Annapurna Journal of Health Sciences is a scientific, double-blind, peer-reviewed publication. Every submission of papers for publication should to be distinctive. Submissions of manuscripts that have already been published or are being considered for publication elsewhere are discouraged and will not be accepted. A manuscript submitted means that it has not been published before, that it is not being considered for publication elsewhere, and that, should it be approved, it will not be published in any other form or language (English) elsewhere without the publisher's express permission.

The editors evaluate manuscripts submitted through the journal management system in no more than two weeks.

After editors have examined a manuscript, it is sent to two specialized reviewers. Should the manuscripts fail to satisfy these conditions, it is rejected by the editors. Within two weeks at the latest, these reviewers notify the editorial board of their decision regarding whether or not to include the submitted paper in the review process. New reviewers are appointed to the manuscript if the existing reviewers do not provide the editorial board with their views.

The study is reviewed by the assigned reviewers via the journal review form. Additionally, the designated reviewers are free to offer their opinions and suggestions in the entirety of the document before sending it to the editorial board. The initial decision-making process could take up to six weeks.

Reviewers can state the following four decisions for the submitted manuscript:

Accept Submission: The submission will be accepted without revisions.
Revisions Required: The submission will be accepted after minor changes have been made according to the reviewer’s comment.
Resubmit for Review: The submission needs to be re-worked, but with significant changes, it may be accepted. It will require a second round of review, however.
Resubmit elsewhere: When the submission does not meet the focus and scope of NMJ.
Decline Submission: The submission will not be published in the journal.

Based on the reviewer’s decisions third or fourth reviewers can be assigned. In such a case, the same process of review will be performed.

After reviews are completed, reviewer’s comments/views are examined for at least two weeks by editors. Editors make the final decision for the manuscript by taking into consideration reviewer’s decisions and suggestions. The final decision is sent to the author.