Table A2.

Barriers to evidence based maternal health care.

Reference, country	Human resources	Supply/equipment	Referral-related	Infrastructure	Cost-related	Patient-related
Agan et al. (17), Nigeria	Non availability and shortage of man power, little knowledge by health care givers on how to use the health care equipment (partograph), little time for the health care givers to use necessary equipment (high workload) All barriers explicit
Baguiya et al. (20), Guinea	Lack of training for staff (explicit), staff shortage (implicit)	Lack of equipment (explicit)
Cham et al. (21), Gambia		Lack of blood, shortage of medication (explicit)
Georges Dayitaba et al. (22), Burkina Faso	Lack of physicians with surgical skills, surgical assistants, and anesthesiologist assistants (explicit)	Lack of blood (explicit)
Daniel et al. (28), Nigeria	Lack of doctors (explicit)			Lack of proper power supply (explicit)
Garenne et al. (23), Senegal	Lack of available personnel at time of admission (explicit)	Medical equipment failure (explicit)
Mezie-Okoye et al. (24), Nigeria	Lack of sufficient number of trained staff (explicit)	Lack of sufficient number of equipment and supplies (explicit)	Lack of transportation for referral (explicit)
Moore et al. (19), Nigeria	Unfriendly attitude of staff (explicit), unavailability of staff (explicit), lack of urgency at facility (explicit)		Long distance to health-care facility (explicit), unavailability of means of transportation (explicit)		Lack of money for transportation (explicit)
Nikiema et al. (25), Burkina Faso	Poor quality of care provided (explicit), staff shortage (implicit), procedures not followed by staff (implicit)	Lack of equipment (implicit)				Refusal by women to be examined by male health workers (implicit)
Nnebue et al. (26), Nigeria	Lack of skilled personnel (explicit), poor quality of care by staff (explicit)	Lack of drugs and supplies (explicit), lack of equipment (explicit)	Poor (lack of) referral (explicit)			Sociocultural preferences (explicit)
Okoli et al. (27), Nigeria		Lack of a sufficient amount of supplies or drugs (explicit)
Omo-Aghoja et al. (16), Nigeria		Lack of blood and oxygen available at hospital (explicit), lack of necessary back up equipment (explicit)	Delayed referral from private hospitals (explicit)
Oyerinde et al. (18), Sierra Leone	Poorly trained staff (implicit), insufficient number of trained staff available (explicit), poor quality of care (explicit)	Insufficient equipment, drugs and supplies (explicit)		Lack of plumbing, electricity, running water	Cost (explicit)
Total	10	10	4	2	2	2