Effective (n = 35)

Frequency (%)

Related of patients/family/communauty

Refus du traitement ou de la référence

3

8.6

Refusal of consultation in the center

2

5.7

Transportation difficulty

2

5.7

Failure to fulfill the prescription

1

2.9

Related to the center having referred

Referral decision delay

13

37.1

Lack of medicalization of the reference

10

28.6

Inadequate pré-reference processing

9

25.7

Related of center (CHU-MEL)

Incomplete initial assessment

11

31.4

Incorrect diagnosis

8

22.9

Treatment not carried out

11

31.4

Inappropriate treatment

10

28.6

Lack of supervision

5

14.3

Partograph filling defect

1

2.9