| Challenges in record keeping | Frequency | Percent |
| Competence of clerical staff | 41 | 20.4 |
| Knowledge | 37 | 18.3 |
| Time | 36 | 17.8 |
| Manual records | 20 | 9.9 |
| Tedious | 14 | 6.9 |
| Do not know | 14 | 6.9 |
| Lack of finance | 14 | 6.9 |
| Lack of facilities | 11 | 5.4 |
| Identify areas of improvement | 5 | 2.5 |
| None response to proposal | 4 | 2 |
| Continuity | 4 | 2 |
| Fraud | 2 | 1 |
| Total | 202 | 100 |