Individual/ community challenge

No of studies reporting the challenge

Hospital challenge

No of studies reporting the challenge

False cultural beliefs and practices

17

Poor health worker skill

14

Ignorance and poverty

16

Delay in diagnosis and Treatment

8

Poor health seeking behavior

11

Poorly equipped laboratories

19

Late presentation

10

No management protocol

18

Lack of access to skilled care

17

Unpredictable supply of monitoring equipment

8

Patronage of quacks

16

Poor staffing

14

-

-

Repeated industrial actions

13

-

-

Use of fake drug

10

-

-

High cost of care and drugs

16