Table 5

Barriers of implementing stillbirth and neonatal death audit

LevelBarrierTotalCitation
Health provider Care providers not aware of actions implemented following audit recommendations1 Study(26)
FacilityHealth workers not aware of death audit processtwo studies(25 26)
Audit facility team members not trained3 Studies(9 24 25)
Inadequate supportive supervision1 Study(25)
Lack of financial motivation1 Study(25)
Increased workload in the ward3 Studies(9 24 25)
Too many cases to review2 Studies(9 25)
Inadequate formation and implementation of action plans4 Studies(9 24–26)
Poor documentation and poor information management systems2 Studies(23 26)
Cause of deaths not followed International Classification of Disease 10th version1 Study(23)
Inadequate human resource2 Studies(9 23)
Limited time led to the postponement of meetings3 Studies(9 23 24)
Lack of clarity in its intended purpose1 Study(24)
Weak analysis and discussion of the cases1 Study(24)
Lacks specific measurable action plan1 Study(24)
Lack of key hospital decision-makers in the audit committees1 Study(26)
Failure to disseminate audit reports to the national authorities1 Study(26)
Inadequate material resources (equipment for resuscitation)1 Study(9)
NationalReporting forms not systematically analysed at the national level1 Study(24)
Technical committee meetings not held1 Study(24)
Funding guidelines not adequately disseminated1 Study(24)
Lack of broader engagement at the national level2 Studies(9 26)