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| Poor patient treatment adherence | 12 (75.0) |
| Language difficulty | 8 (50.0) |
| Overwhelming patient load | 8 (50.0) |
| Severe staff shortages | 8 (50.0) |
| Patient loss to follow up | 7 (43.75) |
| Poverty | 4 (25.0) |
| Poor patient literacy | 3 (18.75) |
| Lack of drugs | 2 (12.5) |
| Lack of functional equipment | 2 (12.5) |
| Systematic factors like financial constraints on tests | 3 (18.75) |
