<p>Abstract title would do with the <i>when</i> element, besides the what and where included in the title.</p><p>It would have been good to know the magnitude of the problem in Ghana; at worst in the 2 states studied. Objectives are missing from the background.</p><p>There seems a disconnect between the number of participants in the Methods vs those in the Results. The Methods section seems well written, but we missed the variables assessed for.&nbsp;</p><p>In the Results section, I was wondering if we should have used prevalence odds ratios, instead of just odds ratios. The participants were not well described in the Results section.</p><p>The Conclusion is well written; however, we see very general recommendations not very well targeted to the findings in the Results section.</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p>