Several factors contribute to delays in reporting:
1. Data Collection: Initial data collection at healthcare facilities may be slow due to administrative burdens, lack of electronic health records, or insufficient staff training. 2. Laboratory Confirmations: Confirmatory tests for certain diseases can take time, which delays the final diagnosis and subsequent reporting. 3. Bureaucratic Processes: Reporting systems can be hampered by bureaucratic red tape, complex procedures, and inefficient communication channels. 4. Reluctance to Report: Healthcare providers may be reluctant to report due to fear of legal consequences, stigmatization, or loss of patient trust.