<p>Background does not present data to bring out the significance of &nbsp;the work. The objective does not describe the expected outcome, therefore the relevance of the study can not be clearly ascertained.&nbsp;</p><p>Method is poorly written and described in future tense. Author presented mere statistical tools without describing the type of analysis done. Study setting is not described.&nbsp;</p><p>Results: insufficient data to allow the reader to reach a conclusion</p><p>Conclusion: The study does not appear sufficiently valid and reliable to serve as a basis for the conclusions and for taking public health action in the ECOWAS region&nbsp;</p>