Factor | Main barrier |
---|---|
System or organizational factors | |
Supply chain | Fragmentation due to multiplicity of supply chains and sub-supply chains |
Lack of coordination between levels | |
Lack of knowledge of the procurement and supply chain management concept | |
Lack of qualified personnel with experience in supply management | |
Lack of protocols | |
Lack of reliable data for supply management | |
Deficiencies on storage system | |
Difficulties for the distribution due to transportation deficiencies | |
Audit and Supervision | Lack of regular supervision and monitoring visits affects the care provided |
Health care providers continuing education system | Limited impact of the existing training models on ANC model |
Human Resources at health center level | Staff shortage |
Staff turnover | |
High workload | |
Goods and products at health center level | Lack of supplies |
Environment conditions at HC level | Lack of appropriate infrastructure to conduct the interventions of the package in an integrated way |
Patient Data Record System at health center level | Deficiencies on record system regarding patients’ information |
Absence of training on data collection | |
Lack of data collection forms | |
Data recording fragmentation and duplication | |
Deficiencies on data analysis | |
Factors related to the health providers knowledge, skills and attitudes | |
Health providers knowledge and skills | Lack of awareness on guidelines and protocols implementation |
Health care provider attitudes | Resistance to follow the procedures |