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The next coding stages were all carried out by the main coder to avoid further inter-coder reliability issues.
All the responses to selected segments of the topic guide from Burkina Faso, and afterwards from Ghana, were coded by the main coder and the county interviewer.
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The other coders recoded a random 10% of the main coder's consultations.
The main coder coded 101 (54%) of all consultations.
The main coder completed all transcripts and compared the results in determined sections with the co-coder until a common coding was established.
A research assistant coded all articles, and one of the authors [SB] independently coded 19% to verify that a second coder would arrive at the same conclusion as the main coder.
Yet, when considering all three codes, the Kappa value between coders 1 and 6 for coding the condition used as the main COD by one of them, as either a COD or an AC by the other, was 0.94.
We have established the main CODs among people of all ages within the area served by the KHDSS on the coast of Kenya using the 2007 WHO VA questionnaire coded using InterVA-4.
Neonatal pneumonia and birth asphyxia were the main CODs in neonates; pneumonia and malaria were the main CODs among infants and children aged 1 4, respectively, while HIV/AIDS was the main COD for adult women of reproductive age.
At this stage a main coder (first author), with previous experience and familiarity with all the languages involved, was identified.
By then, the main streets were clear.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com