Review of: "Factors Associated With Hospital Outcomes for Cases of Anemia in Pregnancy at a Regional Level in Burkina Faso"

Abstract

Strengths:i. Relevance: Addresses a critical public health issue in a low-resource setting with a high prevalence of anemia.ii.Comprehensive Outcome Measure: Combines maternal and fetal outcomes, offering a holistic view of healthcare system performance.iii.Robust Sample Size: 1,815 cases provide suf cient power for multivariable analysis.iv.Methodological Rigor: Appropriate use of logistic regression and acknowledgment of limitations (e.g., retrospective design).Suggestions: Data Currency and Contextualization:Issue: Data from 2009-2011 may not re ect current trends.Suggestion: Discuss recent interventions (e.g., policy changes, programs like free maternal healthcare in Burkina Faso post-2016) and whether ndings remain relevant.Consider a brief analysis of more recent data if accessible.Handling Missing Data:Issue: 18% missing gestational age data categorized as "unknown" may introduce bias.Suggestion: Perform sensitivity analyses (e.g., multiple imputation) to assess the robustness of results.Clarify how the "unknown" group differed from others.De nitions and Measurements:Issue: "Quality of anemia prevention" relies on antenatal visits and supplementation but overlooks Qeios qeios.