Perceived challenges of DRM testing: facility-level challenges
In addition to the significant delays faced at the national level for DRM testing, providers and policymakers reported two facility-level challenges: (1) overworked facility staff and (2) difficulty tracking DRM testing results. First, several providers mentioned that DRM testing has been delayed because facilities have too many procedures to perform for the number of staff they have. Providers and policymakers commented that procedure backlog within clinics delayed testing procedures (such as the postponement of multidisciplinary team discussions), clinical decision-making, and patient care. Secondly, providers and policymakers commented on how the mishandling of DRM testing results, such as logistical issues of tracking DRM testing results, led to missed results and delayed care.