Response Letter

a) Concerns:
1. Corresponding author should be the faculty member from the institution
where the study originated and received ethical approval and supervision.
Dr. Nazish Jaffar who is the faculty member at Jinnah Sindh Medical
University (JSMU) has been made the corresponding author for this
research.
2. Author listed at number 2 is from another institution, essentially
performed tasks identical to others. His name should be transferred to
the acknowledgement.
Previous corresponding author of this study, Muhammad Wasi Abbas met
Dr. Hasan Nawaz Tahir during his research electives at Aga Khan University
in 2020.
The proposal was developed under supervision of Dr. Hasan Nawaz Tahir. In
data analysis he was the key investigator in coding and recoding variables,
developing plan of analysis.
His notable contributions in developing sampling strategies, calculating the
sample size and figuring out the inclusion/exclusion criteria helped us
design the correct methodology for this research paper.
The development of results table and discussion for the manuscript were all
written under his supervision.
Dr. Hasan in digital health expert at Aga Khan University, his work in the
area was pivotal in developing the concept of this manuscript. This
manuscript will lead to future grant development with piloting of
telemedicine solution. This work is prerequisite formative work for that
grant.

b) Comments:
1. This is a single center short term KAP type, so should be labelled as a KAP
study. Study on a topic widely studied already and the outcome doesn’t
add something new. Contents and scope are not adequate to justify this
 as a research article. However, depending on the reviewers’
recommendations, it could be considered for the category of a KAP study.
We suggest this article to be converted accordingly. Should you agree,
please modify it accordingly: https://www.jpma.org.pk/view-instructions.
According to the instructions given, this article has been converted to a KAP
study (Page 1, Line 3).
2. The study cannot be considered as a true representation of the whole of
Pakistan.
The title has been modified according to the instructions (Page 1, Lines 1-2).
3. Please make sure that key words are selected according to MeSH terms.
Please use words or phrases that accurately describe what your article
offers. Select words that are specific to the contents of your article.
Keywords have been selected according to MeSH terms which accurately
describe what the article offers (Page 2, Lines 42-43).
4. Please mention:
Inclusion and exclusion criteria applied; Inclusion and exclusion criteria
have been mentioned in the methods section and highlighted (Page 5, Lines
98-100).
Low response rate suggests this may not be regarded as a true
representation of the whole country; This is not a true representation of
whole country, but of Karachi (Page 6, Lines 138-141).
5. Mention, any limitations or restrictions you noted in your study.
Limitations have been mentioned in the discussion section and highlighted
(Page 10, Lines 237-242).
6. Conclusion is vague and doesn’t state the study outcomes explicitly.
Conclusion has been written again and state the study outcome specifically.
It has been highlighted. (Page 10, Lines 244-249).
7. List of references carries many inconsistencies which include, incomplete
information, some journal titles are either missing or not abbreviated and
may be many others. Please strictly adhere to the journal guidelines for
citating and listing of references. The Journal follows Index Medicus style
for references and abbreviated journal names according to the list of
Journals indexed in Index Medicus
https://www.ncbi.nlm.nih.gov/nlmcatalog/journals
 References have been re-done according to the journal guidelines and any
previous minor mistakes have been rectified. Changes have been
highlighted in the original manuscript.
8. This category allows up-to three illustrations, inclusive of all tables, figure
and/or diagrams. Any additional will incur extra charge to be borne by the
author.
We want to keep the tables and figure as we added initially. We will pay
any additional charges (Pages 14-21, Lines 351-411).