<p><strong>Title</strong>:</p><p>&nbsp;<strong>Evaluation of perinatal deaths in Nakuru County 2021, Kenya;&nbsp;</strong></p><p>Is the evaluation the '<strong>system' </strong>or '<strong>perinatal death'</strong> by itself? For me, Evaluation of perinatal death surveillance...</p><p><strong>Background and rationale of the study</strong>:</p><p>surveillance gap was mentioned eg. the majority of deaths in Nakuru county, the surveillance system for perinatal mortality in Nakuru has not been evaluated before... However, the objective should be clearly stated: is the whole system evaluated or selected attributes of the surveillance system?</p><p><strong>Methods</strong>:</p><p>&nbsp;It looks at surveillance data analysis rather than surveillance system evaluation eg. '<i>We assessed age, time and place of death occurrence, and neonatal and maternal clinical characteristics</i>'. It is better to mention the methods of surveillance system attributes assessed.</p><p><strong>Result</strong>:</p><p>study results do not logically follow the described methods (surveillance system evaluation). The author needs to clearly identify the surveillance data analysis and surveillance system evaluation. only two surveillance system evaluation attributes were mentioned i.e content completeness and simplicity.</p><p><strong>Conclusion</strong>:</p><p>The conclusion needs to be about surveillance system evaluation attributes rather than the cause of death.&nbsp;</p>