All manuscripts submitted to HPEJ initially undergo internal peer review. A manuscript not found suitable for publication as regards the topic or poor writing is likely to be rejected on the internal peer review. 

After the initial peer review, the manuscript is sent for external peer reviews. This is a single-blind process. Research articles are reviewed by two peer reviewers. An average of two weeks' time is given to reviewers for reviewing the manuscript.

Editorials and obituaries authored by the editor-in-chief will not be subjected to an external peer review