| Reason for under-reporting | Frequency n = 36 | Percentage | |
| No reporting guidelines | 26 | 72 | |
| Limited coordination between units | 24 | 67 | |
| Inadequate EHR system competence | 22 | 61 | |
| No feedback from higher levels | 19 | 53 | |
| Use of parallel systems for reporting cases | 17 | 47 | |
| Work overload/short staffed | 15 | 42 | |
| Poorly designed interface | 15 | 42 | |
| System downtime related challenges | 15 | 42 | |
| Too many data sources required to fill the form | 11 | 31 | |
| Electricity power outages | 11 | 31 | |
| High staff turn over | 10 | 28 | |
| Limited or non-existent incentives | 9 | 25 | |
| Poor network connectivity | 2 | 6 | |