A | Barriers to reporting: practitioner end | n % |
1 | Knowledge | |
Lack of information what, how, where to report /unfamiliarity on reporting process/system [15, 16, 30, 33, 37, 49, 51, 53] | 8 (20%) | |
2 | Attitudes | |
5(12.5%) | ||
2 (5%) | ||
Disease reporting not considered a priority [51] | 1 (2.5%) | |
3 | Perceptions | |
8 (20%) | ||
4 (10%) | ||
3 (7.5%) | ||
2 (5%) | ||
Beyond scope of clinicians responsibilities /No obvious benefit [11, 51] | 2 (5%) | |
Misconception about reporting procedures [30] | 1 (2.5%) | |
Appear foolish if misdiagnosed [15] | 1 (2.5%) | |
Fear notification may trigger further investigations [15] | 1 (2.5%) | |
4 | Practice | |
Infrastructure issues such as human (adequate and skilled, staff turnover) resources and equipment resources [14, 17, 27, 31, 32, 48, 50, 51, 58] | 9 (22.5%) | |
7 (17.5%) | ||
Lack of reporting forms/registers [15, 37] impractical design [15] | 3 (7.5%) | |
3 (7.5%) | ||
Cost of reporting [59] | 1 (2.5%) | |
B | Barriers to reporting: government and public sector end | n % |
Lack of clear instructions/inadequate dissemination of guidelines/no assistance with reporting procedures, supervision or feedback etc. [14, 22, 24, 33, 34, 43, 46, 48, 51] | 9 (22.5%) | |
Lack of cooperation/coordination/collaborative environment/positive dialogue (Govt. and private sectors) [14, 22, 30, 37, 46, 48, 51] | 7 (17.5%) | |
Lack of leadership/strong and proactive administration [28, 31, 34, 48, 55, 59] | 6 (15%) | |
No punitive action or regulation [11, 22, 30, 53] (separate regulatory function from service provision [27]) | 5 (12.5%) | |
Non-involvement of range of private healthcare providers [11, 22, 27] | 3 (7.5%) | |
2 (5%) |