Organization and management

Human factors

Environmental factors

Technology factors

Maternal related factors

・ Overcrowded clinics

・ Transient staff

・ Poor follow up system in high risk mothers

・ Inappropriate registry system

・ Poor access to maternal health data

・ Lack of coordination in different levels of care

・ Poor counselling with high risk mothers

・ Expensive lab tests

・ Poor insurance coverage

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・ Poverty