (ITN), and only 40% slept under them the night prior to the GDHS study [48]. Even though notable studies have explored protective factors and barriers related to insecticide-treated mosquito bed nets ownership and usage in Ghana [38, 49, 50]. Yet, one cannot conclude that literacy and health insurance cover of women inspire procurement of a mosquito bed net for sleeping in Ghana. Hence, the study. Specifically, the study seeks to: (a) ascertain if literacy of women inspires procurement of a mosquito bed net for sleeping in Ghana; and (b) analyse whether health insurance cover of women inspires procurement of a mosquito bed net for sleeping in Ghana. The study further hypothesised that there is no statistically significant relationship between literacy, health insurance cover of women and procurement of a mosquito bed net for sleeping in Ghana.
Variable Constructs and Data Extraction
Literacy and health insurance cover were the explanatory variables while having a mosquito bed net for sleeping was the outcome variable. We explored the 2022 GDHS data and found (literacy, frequency of reading newspaper or magazine, frequency of listening to radio, frequency of watching television, owns a mobile telephone, use of internet, and frequency of using internet last month) as indicators for literacy and health insurance cover has the following (covered by health insurance, health insurance type: mutual/community organization, health insurance type: provided by employer, health insurance type: private/commercially purchased, health insurance type: national/district health insurance, and health insurance type: other) indicators while having a mosquito net for sleeping has this (have mosquito bed net for sleeping) as an indicator. Therefore, data were extracted on these indicators for analysis.
Sampling Procedure
The 2022 Ghana Demographic and Health Survey (GDHS) employed a stratified two-stage cluster sampling design which helped the achievement of nationally level, urban and rural areas representative results at the end of the survey for each of the 16 regions, for most DHS indicators. Stage one, was where 618 target clusters were selected from a sampling frame using probability proportional to size (PPS) for urban and rural areas in each region. After that, a targeted number of clusters were chosen with equal probability and systematic random sampling of the clusters chosen in the first phase, for the urban and rural areas in each region. Stage two, after the clusters had been selected, a household listing and map updating operation was done in all the selected clusters, to develop a list of all the households in the cluster. This list served as a sampling frame for selection of the household sample.
Sample
The 2022 GDHS adopted a national stratified representative sample of 18,450 households selected from 618 clusters, which resulted in 15,014 interviewed women age 15–49. The sampling frame used for the 2022 GDHS is the updated frame prepared by Ghana Statistical Service (GSS) based on the 2021 Population and Housing Census. To achieve the objectives of the 2022 GDHS.
Data Collection Procedure
Data collection commenced on October 17, 2022 and ended on January 14, 2023. In all, three months were used to collect the data from the field. The main fieldwork for the 2022 GDHS was launched on 17 October 2022. There were 37 teams, each team included a supervisor, 2 female interviewers, 1 male interviewer, and 2 biomarker technicians. The GSS coordinators created a WhatsApp group for all fieldworkers to post questions and issues encountered during data collection. In the field, fieldworkers were assisted with tablet computers to collect the data. The tablet computers were equipped with Bluetooth technology which enables remote electronic transfer of files, such as assignments from the team supervisor to the interviewers, individual questionnaires to survey team members, and completed questionnaires from interviewers to team supervisors.
Data Processing and Analysis
Data were analysed with frequency distribution, Pearson’s chi-squared test of independence and binary logistic regression. The frequency distribution was used to summarise respondents’ 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 refute the null hypotheses. However, the binary logistic regression was used to make predictions.
The GSS carried out the DHS after Ghana Health Service Ethical Review Committee (ERC) and ICF Institutional Review Board (IRB) had approved of the survey protocol to assure that the survey procedures were in accordance with Ghana’s and ICF’s ethical research standards.
