SUBMISSION & INITIAL SCREENING

1. Author submits the manuscript to the JEHS.
2. Managing Editor checks formatting and compliance with author guidelines.
3. If formatting is incorrect → manuscript is returned to the author for corrections.

DESK REVIEW

1. Manuscript is forwarded to the Chief Editor & Editor for desk review.
2. If found unsuitable → Manuscript Rejected.
3. If it passes desk review → sent to the Section Editor

ASSIGNMENTS TO EDITORS

1. Section editor reviews the manuscript.
2. Manuscript may be:
3. Assigned to a Biostatistician for statistical review (if required).
4. Assigned to a Statistical Editor for quality assurance of statistical review.
5. If found unsuitable at this stage → Manuscript Rejected.

INTERNAL EDITORIAL REVIEW

1. Internal review completed; editor may request revisions from the author.
2. Manuscript sent back to author for corrections.
3. After successful revisions → manuscript is cleared for external peer review.

EXTERNAL EDITORIAL REVIEW

1. Manuscript is sent to external reviewer(s) for peer review.
2. Reviewers submit comments to the section editor.
3. Editor evaluates reviewer comments and decides whether:
4. Further review is needed
5. Or decision can be made

AUTHORS REVISIONS

1. Based on reviewer/editor comments, manuscript may be sent to the author for revisions.
2. Author submits the revised version.

EDITORIAL DECISION

1. Section editor completes decision based on reviews and revisions.
2. Manuscript forwarded to the Chief Editor for final decision.

FINAL DECISION BY CHIEF EDITOR / EDITOR

1. Chief Editor/ Editor reviews all reports and recommendations.
2. Final outcome:
3. Manuscript Accepted
4. Manuscript Rejected