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 | |
Motivation [11, 14, 51, 59] and lethargy [15] | 5(12.5%) | |
Should be financially reimbursed [15, 27] | 2 (5%) | |
Disease reporting not considered a priority [51] | 1 (2.5%) | |
3 | Perceptions | |
Patient confidentiality [14, 15, 30, 34, 37, 53, 56] | 8 (20%) | |
Legal issues [14, 15, 33, 51] | 4 (10%) | |
Complicated reporting systems [37, 51, 53] | 3 (7.5%) | |
Fear of losing patients [16, 28] | 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%) | |
Lack of time/additional burden [14,15,16,17, 33, 34, 53] | 7 (17.5%) | |
Lack of reporting forms/registers [15, 37] impractical design [15] | 3 (7.5%) | |
No lab or technician [11, 26, 48] | 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%) | |
Other (Red tapism [33], lack of simplified system [37] | 2 (5%) |