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MANUSCRIPT SUBMISSION FORM

I. TITLE

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II. AUTHOR INFORMATION

List all authors in the order they appear in the paper Eg: John Lennon; Kimberly Hoang Anh; Nguyen Hoang Lan

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Corresponding author’s information (Please provide full name, affiliation, email address and phone number as shown in the following example.)

Eg: Peter Anderson

Department of International Health, University of West England Email: [email protected]

Tel: +84987123456

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Co-authors’ information (Please provide full name, affiliation and email address of all co- authors as shown in the following example.)

Eg: Peter Anderson

Department of International Health, University of West England Email: [email protected]

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III. ETHICS CONSIDERATION

Information of the institutional review board that approved the research protocol All papers submitted to the VJPH English Edition must conform to general ethical principles of health care research as outlined in the Helsinki Declaration. The methods section must include the names of the Ethics Committees (Institutional Review Committees) that approved the protocol. Details on the way informed consent was obtained must also be included. The corresponding author must retain copies of all letters of approval in case they are required for review by the journals editors.

(Name, institution, registration number)

Eg: Institutional review board of Hanoi School of Public Health

Hanoi School of Public Health, 138 Giang Vo Street, Ba Dinh District, Hanoi, Vietnam Registration number: HSPH1234IRB

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Trial registration (Please provide the information relating to the registration of the trial including institution and registration number.)

All clinical trials and interventions must be registered by a recognized authority where the protocol is available for public access. The registration number must be included in the methods section. Papers related to unregistered trials that commenced in 2012 or later will not be considered for publication. Suitable registration authorities include: http://clinicaltrials.gov and http://www.who.int/ictrp/en . As the WHO website says,

"The registration of all interventional trials is a scientific, ethical and moral responsibility”

(http://www.anzctr.org.au ) . Clinical trials conducted in Vietnam must register with the Ministry of Health’s Independent Ethics Committee (http://iecmoh.vn/).

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Inform consent obtainment (Please describe the procedure ensuring personal information privacy, rights of research subjects and how the inform consent was obtained.)

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Declaration of conflicting interests

☐ All authors have read and agree on the submission of the final manuscript.

☐ The author(s) declare no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

IV. SUGGESTING REVIEWERS

We would like you to suggest three reviewers whom you think are capable of providing a critical assessment of your manuscript. If you have any colleagues who can do so, please let us know their name and contact. The final decision on who will review your paper will be made by the Editor.

No. Full name Email Institution/ Short introduction 1

2 3

V. Other information

Please insert below additional information about the paper that authors would like to share with the Editor.

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Person Completing Form Name:

Date:

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