Table 4.

Challenges associated with infrastructure in FPP

Theme	Subtheme	Categories
Computational resources		Lack of health electronic records
		Fragmented information databases
		Difficulty accessing networks
		Lack of proper hardware and software
		Middleware bugs
		Lack of IT specialists in the health care sector
Physical resources		Inadequate physical space
		Lack of necessary equipment
		Misdistribution of resources
		Lack of welfare and transportation facilities for human resources
Human resources		Shortage of human resources
Financial resources	Inappropriate health insurance system	Lack of fund pooling
		A fragmented health insurance system
		Lack of a backup software for payment methods
		Inappropriate insurance deductibles
		Absence of a public insurance scheme
		Delayed reimbursements
		Lack of health-oriented vision of insurance
		Lack of a proper supervision structure in the insurance organization
		Unclear methods of payment
		Per capita payment instead of function-based payment to the health team
		Inadequate criteria for per capita income definition
	Financial challenges	Inadequate and delayed budgeting
		Rational medical tariffs based on relative value of health services
		Weak accounting practices