“…Previous studies have reported that lethargy, lack of interest 35 , differences in the pattern of drug use, attitudes and knowledge of pharmacovigilance and different points of view among HCPs might be the contributing factors 38 , 40 . Studies conducted in Denmark and UAE reported the reasons for under-reporting to be contributed by; the complexity of the reporting process and lack of reporting skills 41 , lack of time, other priorities, uncertainty concerning the drug causing the ADE, difficulty in accessing reporting forms, lack of awareness of the requirements for reporting and lack of understanding of the purpose of spontaneous reporting 24 . Likewise, other factors include unknown reporting procedures, unavailability of reporting forms, and lack of time as also reported in a study conducted in Vietnam 42 , lack of time to complete a report, lack of confidence to discuss ADRs, reporting generate extra work, concern report may be wrong and single ADR report may not affect the database as it was reported in a study conducted in South Africa 30 .…”