A priori theme | Emerging subtheme | Number of reports | Percent (n = 44) |
---|---|---|---|
Service delivery | Fragmentation of services | 42 | 95.5 |
Poor quality of service | 29 | 65.9 | |
Infrastructure challenges | 29 | 65.9 | |
No institutional road signs | 22 | 50.0 | |
Poor security in the institutions | 5 | 11.4 | |
Poor referral system | 2 | 4.5 | |
Dysfunctional EMS | 2 | 4.5 | |
Healthcare workforce | Shortage of staff | 39 | 88.6 |
Poor HRH management | 38 | 86.4 | |
RWOPS challenges | 18 | 40.9 | |
Shortage of accommodation for interns | 20 | 45.5 | |
Information | Poor information management | 26 | 59.1 |
Medical products, vaccines and technologies | Dysfunctional ICT system | 27 | 61.4 |
Shortage of resources/equipment | 26 | 59.1 | |
Pharmaceutical system challenges | 23 | 52.3 | |
Supply chain management challenges | 8 | 18.2 | |
Financing | Financial/cash flow challenges | 39 | 88.6 |
OSD challenges | 3 | 6.8 | |
Leadership and governance | Risk to patient care | 38 | 86.4 |
Poor leadership | 29 | 65.9 | |
Poor priority setting | 27 | 61.4 | |
Lack of governance structures | 22 | 50.0 | |
Lack of policy implementation | 8 | 18.2 | |
Non-appointment of hospital board members and clinic committee members | 1 | 2.3 |