Mandala of Health: A Scientific Journal applies a double-blind peer-review process, in which the identities of authors and reviewers remain confidential throughout the review process.
All submitted manuscripts are initially evaluated by the editor to assess their relevance to the journal's focus and scope, compliance with the author guidelines, and overall suitability for peer review. Manuscripts that meet these requirements are sent to one or two independent reviewers with relevant expertise to evaluate their scientific quality, originality, methodology, and significance. Manuscripts that do not meet the journal's requirements may be returned to the authors or rejected.

Reviewers are generally given 1–2 weeks to complete their evaluations. Editorial decisions are based on the reviewers' comments and the editor's assessment. The final decision regarding acceptance, revision, or rejection rests with the editor.
The average time from manuscript submission to publication is approximately 16 weeks. However, the actual duration may vary depending on the review process, the extent of revisions required, and the authors' response time.