<p>Background</p><p>Differentiated Service Delivery (DSD) , you need to provide some background of this service to the reader!</p><p>What are the differences in this context between associated factors and barriers?&nbsp;</p><p>&nbsp;</p><p>Methods</p><p>It was a mixed methods study employing quantitative and qualitative approaches. Review of 313 participants files were selected using systematic random sampling, 30 in-depth interviews with adolescents, 15 key informant interviews with health workers in selected health facilities. Modified poisson regression was used for bivariate, multivariate analysis and thematic content analysis for Qualitative data</p><p>&nbsp;</p><p>There is no study design, study site, study population mentioned and study tool used. we need to know the variables collected as possible social and health systems barriers . Analysis can be improved to how &nbsp;exactly the variables were analyzed and presented. How was adherence defined? we are seeing good adherence in results, how did you come by good adherence?&nbsp;</p><p>&nbsp;</p><p>Results</p><p>Overall, good adherence (≥95%) for all the five DSD models in the selected health facilites</p><p>&nbsp;</p><p>Do you mean facilities?</p><p>&nbsp;</p><p>conclusion</p><p>The authors recommendation is not targeted, who should do these modifications?&nbsp;</p>