| Reasons | Frequency | Percentage |
| Unawareness of the guidelines | 46 | 37.1 |
| Heavy workload | 34 | 27.4 |
| Lack of guidelines in the working institutions | 21 | 16.9 |
| Inadequate training on the guidelines | 10 | 8.1 |
| Poor attitude and motivation | 4 | 3.2 |
| Inadequate resources for implementing the guidelines | 3 | 2.4 |
| Poor supervision | 3 | 2.4 |
| Lack of current updates | 2 | 1.6 |
| Lack of cooperation from patients | 1 | 0.8 |
| Total | 124 | 100 |