Each manuscript that passes the initial editorial assessment is reviewed by at least two independent reviewers who are experts in the relevant subject area and are not members of the journal’s editorial team. MJPH applies a double-anonymous peer-review process, in which the identities of authors and reviewers are concealed from each other. Feedback will be given to authors promptly to complete the review process within approximately 4-8 weeks. The review process will take about three (3) to five (5) months. The editor evaluates the recommendation and notifies the author of the manuscript status. The manuscript may be:

• Accepted for publication as is 
• Accepted for publication with minor changes, with no re-review necessary 
• Accepted for publication after substantial revision and additional review, or 
• Rejected. 

The comments of the anonymous reviewers will be forwarded to the authors, and when the authors are ready to submit their revised manuscript, read the comments of the editors and reviewers, and respond to them by telling what modifications they have made in their manuscript or why they have not made the suggested changes. Note that revisions must be completed and submitted within two weeks after the authors received the reviewers' comments. Late manuscripts will not be published in the coming issue, yet might be considered for the next issues.