Table 1 presents women having a mosquito bed net for sleeping in Ghana. Whereas 76.1% of women in Ghana have a mosquito bed net for sleeping 23.9% do not have mosquito bed net for sleeping.
| Variable | Frequency | Percentage |
| Have mosquito bed net for sleeping | ||
| No | 3586 | 23.9 |
| Yes | 11428 | 76.1 |
| Total | 15014 | 100.0 |
Table 1: Women having a Mosquito Bed Net for Sleeping in Ghana
Source: GDHS (2022)
To find answers to satisfy our curiosity on women’s literacy, we extracted data on the following variables (literacy, frequency of reading newspaper or magazine, frequency of listening to radio, frequency of watching television, owns a mobile telephone, use of internet and frequency of using internet last month) from the GDHS data. We therefore employed frequency distribution to analyse the data since we were interested in the proportions. The results are presented in Table 2.
| Variable | Frequency | Percentage |
| Literacy | ||
| Cannot read at all | 6836 | 45.5 |
| Able to read only parts of sentence | 1818 | 12.1 |
| Able to read whole sentence | 6301 | 42.0 |
| No card with required language | 48 | 0.3 |
| Blind/visually impaired | 11 | 0.1 |
| Frequency of reading newspaper or magazine | ||
| Not at all | 13603 | 90.6 |
| Less than once a week | 971 | 6.5 |
| At least once a week | 440 | 2.9 |
| Frequency of listening to radio | ||
| Not at all | 5716 | 38.1 |
| Less than once a week | 3563 | 23.7 |
| At least once a week | 5735 | 38.2 |
| Frequency of watching television | ||
| Not at all | 4454 | 29.7 |
| Less than once a week | 2379 | 15.8 |
| At least once a week | 8181 | 54.5 |
| Owns a mobile telephone | ||
| No | 3682 | 24.5 |
| Yes | 11332 | 75.5 |
| Use of internet | ||
| Never | 9325 | 62.1 |
| Yes, last 12 months | 5250 | 35.0 |
| Yes, before last 12 months | 439 | 2.9 |
| Frequency of using internet last month | ||
| Not at all | 9953 | 66.3 |
| Less than once a week | 506 | 3.4 |
| At least once a week | 1341 | 8.9 |
| Almost every day | 3214 | 21.4 |
| Total | 15014 | 100.0 |
Table 2: Literacy among Women in Ghana
Source: GDHS (2022).
The study assessed women’s literacy and the results revealed that 45.5
The study found that only 42.0% of women were able to read whole sentence. The low literacy rate among women in Ghana has a debilitating effect on their ability to read newspaper or magazine, listen to radio, watching television, own a mobile telephone and use the internet. This suggests that achieving widespread literacy can only happen in the context of building literate societies that encourage individuals to acquire and use their literacy skills. This finding refuted previous research findings that the proportion of literate women is 37.8% in Senegal [51] and 36.2% in Ethiopia [52]. The dissimilarity in the findings could partly be due to the sample size enrolled, study context and the statistical tool applied for the analysis.
The study found a relationship between literacy of women and procurement of a mosquito bed net for sleeping in Ghana. Therefore, the null hypothesis was rejected. This finding implies that the more and more women are literate it is the more and more they procure a mosquito bed net for sleeping. The chi-squared values indicate that the literacy of women has high influence on procurement of a mosquito bed net for sleeping in Ghana. This finding corroborated with previous research findings that literacy status of mothers was significantly associated with ITN utilization in four studies [53-57].
It emerged that women listening to radio either less than once a week or once a week were revealed to have an increase odd to procure a mosquito bed net for sleeping. Listening to a radio can help influence an individual’s life positively. The radio serves as a medium through which an individual can learn how healthy choices in life promotes longevity. Mostly, radio messages enlighten listeners to understand why there is a need to procure a mosquito bed nets for sleeping. Hence, it prevents mosquito bites as well as malaria. Further, the finding implies that the more and more women listen to radio it is the more they are enabled to know the benefits of procuring a mosquito bed net for sleeping. This finding has suggested that messaging around mosquito bed net use and care should be strengthened to increase use and improve the level of recall for long lasting insecticidal net care. The outcome corroborated with previous research findings that those who listened to radio are about 1.6 times more likely to use ITN while respondents who had heard of a specific sponsored radio campaign on ITN are 1.53 times more likely to use a bed net [58, 59].
It was found that women watching television for at least once a week had lower odds of procuring a mosquito bed net for sleeping. The plausible explanation for this finding could be that those women who watch television cannot apply the message they receive to everyday life practises. It could also be that these women always tune the television channel to stations where they can have cinemas. Further, it could be that these women might not know that they can have improved sleep quality when slept in mosquito bed net. This outcome confirmed a study that regarding media exposure, having media exposure was associated with 1.33 times higher odds of ITN use as compared to their counterparts [60].
The study found that women using the internet for the last 12 months and before the last 12 months had a lower likelihood of procuring a mosquito bed net for sleeping. This finding has demonstrated that even though these women use the internet but are equally naïve about the benefits of procuring a mosquito bed net for sleeping. Further, it could also be that these women might have been navigating the internet for social media funny clips instead of learning to know how procurement of a mosquito bed net for sleeping is beneficial to their health. It could probably mean that they are not aware that it prevents them from mosquito bites and other insect’s harassments.
Assessment of health insurance cover of women revealed that overwhelming majority of women are covered by health insurance in Ghana. It was found that more than ninety per cent of the women are covered by national/district health insurance. Being covered by health insurance is associated with an increase mosquito bed net use, hence, health insurance cover serves as an avenue which enables subscribers access healthcare resources, including insecticides treated net. Health insurance coverage covers medical expenses, allowing women to access healthcare independently without worrying about the cost and without financial worry. This finding refuted previous research conducted in Ghana which found an overall health insurance coverage of 51.9% and 66.01% respectively [61, 62]. On the contrary, the study was in line with a study conducted in Rwanda which found almost similar results that 89% of pregnant women are covered by health insurance [63]. The reason for the similarity could partly be due to participants enrolled, sample size and the ragour in the analysis.
Relationship was found between health insurance cover of women and procurement of a mosquito bed net for sleeping in Ghana. Therefore, the null hypothesis was not confirmed. This association purports that both the explanatory and the outcome variables were not independence of each other. Further, the finding has revealed that with health insurance cover it facilitates access to healthcare resources including mosquito bed net. The chi-squared values indicate a high relationship which meant that the health insurance cover of women speaks more about procurement of mosquito bed net for sleeping in Ghana.
The study found that women covered by national/district health insurance had a higher likelihood of procuring a mosquito bed net for sleeping. The plausible explanation to this finding could probably be that being covered by health insurance exposes beneficiaries to more healthcare resources since the insurance facilitates it easier for beneficiaries to ascertain that resource involving health is covered by insurance and that they endeavour to avail themselves to claim those resource including mosquito bed net whenever the need arises. It could also mean that they value their quality sleep and that do not want to be disturbed in it. So, they attempt to procure it and sleep under it to avert any threat mosquitoes’ and other insects’ bite could bring to them.
Further, it emerged that women that have their health insurance being provided by their employer had lower odds of procuring a mosquito bed net for sleeping in Ghana. The plausible explanation could be that their employer does not pay the premium for them which deter them from accessing anything that has to do with healthcare resources. Hence, they think they could be made to pay for the mosquito bed net if they want to access it. It could probably mean that these women do not value their quality sleep and health which is why they are not being inspired to access them.
The findings of the study suggest that Ghana is capable of achieving the SDG 3 which is Good Health and Well-Being. This is so because majority of women are covered by health insurance. The associations found in the hypotheses postulated in the study suggest that women literacy and their insurance cover motivate them make health decision without an eye browse. Low literacy rate found in the study affected most of the women to understand the need for mosquito bed net for sleeping. Therefore, the study recommends that health care providers should endeavour to continue to reinforce education on ownership and usage of a mosquito bed net for sleeping since its usage consistently has financial benefits of prevention over treatment and can contribute to a good night’s sleep, free of nuisance biting from mosquitoes and other insects.
Ethical Approval
We did not seek ethical approval because we used the 2022 GDHS data
Competing Interests
No conflict of interest was declared.
Funding
The study was not funded.
Availability of Data and Materials
The study made used of the 2022 DHS data. Therefore, it is publicly available online.
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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
